Provider Enrollment & Practice Information (PEPI) Validation Services PLUS Change Healthcare Setup
Our PEPI Basic Plus program adds the setup of Change Healthcare.
Our Provider Enrollment & Practice Information (PEPI) Validation services are tailored to streamline and optimize your medical billing processes. Here’s what you can expect:
- CAQH Profile Management: We assist in the creation or update of your CAQH profile, ensuring it aligns with the latest medical billing standards and requirements.
- NPPES Information Management: Identify and address any necessary updates to your personal (NPI 1) or organizational (NPI 2) NPPES information, ensuring accuracy and compliance.
- Legal Business Verification: We verify your Legal Business Name with the Secretary of State and/or IRS
- Payer Access Facilitation: We streamline the process of gaining access to payers’ medical databases. This includes the submission of out-of-network documents to major insurers like BCBS and UHC.
- Compliance with Major Insurers: Our services include the submission of required online information to Aetna, Cigna, and Humana, tailored to meet the specific requirements of each state.
- Availity Account Modification: We modify your Availity account to facilitate open access for medical payers, ensuring efficient communication and data exchange.
Our PEPI Validation services are designed to enhance the efficiency of your practice’s enrollment processes, minimize administrative burdens, and ensure compliance with the ever-evolving landscape of medical billing.
Partner with us to navigate the complexities of provider enrollment seamlessly. Your success is our priority.
PLUS Change Healthcare
The Revenue Performance Advisor (RPA) software from Change Healthcare stands as a formidable resource for dental practices aiming to independently navigate medical insurance billing. T.A.G is poised to facilitate your seamless integration into the RPA portal, offering comprehensive setup and training services. Moreover, our team is available to provide expert assistance in the implementation of medical insurance billing. Count on our dedicated professionals to guide you through every stage, ensuring your success in maximizing the capabilities of the RPA software.
Change Healthcare services include:
- Order the Change Healthcare with basic features to enable medical billing (Eligibility, Claim Status Inquiry, ERA and Claim Submittal)**
- Setup the RPA Change Healthcare portal with 1 Tax ID and 1 Provider unless additional providers are purchased
- Create a customized Payers List for easy payer selection
- Enroll provider for electronic billing
**Change Healthcare charges a monthly fee to use their software. You will be sent a separate contract from Change Healthcare with their terms and fees. Fees are based on transactions used within the RPA software. Our fees do not include the Change Healthcare monthly fees.