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