Practice Management services

Credentialing Services

Provider enrollment and Medical Credentialing Services is a long and complicated process where a Provider’s experience and qualifications are reviewed for the purpose of enrolling them with Government and commercial payors. As an extension of our Practice Management services, CBS provides a wide range of credentialing services.

We offer the following services:

  • Individual and Group NPI application.
  • NPPES and Pecos Management.
  • CAQH enrollment and Maintenance.
  • Medicare enrollment for Individual NPI’s and Group NPI.
  • Contract negotiations
  • Re-validation and maintenance of provider data in PECOS.
  • Individual and Group Medicaid enrollment.
  • Individual NPI credentialing for commercial payors.
  • Group NPI and Group contract negotiation for commercial payors.
  • Workers Compensation contracts and fee negotiation.
  • University and College Health center credentialing.

Our clients have included:

  • Colleges
  • Hospitalists contracts.
  • Multiple providers offices and groups.
  • Medicare and Pecos Applications.
  • Government Health Systems.
  • Multiple Workers Compensation and Occupational Medicine contracts.

Need help with credentialing? See our proven process.

Credentialing Checklist

Individual’s information

  • Full Name
  • SSN
  • Date of Birth
  • Resume in its entirety. (No job gaps over 6 months, if any please explain)
  • NPI numbers Individual:
  • DEA for each state (copy)
  • State Medical License (copy)
  • Specialty – Board Certified. (copy)
  • Letter confirming hospital admitting privileges or arrangements
  • Five professional references with address and contact information
  • Are physicians US citizens? (If not, provide VISA information)
  • Will physicians be considered Specialists or Primary Care Physicians?
  • Current Malpractice Information: Copy of Liability Insurance Certificate
  • Malpractice claims history if any or any other criminal charges pending against you. Ever been arrested.
  • CAQH login information as well as CAQH ID. https://proview.caqh.org.
  • Medicare number. If none assigned, please provide access to this site: https://pecos.cms.hhs.gov/

Group’s Information

  • Group NPI
  • Voided Check / Local Branch / Contact and Branch and contact Information
  • CP – 575 IRS form
  • Hours of operation
  • All Location addresses. Billing address if different
  • Group Phone and Fax number
  • Medicare number. If none assigned, please provide access to this site: https://pecos.cms.hhs.gov/
  • Office Manager or Business Staff Contact

Solution to your credentialing needs

We look forward to assisting and helping with your credentialing needs. Please call us at 877-614-5227 or email us at the Contact us page..