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.