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For fast, accurate, compliant credentialing and enrollment. Partnering with a CVO eliminates the administrative burden on your medical staff services department and frees up its personnel for analytical tasks.
Our purpose is to secure mutually beneficial contracts and to form successful relationships with managed care organizations. We operate under a "Messenger Model" for managed care contracting. We have Delegated Credentialing with many payers and thsi reduces the time it takes for an insurance company to determine whether it will accept the provider on its panel and provide an effective date for membership. Faster effective dates and network participation mean providers can begin billing and getting reimbursed sooner.
Provider credentialing is the process of obtaining, verifying, and assessing a healthcare provider’s qualifications to provide care or services in or for a healthcare organization. Essentially, we are ensuring that healthcare providers are competent to deliver safe, high-quality care. The credentialing process requires contacting several organizations, including medical schools, licensing boards, and other entities, to verify that providers have the necessary education, training, license(s), certificates, and other qualifications.
We monitor databases for sanctions, exclusions, debarments and other disciplinary actions.
Call us at 620-231-7600 or email tonya@pinnaclecarepho.org.
Pinnacle Care Inc.
We are excited to share that we now offer notary services. Email Kayla Piper at billing@pinnaclecarepho.org or call (620) 670-6621 to schedule an appointment.