1. Provider Credentialing

One of our expert services is the provision of the whole credentialing process, including verification of qualifications, licenses, and other certifications, to ensure compliance with regulatory and payer requirements. Our team manages:

• Application preparation and submission

• Primary source verification

• Ongoing credentialing maintenance

• Compliance with state and federal regulations

  
  

  2. Insurance Enrollment & Contracting

  
  

Enrolling with an insurance carrier is very important for Healthcare providers. We facilitate:

• Payer application submissions

• Medicare & Medicaid enrollment

• Commercial insurance participation

• Contract negotiations with payers

3. CAQH Profile Management

The Council for Affordable Quality Healthcare (CAQH) is a vital repository for provider information. We ensure your CAQH profile is:

• Accurately completed and maintained

• Regularly updated for attestation

• Compliant with payer requirements

4. Re-Credentialing & Compliance Management

Timely re-credentialing to avoid lapses in payer contracts

• Ongoing monitoring of licenses and certifications

• Compliance with Joint Commission, NCQA, and CMS standards

Benefits You Can Get 

• Expert Guidance: Staying up-to-date with the latest payer and regulatory changes is one of our priorities.

• Time Efficiency: Let us take care of all the administrative work, while you provide the best health care facilities. 

• Faster Approvals: Sirius Global’s proven processes to reduce delays in credentialing and enrollment.

• Customized Solutions: Tailoring our services as per your requirements is our piece of cake.