Introduction

In the constantly changing environment of the healthcare industry, payer enrollment, and provider credentialing can be an important part of an efficient practice operation, compliance, and consistent revenue flow. Due to improper credentialing and enrollments by health care providers, non-compliance, pregnancies, delays, and unpardonable rejection of claims are the results. NexCure LLC is a company, which focuses on designing an all-in-one provider credentialing and enrolling services in such a way that the healthcare providers and organisations would experience any necessary complexity that this process would presuppose.

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    What is the Meaning of Provider Credentialing and Enrollment?

    Provider Credentialing

    This includes verification of qualifications of any medical professional including his/her education, licenses, certification, job history, malpractice insurance among other important information. It makes sure that the provider is competent both in federal and privately based insurance programs and can provide care based on the programs.

    Payer Enrollment

    The process of obtaining the permission to issue invoices and receive the reimbursements by the insurance companies on the services that are served. Any serious insurance plans such as Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare and its many others will not allow any payments to be conducted in its absence.

    NexCure LLC End-to-End Credentialing and Enrollment Services

    Our services are very broad to satisfy particular requirements of different healthcare providers. It may be CAQH profiles or revalidations, compliance tracking, or any other constituent of our services as all of them are smart-profiled to fit into the seamless processes of operation.

    CAQH Profile, Setup & Maintenance

    CAQH ProView is the core of the credentialing world; health plans use the virtual centralized record for credentialing and re-credentialing of healthcare providers, with professionals ensuring profiles are filled, assessed, certified, covering opening of new account, re-attestation, monitoring, uploading required goods.

    Registration of National Provider Identification (NPI)

    The National Provider Identifier (NPI) is a unique 10-digit provider identifier required nationwide. We help providers obtain Type 1 and Type 2 NPIs, update profiles, coordinate with CMS, resolve issues, submit accurate applications, and ensure ongoing compliance, maintenance, and accuracy.

    Commercial / Government Payer Enrollment

    Payer enrollments with commercial and government entities are complex and require expertise. We streamline the process by managing applications, coordinating with major payers, tracking status, maintaining communication, and ensuring accurate submissions until final confirmation is successfully received.

    Facility Credentialing and Hospital Privileging

    For practices linked with hospitals or surgery centers, we handle hospital privilege requests, coordinate with medical staff offices, manage first-time and reappointment applications, oversee group practice privileging, organize ambulatory center credentialing, and create customized credentialing solutions as required.

    Recredentialing and Revalidation Services

    A practicing provider is obligated to uphold status by recredentialing and revalidation on time; we manage expiration dates tracking, revalidation of CAQH, payer, Medicare, and Medicaid, registration by DEA, state licenses and malpractice insurances, and timely renewals with applications.

    Expirable & Compliance Watchdog

    Licenses, certifications, malpractice insurance, DEA registration, and other credentials must be kept up to date; our systems provide expiration tracking, issue forward-looking alerts, avoid stoppage of bills, and offer a dashboard of the present state while storing piles of documents.

    Multi-Specialty, Solo, and Telehealth Credentialing

    For practices linked with hospitals or surgery centers, we manage hospital privilege requests, coordinate with medical staff offices, handle initial and reappointment applications, oversee group privileging, organize ambulatory credentialing, and provide customized credentialing solutions as needed

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    12

    Years Of Experienced in Medical Services

    The NexCure LLC Advantage

    Smarter Credentialing, Stronger Revenue

    Partner with NexCure LLC to simplify credentialing, eliminate risks, and keep your practice compliant—so you can focus on patients, not paperwork.

    Credentialing is not a mere paper work, it has a direct impact on your operations and reimbursements.
    It is possible that poor credentialing can result in:

    • Decline in revenue
    • Rejection of the application
    • Payers suspension
    • Blocking of accounts
    • Breaches in compliance

    We eradicate these risks at NexCure LLC through using skilled planning, documenting, and managing processes, which will ensure quick credentialing and enrollment to concentrate on services and caregiving.

