Provider Enrollment Services & Consulting

We get your providers enrolled without the headache.

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Our Services

 

Provider Enrollment Services

You call us once, and we take care of everything.

Working with payors can feel like a never-ending battle. Each payor has different rules, regulations, processes, timelines, and seemingly unnecessary roadblocks that stall the process.

You just need your doctors to be billable, your new physicians enrolled, and your growing claims on hold reimbursed.

That frustration ends here. We’ll get all the info we need up front, handle applications, and we won’t stop following up with payors until your providers are enrolled.

ICON - Enrollment Teams

U.S.-Based Payor Enrollment Teams

Your applications are handled by U.S.-based teams who know how to navigate the enrollment process for all of your payors.

ICON - Biweekly Updates

Bi-Weekly
Status Updates

You get a detailed status update every 2 weeks, so you always know what’s going on with each and every enrollment.

ICON - Fixed Pricing

Fixed Pricing Per Application

You pay one price per application no surprises, no added fees, just predictable and reliable enrollment from start to finish.

Benefits of Payor Enrollment Services from symplr

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Get Applications Completed Twice as Fast as In-House Teams

Each application is handled by a dedicated expert with experience in your area of practice and state insurance exchange.

ICON - Status

Know the Status of Every Application in Real Time

You get access to a live portal online, updated with notes and statuses of every application in real time.

ICON - Follow Up

Never Stress Again About Following up with Payors

We follow up with payors as often as possible, and don’t stop until your doctors are enrolled.

ICON - Calls

Have Complete Confidence that Things are Moving Forward

You get a detailed bi-weekly call-in from your consultant at symplr with updates on all pending applications.

ICON - Information

Simplify Payor Enrollment for New Providers

All necessary information is collected up font. Then we go right to work taking care of enrollment until the job is done.

ICON - Costs

Streamline Your Costs and Financial Planning

You pay one price per application. You get predictable costs, and never worry about surprise enrollment expenses.

Trusted By

Worried about a growing backlog of claims and
looming deadlines? We’ll take care of those, too.

Get a free, no-obligation quote for enrolling your providers.

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Why our Clients Trust symplr Provider & Physician Enrollment

313,896

Applications completed as of September 2018.

10 Years

Minimum amount of experience per enrollment consultant at symplr

Zero

We’ve never failed to enroll a qualified provider, and we intend to keep it that way

Testimonials

Cactus Provider Management Platform

“The Joint Commission surveyor just finished reviewing our OPPE Reports from your system and had no suggestions or recommendations for them. Great job and thank you symplr!”

-Nancy M.

"It has been my pleasure to work with symplr over the past seven years. symplr has delivered positive results to our physician practices across the entire organization. They have acted as a true partner in the acquisition of multiple, large health care facilities, individual practices, and solo practitioners. symplr has successfully tackled our most complicated practice structures including numerous provider based clinics and rural health clinics with success. Most importantly, symplr is accessible and responsive to our needs and questions. The depth and breadth of their team has been instrumentaI in our growth and success. I highly recommend their services and partnership."


-Erin M. Lewis, LifePoint Health®

"For the last five years, symplr has provided both physician and physician entity payor enrollment services to my departments. They are extremely knowledgeable of government payors, public and private payors as well."


-Steven D Stevenson

"Thanks to symplr Payor Enrollment Services, I never have to worry about provider credentialing.  I leave the credentialing to the experts at symplr and focus my time on areas where I can have the most impact"


-Jim Mihnovich

"By using symplr Payor Enrollment Services, we have increased accuracy of the provider applications and quicker turnaround in the approval process.  Both of which have resulted in quicker volume ramp up, better cash flow and less bad debt."


-Timothy D. Vaughn

Frequently Asked Questions

How much does it cost to enroll my providers through your payor 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 payor.

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.

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What happens if an application takes a long time to be approved?

We will follow up regularly with payors, and give you a detailed report every 2 weeks. You’ll always know the status of pending applications.

Sometimes provider enrollment can get delayed, and sometimes payors are slow to respond. We’ve been doing this for a long time, and we have an escalation process for stalled enrollment applications.

We have an extensive network of contacts at payors across the United States. A senior consultant at symplr will personally take a stalled application through our escalation process. We’ll go straight up the chain of command and get help with your application.

No matter the time investment, we will take care of you and get your providers enrolled.
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 providers 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 physician enrollment, we’ll work with you to review your claims on hold and validate the status of enrollment. We’ll get your providers enrolled, and recover backlogged claims on hold.

[Click Here] to read a recent case study where we enrolled 25 physicians and released $2 million in backlogged claims on hold within 14 weeks.

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.

[Click Here] to read a case study where we saw this exact same type of issue. Our team looked into the issues, and got everyone enrolled. We kept in touch with the hospital every step of the way.

How much does it cost and 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.

Yep, it’s that easy. Let’s get started.

Click Here to Request a Quote

Why Work With symplr for Physician Enrollment Services

 

Applications are handled correctly, the first time.

You get a U.S.-based enrollment application team. Unlike other service providers, we don’t outsource for enrollment applications.

Applications are handled by specialists with experience in your area of practice, and with your state insurance exchange.

Physician enrollment with symplr is up to 50% faster than in house teams, and more accurate than most enrollment service providers in the U.S.

Delays are Escalated Directly up the Chain of Command

Physician insurance enrollment can throw curve balls. If your applications get delayed, we’ll push it through an escalation process, and a senior specialist at symplr will take over.

We have an extensive network of contacts across the U.S., and you get the benefit of having your application prioritized through channels that most people can’t reach.

Delays-Are-Escalat
information

Information on Your Applications is Always Available

Once you start the process, you’ll get access to a portal with details of each application and physician.

Notes and statuses are updated in real time. You can check statuses and export reports whenever you need, and in whatever file format works best for you and your reporting needs.

You’ll Have Multiple Contacts for any Concerns or Inquiries

If you have urgent needs or requests, you’ll be able to contact your enrollment consultant at any time.

You’ll also have contact information for senior enrollment managers and client support reps.

When you work with symplr, you get a partner you can rely on, and a team that’s always available to you when you need us.

multiple-contacts
Case-Study-100

See how we enrolled 25 providers and returned $2m in backlogged reimbursements in just 14 weeks.

Read the Case Study

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