Medical billing administration
What Facilities We Provided

Billinix's proficiency in physician credentialing is unparalleled. With accuracy and precision as our top priorities, Billinix stands out as your optimal choice for this critical task.

Bid farewell to your credentialing worries and embrace a highly efficient enrollment process with Billinix
Our Services

Billinix serves as a premier credentialing service provider, dedicated to assisting physicians in preventing delays in healthcare claim submissions, surpassing filing deadlines, saving time, and avoiding revenue loss during the credentialing process. Our seasoned team efficiently handles credentialing, ensuring a smooth journey through provider enrollment and MD credentialing.

Credentialing & Re-Credentialing

We assure the absolute accuracy of the credentials provided by practitioners and conduct regular reviews for additional verification, aiding in the effective processing of your initial or revalidation applications.

Devoted Crew

A dedicated group responsible for finalizing credentialing information and submitting it to commercial insurance providers, Medicare, and Medicaid, in strict accordance with the requirements of healthcare practitioners.

Adherence

Billinix’s Physician Credentialing Services ensure alignment with the standards set by the National Committee for Quality Assurance (NCQA) and HIPAA guidelines, ensuring the protection of your information.

Essential Follow ups

As a provider of credentialing services, we meticulously ensure that all necessary follow-up actions are executed correctly to facilitate a seamless enrollment process for our clients.

Portal Registration

Create and update CAQH & NPPES, Optum, Availity and commercial insurance’s provider portals.

Agreement Challenges & Contract Negotiation

We address contracting issues and uphold data integrity through thorough audits. Our negotiation team is dedicated to securing favorable contracts and obtaining the best reimbursement rates for our clients.

CREDENTIALING

  1. Medical credentialing services involve gathering information about a physician’s background and qualifications through a formal application process. This information is then meticulously validated against reliable sources such as the National Practitioner Data Bank or the American Board of Medical Specialties.
  2. For around 15 years, the Coalition for Affordable Quality Healthcare has offered a standardized MD credentialing program, which has gained widespread acceptance among the majority of healthcare payers in the United States.
    Typically, when approached by a hospital, HMO, or employer, physicians are expected to respond to a set of approximately 800 questions. These questions cover various details ranging from licensure to practice history over the past five years.
  3. Typically, when approached by a hospital, HMO, or employer, physicians are expected to respond to a set of approximately 800 questions. These questions cover various details ranging from licensure to practice history over the past five years.