How long does it take to get a provider enrolled with payers?

We are asked this question all the time, and unfortunately, it really depends on the individual health plan’s processing timelines. Medicare and most state Medicaid plans should be approved before the 90 day mark,  but we are seeing faster turnaround times in some states

How does the maintenance of CAQH and other payer portals work when partnering with PMG Credentialing?

If you elect to sign on with payer enrollment services, PMG Credentialing handles all CAQH Maintenance and payer portal attestations included in your ongoing ‘provider maintenance’ or ‘organization maintenance’ charges.

How does PMG obtain current up-to-date network status from health plans?

Upon initial signing, and every 6 months post-implementation, PMG Credentialing reaches out to all of your organization’s payers requesting updated demographic profiles (or more commonly known as rosters) of how your organization is set-up in the health plan’s database. This helps us identify any gaps, while also ensuring, that all providers that were already enrolled are still showing an ‘in-network’ status.

How much time will someone on our team need to devote to assist in the Credentialing, Enrollment, or Privileging process?

PMG Credentialing always recommends a dedicated point person for the purpose of implementation. We would require some time in order for someone to provide some basic demographic information on the providers/locations, your payer listing, etc. The faster we can receive the necessary information, the faster we can get started on any of our service mix. The time needed after implementation from someone at your facility is very minimal; with the only need being to communicate to us any new or terminating providers.

Do you have other questions?