5 Essential Roles in the Credentialing Process for Practice Administrators
Learn about the credentialing process, from provider verification to payer enrollment, and how to optimize workflows for efficiency and compliance.
March 12, 2025
Welcome to the Primoris Credentialing Network’s blog, a leading resource for authoritative and insightful content in the credentialing domain. Our mission is to provide readers with the latest industry news, updates, and trends, focusing on key areas such as delegated credentialing, provider enrollment, and medical malpractice. Our comprehensive coverage extends to essential topics such as delegated credentialing, primary source verification (PSV), medical malpractice, MPLI, and best practices in the field.
Expertly crafted by our team of credentialing specialists, including members from the Fifth Avenue Healthcare Services family and its entities – Fifth Avenue Agency and 5ACVO, our blog is dedicated to keeping you informed and ahead in the ever-evolving world of credentialing. Join us for in-depth analyses, expert perspectives, and the latest developments that matter to healthcare professionals.
Learn about the credentialing process, from provider verification to payer enrollment, and how to optimize workflows for efficiency and compliance.
Fast provider credentialing reduces delays, boosts revenue, and streamlines enrollment. Learn how to speed up the process and avoid costly setbacks.
Timely credentialing is crucial for new providers. Don’t let holiday delays freeze your plans—ensure you’re ready to practice in the new year!
Explore 7 major concerns of careless provider enrollment and credentialing mistakes, and learn how to avoid them to ensure provider satisfaction and compliance.
Learn how delegated contracting in healthcare credentialing improves efficiency, reduces administrative burden, and enhances provider-payer relationships.
Learn how delegated provider enrollment can streamline your credentialing process, improve compliance, and boost revenue. Discover the key benefits today.
Learn about delegated provider enrollment, its benefits, processes, and solutions to common challenges in this comprehensive article for healthcare administrators.
Discover how messenger model IPAs are revolutionizing physician credentialing, improving access and quality in healthcare.
Provider enrollment, or payor enrollment, enables healthcare providers to forge contractual relationships with health plans, networks, Medicare, and Medicaid.
Providers using delegated credentialing can enroll in multiple health plans using one application, taking back control of their payer enrollment process.
Here are 3 strategies to optimize simplicity and increase revenue in healthcare which is essential to improving patient outcomes, allocating resources effectively, and increasing access to care.
The largest credentialing IPA in the Midwest has entered the Illinois market. Primoris is currently providing delegated credentialing in the Prairie State.
Delegated credentialing and Primoris Credentialing Network have expanded into the Missouri market in partnership to deliver faster, smarter credentialing.
Delegated provider enrollment (delegated credentialing) utilizes assigned agreements to expedite and simplify the entire enrollment process for the provider.
A credentialing IPA like Primoris Credentialing Network expedites the provider enrollment process so providers can get to work quickly and begin billing faster.
Along with our stellar credentialing audit, Fifth Avenue Healthcare Services earned NCQA Credentialing Accreditation strengthening our credentialing reputation.
Primoris is releasing an Aetna provider education bulletin bulletin. Primoris offers 54+ health plan and network provider enrollment options including Aetna.
A MultiPlan audit performed on Primoris’ delegated provider enrollment policies and procedures showed Primoris met all requirements for credentialing and more.
There are three main stages to provider enrollment including the credentialing stage, the payor application stage and finally the contracting stage.
Aetna going paperless by 9/2022 will stop sending paper EOBs and checks. Providers cannot opt out and may receive future payments by VCC (virtual credit card).
With ONE application for 20+ health plan and network provider enrollment options, Primoris provides a simple, fast and inexpensive provider enrollment solution.
A delegated oversight audit by HealthSmart on Primoris Credentialing Network’s policy and procedures resulted in another audit score of 100%.
Primoris Credentialing Network adds Friday Health Plans to its’ enrollment options expanding Primoris’ 54+ health plan and network provider enrollment options.
To grow a medical practice, it takes healthy habits. Here are 10 healthy habits we believe will help doctors grow a medical practice in 2022.
What is PECOS? Providers use PECOS (Provider Enrollment Chain and Ownership System) to enroll as a Medicare provider, renew their enrollment, or opt out.
Outsourcing credentialing and provider enrollment can reduce a provider’s workload, cost and risk and increase provider resources, control and peace of mind.
Primoris offers a better credentialing and provider enrollment solution to providers now with 54+ health plans and networks for provider enrollment options.
COVID-19 vaccine providers must enroll in the CDC COVID-19 Vaccination Program and can legally store, handle, and administer the COVID-19 vaccine in the U.S.
What does Primoris mean? Primoris is Latin with several similar meanings: foremost, closest to the front, earliest, chief, distinguished, and at the top.
Provider enrollment and primary source verification are both referred to as ‘credentialing,’ but they are different. Here are some of the key differences.
Healthcare award winner Primoris Credentialing Network wins bronze at the Aster Healthcare Awards.
There are 4 ways to verify PECOS enrollment: search PECOS, log in to PECOS, search the list of pending applications or contact your Primoris POC.
Primoris Credentialing Network now offers 54+ health plan and network provider enrollment options.
Become part of our expanding network of healthcare providers. Simplify your provider enrollment process by accessing over 54 health plans and networks. Join us now to experience streamlined credentialing.