Centralized License
Who can use
Individual Doctors
Doctors benefit with the privileges to acquire clients from the insurance companies.
Possibilities to expand patient number and maintain meticulous standards.
Preliminarily, Orca Cred verifies all the credentials to assure nothing stops or slows down the process.
It infuses confidence in the standards of profession, minimizes errors with low costs.
Clinics/Practice Groups
Orca Cred assist in procuring the group contract for both the practice groups/clinics.
The advantage of group credentialing is, the credentialed enrollment doesn't go with them even if one of the providers leaves the practice/group.
We could have an abundant number of providers linked under the group contract.
The clinic/groups will also have an option to negotiate the reimbursement rates offered by the payers.
Orca Cred will obtain an individual contract for the clinics with a single provider.
Hospitals
Hospital affiliation is crucial for provider credentialing with the other commercial payers as they require a maximum of one in the state where they render service.
If the physician doesn't have admitting privileges, then he/she must look for some other physician who could admit the patient on his behalf.
Orca Cred assists in surpassing the situation by credentialing the provider with the hospital at a rapid pace.
Privileging the physician would help in authorizing specific scope of practice for patients.
EFT/ERA & CLIA
Payer and practices prefer to enable EFT/ERA as it reduces their burden in following up with the paper checks and paper EOB.
Orca Cred creates a login and enables EFT/ERA for Payspan, Availity, RedCard, CAQH Enroll hub, Emdeon aka Change Healthcare, SAM (can create DUNS number), Emedny and for a lot more portals.
We also assist in obtaining a CLIA number for the location where the practice can perform LAB works and get those CPT's paid without any disruption.
Medical Billing Companies
Protects their client's business by examining records and errors
Reduces the costs associated with the medical billing errors which infact can decrease revenue reimbursements.
While coding and billing becomes hectic for the healthcare organizations to confront.
Ensures end to end revenue cycle management services with Cred credentialing software solutions.
Pharmacy
Various difficult words used in the pharmaceutical industry used to delineate processes.
Orca Cred gathers credentialing information and delivers according to its requirement.
It involves online portals that allows chain code and update the data based on the chain codes available.
The collected information is scanned to complete credentialing and compliance.
