Provider Enrollment and Credentialing Services

Enlist Our Expertise For A Quick and Hassle-Free Experience

What We Do

Credentialing and Enrollment Management

A one-size-fits-all approach does not work for credentialing and enrollment as each practice comes with its unique set of challenges. Let our experienced and certified specialists help you cut through all the red tape and time-consuming paperwork. Once we collect your information we get to work immediately and do not rest until it is complete and you are 100% satisfied.

Free yourself of all the headaches and confusion that come with insurance companies. Trust the experts at Bristol Healthcare to help you navigate the arduous provider enrollment and medical credentialing process, all at a low and budget-friendly cost.

Who We Work With:

  • Physicians
  • Hospitals
  • PAs/ NPs
  • PT/OT/SLP
  • Chiropractors (DC)
  • Podiatrists (DPM)
  • Ambulatory Surgery Centers (ASC)
  • Urgent Care Facilities
  • Clinical Laboratories
  • Diagnostic Testing Facilities (IDTF)
  • Sleep Labs
  • Dentists/ Orthodontists
  • Optometrists
  • Audiologists
  • Behavioral Health Providers
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Services

Physician Credentialing and Enrollment Solutions

  • Medicare and Medicaid provider enrollment and credentialing.
  • Commercial insurance provider enrollment and credentialing (Aetna, Anthem, BCBS, CIGNA, Humana, TriCare, UnitedHealthcare, and many more).
  • Medicare revalidation.
  • CAQH registration.
  • NPI registration (Type I and Type II).
  • Reimbursement issues.
  • Managed Care contracting issues.
Let’s Connect

Schedule a Free Consultation Today

Call or email us to schedule a no-commitment, free consultation today to learn how partnering with Bristol Healthcare can benefit your practice.

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Benefits

Why Use Bristol Healthcare’s Services?

  • Shorten your waiting period by at least 2 to 3 months and save over 100 or more in work hours.
  • Take away all the inconvenience of paperwork and endless applications.
  • Applications and contracts are set up accurately based on state-specific guidelines to avoid errors and delays.
  • A dedicated accountability partner is assigned to every project.
  • A dedicated credentialing manager is assigned to represent you with federal and commercial payors.
  • We handle all follow-ups and phone calls and submit applications, e-mails, and faxes on your behalf with the chosen insurance networks and federal entities.
  • Our services cost less than hiring an in-house team.
  • We have the manpower to help scale volume to better suit your current requirements.
  • All your documents are securely maintained on an encrypted database.
  • We help maintain and update your CAQH profile.
  • We complete all necessary credentialing requirements for each payor and follow through to completion.
  • We follow all payor contracts through to the contract load date and provide a copy of the fully executed contract and fee schedules to your practice.

In short, we handle the entire enrollment and credentialing process efficiently from start to finish for one low flat fee.

Medicare

Medicare Provider Enrollment and Revalidation Services

Enrolling with Medicare is one of the most difficult challenges that healthcare providers face today. We assist you with Medicare revalidation and end-to-end completion of all types of CMS forms:

  • CMS 855A (Institutions and Facilities)
  • CMS 855B (Clinics / Group practices and other Suppliers)
  • CMS 855I (Physician / Non-Physician practitioners)
  • CMS 855R (Reassignment of benefits)
  • CMS 855O (Ordering, certifying and prescribing providers)
  • CMS 855S (Durable medical equipment, prosthetics, orthotics and DMEPOS suppliers)
  • CMS 588 (Electronic funds transfer and Authorization agreement)
  • CMS 460 (Medicare carrier or A/B MAC)

At Bristol Healthcare we have a complete understanding of the Medicare landscape’s enrollment rules and state-specific regulations and the expertise to provide you with all the assistance you need to complete your Medicare enrollment and revalidation applications even if your submissions have been returned because of errors (or) a delay.

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300M
Demo Entries
Per Year
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$380M
Charge Entries
Per Year
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1.5M
Codes Entered
Per Year
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$160M
Payments Posted
Per Year
Why BHS

Maximize Process Effectiveness With Our Certified Specialists

Bristol Healthcare Services is an award-winning revenue cycle management company delivering nationwide provider enrollment, credentialing and managed care contract negotiation services. Through years of collaboration and close ties with leading and popular insurance networks, our certified specialists come equipped with the know-how and expertise to help practitioners navigate with ease through the maze of each payors’ credentialing process.

We work with providers of all sizes - including hospitals, physicians, ambulatory surgery centers, sleep labs, rehabilitation (PT, OT, SLP, DC) providers, diagnostic testing facilities and providers, podiatrists, optometrists, and more. With a keen eye for detail, our team is committed to providing reliable, efficient, and hassle-free services that get you credentialed on time.

Help Center

Your Questions Answered

Provider Credentialing and Enrollment

Provider credentialing is the process of verifying a healthcare provider's qualifications and ensuring they meet the standards set by insurance companies or regulatory bodies. It's crucial for providers to be credentialed to participate in insurance networks and receive reimbursement.
The duration of the provider credentialing process can vary depending on factors like the number of payers involved and the completeness of the documentation. On average, it may take anywhere from 60 to 120 days.
Common documents needed for provider credentialing include medical licenses, board certifications, DEA certificates, malpractice insurance, W-9 forms, and proof of education and training.
Yes, we offer recredentialing services to ensure that your providers' credentials remain up-to-date. We proactively monitor expiration dates and initiate the recredentialing process as needed.
Provider credentialing involves verifying a provider's qualifications, while provider enrollment involves enrolling the provider in insurance networks to be eligible for reimbursement. Both processes are essential for a provider's participation in healthcare plans.
We maintain open communication channels with both providers and insurance companies to facilitate a smooth credentialing process. Our team ensures that all required documents and information are submitted accurately and in a timely manner.
Yes, we have expertise in assisting providers with the enrollment process for both Medicare and Medicaid, ensuring compliance with all regulatory requirements.
Testimonials

What Our Clients Say

Together with our clients, BHS experts partner to achieve desired outcomes
and push the boundaries of what's possible.