    Our credentialing process is open and fast.
    There is nothing that falls through the cracks:

    1. Data Collection Onboarding
      Safe storage of credentials, licensing, certification and history of data.
    2. Profile Setup and Validation
      Open or renew your NPI, CAQH and payer portal accounts; develop applications.
    3. Payer Submission
      Application making to insurance carriers should be made properly.
    4. Follow-Up
      Declaration of regular follow-up with payers to a minimum of delays and expedite approval.
    5. Approval Confirmation
      Provisions of confirmation letters, ID of payers and effective dates.
    6. Setup of Recredentialing Calendar
      Automatic warnings with regard to renewal and adherence actions.

    We do the following paperwork:

    • NPI and CAQH credentials
    • W-9 IRS form
    • Medical licenses given by states
    • DEA/CSR certificates
    • Malpractice insurances certificates
    • Board certifications
    • Provider past experience and CV
    • Correspondence hospitals
    • Payer-specific documentations
    25

    Years Of Experienced in Medical Services

    About us

    Inside the Life-Saving World of Hospitals: A Look at Modern Healthcare Facilities

    Isabella was taken to the operating room, where a team of skilled surgeons worked tirelessly to repair her damaged heart. 

    pain. The hospital staff quickly admitted her and began conducting various tests to identify the cause of her pain. After several hours, the doctors determined that she had a serious cardiac condition that required immediate surgery.

    Departments

    Our Medical Services

    Pulmonology

    Primary Care

    Internal Medicine

    Cardiology

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    2147787552

    Why NexCure LLC Isn’t Your Best Credentialing Partner

    It also helps to have Experienced Credentialing Professionals.
    Our group is highly experienced in all payers and care specialties.

    • End-to-end service
      We take care of applications, approvals and renewals all round.
    • Quicker Time to Revenue
      There are less errors and tardiness, resultantly a quicker recompense.
    • Transparency
      Daily updated and on-demand tracking of the clients through dashboards.
    • HIPAA-Compliant Information Security
      Safe file transmitting and information spreading procedures.
    • National Scope
      All-state credentialing in 50 U.S. states as well as multi-state telehealth provider credentialing.

    NexCure Advantage

    Full Time Certification Specialist

    Dedicated experts ensure accurate provider certification and credentialing.

    Payers of 50 States Enrollment

    Seamless enrollment services.

    CAQH & NPI Management

    Efficient handling of CAQH profiles and NPI updates for compliance.

    Commercial /Government Payer Enrollment

    Support for enrolling with both government and commercial insurance payers.

    Revalidations and Viewing Compliance

    Timely revalidations to maintain compliance and active provider status.

    Weekly Updates and Status Reports

    Regular reporting keeps teams informed and aligned with project progress.

    Fast Reply & Low Rejection

    Prompt responses and accurate submissions minimize rejections and delays.

    Experienced Doctor

    Specialist Doctors

    Dr. Jason Roy

    MBBS, M.D of Medicine

    Efficiently myocardinate market-driven innovation via open-source alignments. Dramatically…

    Dr. Nadim Kamal

    MBBS, M.D of Medicine

    Efficiently myocardinate market-driven innovation via open-source alignments. Dramatically…

    Dr. Zinia Zara

    MBBS, M.D of Medicine

    Efficiently myocardinate market-driven innovation via open-source alignments. Dramatically…

    Dr.Zinia Zara

    MBBS, M.D of Medicine

    Efficiently myocardinate market-driven innovation via open-source alignments. Dramatically…

    Conclusion

    Late credentialing must not slow down the growth of your practice and profitability.
    Join forces with NexCure LLC and make the work on providers enrolling simple.
    We are a team of professionals that are going to assist you in managing through credentialing, keeping in the Compliance, and getting the highest reimbursements possible so you can center where you want to be, the patient care as well as the business growth. We want to assist you!

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      What Healthcare Providers Say About Us

      12+

      Years of Expertise in Medical Billing & Revenue Cycle Management

      85+

      Providers Across Multiple Specialties Trust NexCure LLC Consultancy

      97%

      Clean Claims Rate Achieved on First Submission of Project Delivery

      15K+

      Claims Accurately Processed Every Month

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      (929) 587-3833

      Email address:

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      1500 N Grant ST #5001, DENVER, CO, 80203

      United States

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