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Credentialing Services

 

Credentialing and Contracting Services - $1,100 per provider

  • New provider credentialing setup
    • TSCA, NPPES, CAQH review, PECOS, TMHP and payer enrollment
  • Hospital privileging application
    • One facility, provider information verification and application setup
  • Provider enrollment/recredentialing
    • CMS and commercial
  • CMS revalidation and update
  • CAQH setup/update
  • Re-credentialing and attestation
  • Group credentialing setup – NPI and CMS applications

Additional Fees

  • Demographic changes/updates – $50 per update/change
  • CAQH maintenance – $35 per provider – attestation, profile, licensure and document update
  • Contracting – $25 per contract 

Customer responsibilities:

  • Provide provider contact and practice information to include: New Provider Onboarding form, W-9, current payer contracts
  • Provide list of current payers/plans or a list of payers the group wishes to contract within the market area
  • Provide current hospital credentialing contacts and provider status
  • Provide notification sent from payer to the practice location
  • Provide the Texas A&M Health credentialing team CMS access
  • Contracting, rate negotiation 

Provider responsibilities:

  • Provide CMS surrogate access to re-assigning agency
  • Provide CAQH login information and registration
  • Provide a complete Texas A&M Health Credentialing Application Packet and provide required licensure attachments
  • Forward notification sent from payer
  • Promptly correspond to signature request
  • Maintain and update licensure
  • Validate documentation
  • Contracting

Texas A&M Health Credentialing responsibilities:

  • Set up/maintain provider credentialing information to include: NPPES profile, CAQH profile, credentialing documentation, hospital privileging
  • Respond to credentialing/privileging inquires
  • Submit enrollment application and payer follow-up
  • Complete CMS revalidation
  • Contracting

Return completed Credentialing Application Packet to credentialing@tamu.edu.