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Provider Enrollment and Credentialing

Accurate and timely provider enrollment ensures that claims are processed correctly from day one. Working closely with our clients, we process provider enrollment applications to make certain that a provider’s effective date aligns with their employment start date. This close communication reduces the potential of lost revenue due to delayed enrollment. At PBC we apply our knowledge and expertise regarding each insurance carrier’s guidelines and requirements to make sure applications are approved in the most time effective manner possible. Our provider enrollment services don’t end when initial enrollment is complete. We actively manage each provider’s re-credentialing and re-validation as required by the carrier.


Track and Trend Enrollment Statistics:

  • Application processing time by carrier
  • Start to finish turn-around time for your applications
  • Provider compliance with documentation requests
  • Percentage of applications in process per carrier
  • Individual provider application status with each carrier

The Performance:

  • Group Enrollment
  • Individual Provider Enrollment
  • Establish New Groups, Including Fee Negotiations
  • CAQH Profile Creation and Attestation
  • NPI Registration
  • PECOS Enrollment
  • Re-Credentialing and Re-Validation
  • Roster Maintenance
  • Ongoing Enrollment Support

The Results

Timely and accurate enrollment, cleaner claims processing, customer satisfaction, and a relationship with our clients that extends beyond their insurance agreements.



PBC Inc, and it’s affiliate, ProCred, established in 1995, serve clients nationwide. With over 20 years experience, PBC and ProCred have the capability and bandwidth to  support all business structures.



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CONTACT DETAILS


(732) 212-0051

info@grouppbc.com

66 W Gilbert St, Suite 200. Red Bank, NJ 07701

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Your Revenue Cycle Management Lifeline