Louisville Medicine Volume 64, Issue 9 | Page 12

NEED HELP IN GETTING INSURANCE CREDENTIALING ? KNEE DEEP IN PAPER ? LET GLMS HELP .
NEED HELP IN GETTING INSURANCE CREDENTIALING ? KNEE DEEP IN PAPER ? LET GLMS HELP .
PROVIDERS MAY CHOOSE TO CONTRACT WITH GLMS FOR ALL OR
PARTS OF THE FOLLOWING SERVICES :
» CAQH Profile Set-up and Maintenance »»
Commercial Insurance Credentialing
»» Medicare Enrollment
»»
Medicaid and Managed Care Organization Credentialing
»»
Collection and Verification of information provided by the physician for credentialing with third party payers
»»
Completion of all applications for commercial payers tracking the progress of obtaining provider numbers
»»
Re-credentialing application and management
»» Medicare Revalidation
»» Terminating providers from your contracts
»» Demographic changes
TIMELINE : The amount of time required will vary but the average time is approximately 90-120 days .
Note : Medicare will only backdate effective dates thirty ( 30 ) days from the date they receive an enrollment application & the effective dates for the commercial plans can vary .
PRICING : Prices vary based on the services requested by the provider . Contact Stephanie Woods at 736- 6350 or Stephanie . woods @ glms . org for specific pricing information .
Note : For group options , 50 % of eligible physicians in the group must be GLMS Members to receive the member rates . Application Fees are not included as part of the prices given .

GLMS PROVIDER ENROLLMENT SERVICES