Provider Enrollment

• Points North provides exceptional quality services to clients and works to ensure timely network status for practitioners.

• Knowledgeable of criteria for network participation with all payors, commercial and federal.

• Liaison with all payors to achieve network status.

• Knowledgeable of the CMS PECOS online application process.

• Maintains and initiates CAQH applications.

• Manages NPI registrations and updates.

• Researches claim denials.
• Facilitates practitioner recredentialing (3 year reappointment cycle).
• Conducts exclusion monitoring.
• Provides customized service as requested by client.