What We Do
Credentialing and Enrollment Management
A one-size-fits-all approach does not work for credentialing and enrollment as each practice comes with its unique set of challenges. Let our experienced and certified specialists help you cut through all the red tape and time-consuming paperwork. Once we collect your information we get to work immediately and do not rest until it is complete and you are 100% satisfied.

Free yourself of all the headaches and confusion that come with insurance companies. Trust the experts at Bristol Healthcare to help you navigate the arduous provider enrollment and medical credentialing process, all at a low and budget-friendly cost.

Who We Work With:

• Physicians
• Hospitals
• PAs/ NPs
• PT/OT/SLP
• Chiropractors (DC)
• Podiatrists (DPM)
• Ambulatory Surgery Centers (ASC)
• Urgent Care Facilities
• Clinical Laboratories
• Diagnostic Testing Facilities (IDTF)
• Sleep Labs
• Dentists/ Orthodontists
• Optometrists
• Audiologists
• Behavioral Health Providers
• Team of employees discussing.
• Happy female doctor talking to patient on a web call.

Services
Physician Credentialing and Enrollment Solutions

• Medicare and Medicaid provider enrollment and credentialing.
• Commercial insurance provider enrollment and credentialing (Aetna, Anthem, BCBS, CIGNA, Humana, TriCare, UnitedHealthcare, and many more).
• Medicare revalidation.
• CAQH registration.
• NPI registration (Type I and Type II).
• Reimbursement issues.
• Managed Care contracting issues.

Why Use Bristol Healthcare’s Services?

• Shorten your waiting period by at least 2 to 3 months and save over 100 or more in work hours.
• Take away all the inconvenience of paperwork and endless applications.
• Applications and contracts are set up accurately based on state-specific guidelines to avoid errors and delays.
• A dedicated accountability partner is assigned to every project.
• A dedicated credentialing manager is assigned to represent you with federal and commercial payors.
• We handle all follow-ups and phone calls and submit applications, e-mails, and faxes on your behalf with the chosen insurance networks and federal entities.
• Our services cost less than hiring an in-house team.
• We have the manpower to help scale volume to better suit your current requirements.
• All your documents are securely maintained on an encrypted database.
• We help maintain and update your CAQH profile.
• We complete all necessary credentialing requirements for each payor and follow through to completion.
• We follow all payor contracts through to the contract load date and provide a copy of the fully executed contract and fee schedules to your practice.

Medicare Provider Enrollment and Revalidation Services

Enrolling with Medicare is one of the most difficult challenges that healthcare providers face today. We assist you with Medicare revalidation and end-to-end completion of all types of CMS forms:

• CMS 855A (Institutions and Facilities)
• CMS 855B (Clinics / Group practices and other Suppliers)
• CMS 855I (Physician / Non-Physician practitioners)
• CMS 855R (Reassignment of benefits)
• CMS 855O (Ordering, certifying and prescribing providers)
• CMS 855S (Durable medical equipment, prosthetics, orthotics and DMEPOS suppliers)
• CMS 588 (Electronic funds transfer and Authorization agreement)
• CMS 460 (Medicare carrier or A/B MAC)

At Bristol Healthcare we have a complete understanding of the Medicare landscape’s enrollment rules and state-specific regulations and the expertise to provide you with all the assistance you need to complete your Medicare enrollment and revalidation applications even if your submissions have been returned because of errors (or) a delay.