Credentialing

A crucial step is obtaining credentialing by insurance providers. Our team streamlines the approval process, ensuring quick results and saving you time.

  • 24 +

    Years of experience

  • 5 M+

    Claims Submitted & Paid

  • 98 %

    First Pass Rate

Is Your Current Credentialing and Enrollment Process Limiting Your Practice’s Potential?

Getting credentialed with insurance companies involves submitting applications, ensuring receipt, and following up on progress. While this sounds straightforward, many healthcare providers find the process to be frustrating and time-consuming. Issues such as application resubmissions, enrollment rejections, and long hold times with insurers are common. Additionally, some insurance panels may be full or not accepting new providers in specific specialties.

At Pinnacle RCM, we simplify this process by handling all interactions with the insurance companies you wish to partner with, streamlining your credentialing experience.

Partnering with Pinnacle Provides:

  • Faster insurance approvals
  • Dedicated support teams
  • Real-time tracking and insights
  • Seamless integration with your systems
  • Reduced administrative tasks
  • Improved accuracy in submissions

How Our Credentialing Services Work:

1 Initial Assessment: We evaluate your needs and identify the insurance providers you wish to partner with.

2 Application Preparation: Our team prepares and completes the necessary credentialing applications, ensuring all information is accurate and comprehensive.

3 Submission: We submit applications to the relevant insurance companies on your behalf, tracking each submission for confirmation.

4 Follow-Up: We conduct regular follow-ups with insurance companies to monitor the status of your applications and address any issues that may arise.

5 Approval Notification: Once approved, we notify you and assist with onboarding processes.

6 Ongoing Support: We provide continuous support to manage re-credentialing and updates, ensuring your practice remains compliant and up-to-date.

Why should you choose us for Effortless Credentialing?

Don’t let the complexities of credentialing slow you down. At Pinnacle RCM, we remove the obstacles, allowing you to focus on patient care and practice growth. With our expert team by your side, navigating insurance approvals has never been easier. Let’s partner to simplify your process and boost your revenue.