Denial Management
Credentailing
A credentialing partner for all your needs
Cover all your credentialing needs with a proven partner
Primary source verification services
symplr's Primary Source Verification Services team supports the full provider lifecycle from initial credentialing process through the regular recredentialing process. We can also provide ongoing sanctions monitoring, monthly expirables management, and application management. Regardless of the accrediting body, state, or federal agency whose regulations your organization must adhere to, we can help streamline and safeguard the primary source verification process.
Payer enrollment services
Our payer enrollment team processes more than 3 million applications per year and we have zero failed applications. We have never failed to enroll a qualified provider. You can rest assured we will make the process seamless, streamlined, and headache free. Services available include provider enrollment applications, group enrollment applications, CAQH maintenance, payer plan midstream follow-ups, payer plan audits, and payer plan change requests.
Licensure services
Our team of veteran credentialing and enrollment professionals can support or fully supplant your organization’s efforts to apply for provider licenses in just one state—or all 50—for both physicians and non-physicians requiring state licensure. You can rely on us to quickly and expertly navigate the requirements and keep your organization in compliance.
Delegated credentialing agreements
Reduce the administrative and operating burden of submitting hundreds of provider applications individually. With our expert consulting, we work with qualified organizations to transition models of enrollment from non-delegated to delegated through credentialing program development, payer outreach, and pre-delegation audit support. Resulting in 75% reduction in enrollment times, delegation with payers allows organizations to realize revenue quickly and get providers bedside in shorter timeframes.
Hospital privilege application process
Our expert enrollment team manages the entire provider privileging process on your behalf. We prepare hospital specific applications, complete follow up with the medical staff services, and manage provider appointment and reappointment cycles.
Medical Billing And Charge Capture
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This is placeholder text. To change this content, double-click on the element and click Change Content. Want to view and manage all your collections? Click on the Content Manager button in the Add panel on the left. Here, you can make changes to your content, add new fields, create dynamic pages and more. You can create as many collections as you need.
Your collection is already set up for you with fields and content. Add your own, or import content from a CSV file. Add fields for any type of content you want to display, such as rich text, images, videos and more. You can also collect and store information from your site visitors using input elements like custom forms and fields.
Be sure to click Sync after making changes in a collection, so visitors can see your newest content on your live site. Preview your site to check that all your elements are displaying content from the right collection fields.
Claim Preparation And Scrubbing
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This is placeholder text. To change this content, double-click on the element and click Change Content. Want to view and manage all your collections? Click on the Content Manager button in the Add panel on the left. Here, you can make changes to your content, add new fields, create dynamic pages and more. You can create as many collections as you need.
Your collection is already set up for you with fields and content. Add your own, or import content from a CSV file. Add fields for any type of content you want to display, such as rich text, images, videos and more. You can also collect and store information from your site visitors using input elements like custom forms and fields.
Be sure to click Sync after making changes in a collection, so visitors can see your newest content on your live site. Preview your site to check that all your elements are displaying content from the right collection fields.
Claim Submission
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This is placeholder text. To change this content, double-click on the element and click Change Content. Want to view and manage all your collections? Click on the Content Manager button in the Add panel on the left. Here, you can make changes to your content, add new fields, create dynamic pages and more. You can create as many collections as you need.
Your collection is already set up for you with fields and content. Add your own, or import content from a CSV file. Add fields for any type of content you want to display, such as rich text, images, videos and more. You can also collect and store information from your site visitors using input elements like custom forms and fields.
Be sure to click Sync after making changes in a collection, so visitors can see your newest content on your live site. Preview your site to check that all your elements are displaying content from the right collection fields.