CREDENTIALING SERVICES
ECI Services offers Preferred Provider Network Enrollment, Physician/Provider Credentialing and Primary Source Verification in 50 states. ECI Services has successfully obtained in-network participation status for the following:
- Student Health Centers
- Hospitals
- Durable Medical Equipment Companies
- Rehabilitation Hospitals
- Hospice Organizations
- Physician Group Practices
- Specialty Clinics
- Skilled Nursing Facilities
- Home Health Organizations
- Specialty Pharmacies and Pharmacies
Our team of experts, former practice and billing managers with over 30 years combined experience, understands the application, credentialing and contracting processes from a variety of perspectives, most importantly, the perspective of the provider.
Solutions
Preferred Provider
Network Contracting
- Facilitates third-party billing
- ECI coordinates with Managed Care Networks to apply for in-network status (includes re-assignment from other practice settings)
- Provider Demographic Information gathered, organized, and maintained
- ECI performs all necessary follow-up with Managed Care Organizations
- ECI provides continued support as new providers join Health Center staff
Provider Credentialing Services
- NPI Application (Type I & Type II)
- CAQH Development and Maintenance
- Commercial and Managed Care Network Paneling and Credentialing
- Tricare Provider Enrollment and Group Reassignment
- Payer Fee Schedule Creation & Evolution
Primary Source
Verification
- DEA/CDS
- Medical License
- Work History (5 years)
- Education and Training
- Malpractice History
- NPI
- Exclusions Designation
- Criminal Background Check