Provider Credentialing & Payer Enrollment Support
Project-based administrative support for provider document collection, application preparation, submission tracking and payer correspondence throughout the credentialing and enrollment process.
Support May Include
Depending on your agreed scope, support may include:
- Provider document collection.
- Credentialing or enrollment application preparation.
- Application status follow-up.
- Tracking of expirations.
- Tracking of missing documents or information.
- Payer correspondence tracking.
Service Boundary
Approval decisions remain outside Maono's control.
- Final approval remains with the payer.
- Government program decisions remain with the relevant authority.
- Credentialing-body decisions remain outside Maono's control.
- The client remains responsible for accurate provider information.
- Approval timelines cannot be guaranteed.
Common questions.
What credentialing tasks can your team support?
Support can include document collection, application preparation, status follow-up, expiration tracking and correspondence tracking.
Can Maono guarantee payer enrollment approval?
No. Final credentialing and enrollment decisions remain with the payer, credentialing body or relevant authority.
Can you track missing provider documents?
Yes. Missing items can be documented and followed up through the client-approved workflow.
How do you track application status?
Applications can be monitored through approved payer channels, systems and tracking tools defined for the engagement.
Can you monitor expirations and renewals?
Expiration tracking can be included within the agreed administrative scope.
Who is responsible for the accuracy of provider information?
Provider and client information must ultimately be supplied or confirmed by the client and relevant provider.