Faster Provider Enrollment Means Faster Reimbursement.
If your providers aren’t enrolled properly, you won’t be paid properly.
Every month enrollment is delayed, provider practice groups and health systems lose an average of $100,000 for a single primary care provider. For specialty care, the losses are even more staggering at $300,000 per physician every month.
When technology-enabled enrollment processes replace cumbersome manual efforts, providers can see patients faster, get paid for patient care, and decrease the percentage of denied claims. This translates into increased revenues through faster reimbursements.
Establish a Successful Provider Enrollment Process
Minimize the time it takes providers to start seeing patients.
Our software streamlines and accelerates the credentialing and enrollment workflow so providers can start seeing patients faster and getting reimbursed sooner.
Commercial Payer Enrollment
TractManager’s Commercial Payer Enrollment spans all 50 states and all methods of application submissions—from manual paper-based, to online payer portals, to CAQH profile creation and maintenance. TractManager can automate and manage your entire enrollment process.
TractManager’s expert Medicare/Medicaid enrollment specialists conduct the necessary research and enrollment functions for both in-state and out-of-state enrollment to get providers, groups, and facilities participating as quickly as possible.
Enroll your Providers using automated, workflow-driven software that expedites both access to health plan members and revenue.
Manually enrolling a single provider in a health plan can take anywhere from 3 to 12 months.
During that time, patients could go elsewhere, along with the revenue associated with their care.
Our provider enrollment software and services make this scenario less likely by reducing the time it takes to enroll providers with payers. With one unified solution, we connect your credentialing and enrollment processes to streamline provider onboarding, save you time, and help you optimize your revenue cycle.
End-to-End Provider Enrollment —
Without the 12-Month Wait.
Connect gross charges to in-process enrollment aging to monitor the financial impact of both your organization and contracted payer performances.
From initial CAQH profile establishment to mandatory re-attestations, we manage the administrative process for every provider and practice in your health system. Automated triggers and alerts proactively report and seek out current information to constantly update provider profiles.
Centralized Data and Document Storage
Customizable data dictionaries will maintain a single source of truth for all provider, group, and facility data. User roles are established to safeguard the integrity of your data, and historical document and data archival functionality ensures an easily accessible audit trail and recovery process.
Delegated and Non-Delegated Enrollment
We handle all delegated and non-delegated enrollment activities, including application mapping, roster template creation and management, automated application submissions for targeted payers, and comprehensive reconciliation of payer records.
TIN/NPI Consolidative Services
With the rise of mergers and acquisitions taking place in healthcare, TIN/NPI changes can be overwhelming to manage. We work in partnership with your payer mix to ensure targeted dates, accurate submissions, and all stakeholder expectations are met to ensure fewer claim denials and zero impact on your patients.
Minimize Your Denials. Recover Valuable Time.
Our provider enrollment software and services reduce the time it takes to enroll providers with payers. With one unified solution, we connect your credentialing and enrollment processes to streamline provider onboarding, save you time, and help you optimize your revenue cycle.
Streamline and automate your entire enrollment processes.
Reduce enrollment from 120–180 days to 30–45 days through a delegated contract.
Get paid for the care you provide in a timely manner.
Contracting and Credentialing All-In-One
Increase speed to revenue by conducting provider contracting and provider onboarding functions of credentialing, privileging, and enrollment together.
Take Advantage of Our Full Suite of Provider Onboarding Solutions.
We’re not just enrollment. Our Provider Credentialing and Provider Privileging solutions close the loop in your Provider Onboarding process.
Our cloud-based, technology-enabled credentialing software and services offer comprehensive primary source verification, peer review, and compliance tracking and monitoring. Need to develop a custom payer delegation strategy? We’ve got you covered there too.
TractManager’s Provider Privileging technology speeds up the process by providing easy access to real-time provider data stored in a single, central database. Provider Privileging enables quick Primary Source Verifications, Peer References, and decision-making regarding provider qualifications and performance.
TractManager understands that the initial provider onboarding processes—credentialing, enrollment, and privileging—are only the first steps in a fully operational, efficient, and compliant provider management program. Where other solutions stop, TractManager continues to provide ongoing Provider Management Services.
To Delegate or Not to Delegate – That is the Credentialing Question
Realize improvements in the processes that govern the growth and representation of your network, shorten turnaround times for network participation, enhance provider experience and brand integrity, and expedite access to revenue.