Payer Enrollment Services

Let our experts enroll your practitioners into payer panels twice as fast.

The Payer Enrollment Services team at symplr CVO specializes in enrolling your applicants into federal, state, and commercial payer insurance plans. The result? Faster reimbursement for the care and services your practitioners deliver.

Request A Quote
hero-image-intellianpp

Benefits of Payer Enrollment Services from symplr CVO

Completed Applications Icon Get applications completed 2x as fast as in-house teams
Real-time Status Icon Know the status of every application in real-time
Follow-up Icon Eliminate stress about follow-up with payers
Things moving forward Icon Have complete confidence that applications are on track
Simplify Payer Enrollment Icon Make life easier for your providers—they'll thank you
Streamline Costs Icon Streamline costs and financial planning

The revenue cycle starts here.

We ensure that your provider applications are filed quickly and accurately with insurance plans to help speed the reimbursement process. Because all subsequent payments in the lifecycle of practitioner services flow from enrollment with payers, hearing a “no” can result in loss of revenue. If there’s ever a place to partner with the experts, it’s at the enrollment stage with symplr Payer Enrollment Services.

- Primary source verification
- Background screening
- Initial and re-credentialing
- Initial payer enrollment and maintenance (new practice, onboarding, Part A – RHC, FQHC, Facility, Part B)
- CAQH maintenance
- M&A and practitioner relocation enrollment
- Consulting services.

... and more

We do the work for you.

With payer enrollment services help from symplr CVO, we do the work for you. Get available bi-weekly updates on the status of all your practitioners and access to an online portal to help you track along with us. We make it easy to know the status of all of your providers at a glance.

We're on it.

Efficiency is the name of the game once symplr CVO’s Payer Enrollment Services gets your practitioner information. We’ll stay on the ball until providers are participating with all requested payers. Outsourcing provider enrollment services has never been easier with our expert team on your side.

Frequently Asked Questions

How much does it cost to enroll my providers through your payer enrollment services?
  • We charge a flat rate per application, and keep working at it regardless of how long it takes, or how many times we have to follow up with the payer. Once you start working with us, you only pay once per application.
  • Every healthcare organization is a bit different, so we’ll provide you with a quote and proposal. Your price per application will always stay the same, so you can easily plan your costs whenever you onboard a new doctor or surgeon, or need to renew your applications.
What happens if a practitioner application takes a long time to be approved?
  • We will follow up regularly with payers and give you a detailed report every two weeks. You’ll always know the status of pending applications.
  • Sometimes provider enrollment can get delayed, and sometimes payers are slow to respond. We’ve been doing this for a long time, and we have an escalation process for stalled enrollment applications.
  • Using our extensive network of contacts at payers across the United States, we’ll work diligently in escalating your application.
What kinds of provider enrollment needs are you able to assist with?
- Initial provider enrollment (Payor Enrollment for New Provider)
- Re-credentialing & re-validation
- Relocation
- Merger & Acquisition Onboarding
- Rural Healthcare Enrollment
- Organizational/institutional provider enrollment management and consulting services
I have a backlog of claims on hold, can you help with this too?
  • We know physician insurance enrollment can be slow and unnecessarily complex. You just want your practitioner to be able to start treating patients. Now you have millions in backlogged claims on hold, and deadlines are coming up. You’re not alone – this is a common issue. Luckily, our team deals with it all the time.
  • When we take over your practitioner enrollment, we’ll work with you to review your claims on hold and validate the status of enrollment. We’ll get your providers enrolled quickly and accurately.
I have pending applications with errors, are you able to help me?
  • Sometimes it’s a simple typo, other times, the consultant you originally hired to manage your physician enrollment made bad mistakes. To the insurance company, it’s all the same; they deny your application and don’t respond to requests. We’ve seen these kinds of mistakes happen many times for our new clients.
  • Our team will take a look at every application, correct the issues, re-submit to the insurer, and follow up until your physicians are enrolled.
How do I get things started?
  • The first step is to request a quote and speak with one of our experts. We’ll connect you with an enrollment consultant who specializes in your region and specific area of practice. They will handle your applications from start to finish.
  • Send them a message, and they’ll get in touch with you to collect all the information in one call.
  • Once we have what we need, your job is done. We’ll keep working to enroll your providers, and you’ll stay updated every step of the way.

Ready to talk?

Fill out your information below and our team will reach out.