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.