GTM Physician Partners, LLC is uniquely positioned to understand the need to credential new providers quickly, accurately, and efficiently. We recognize that a practice’s cash flow depends largely on its providers’ ability to begin seeing patients and submitting claims as soon as possible.
Our experienced credentialing team utilizes a streamlined, consistent process designed to move each provider through credentialing as efficiently as possible while maintaining accuracy and compliance. We proactively follow up with each payer throughout the process, allowing us to identify and address issues early rather than allowing applications to sit unresolved.
Our team has extensive experience working with Medicare, Medicaid, and the major commercial and Medicare Advantage health plans. When credentialing challenges arise, we work directly with the payer to identify the issue, determine the appropriate resolution, and keep the application moving toward completion.
Throughout the process, we maintain ongoing communication with our clients and provide weekly status updates, giving you a clear understanding of what has been completed, what remains outstanding, and when you can realistically expect each provider to become effective.
Simple, Predictable Fee Structure
Our credentialing fee is designed to make the process straightforward for our clients. You pay for work completed—not a large upfront fee for an uncertain outcome.
To make credentialing more manageable for your practice, we spread our credentialing fee over five monthly payments. This lets you budget for credentialing while our team actively works through the enrollment process.
Throughout the five-month period, our team actively manages the provider’s applications, follows up with payers, addresses issues, and tracks progress toward successful enrollment.
Our Credentialing Services Include:
An assigned credentialing specialist with several years of experience and extensive knowledge of credentialing requirements across numerous states.
Provider Information & Document Collection
Collecting and organizing the provider information and supporting documentation required for credentialing and enrollment.
Primary-Source Verification
Verifying licenses, education, training, board certification, DEA registration, malpractice coverage, and other credentials through appropriate primary sources.
CAQH Management
Establishing, completing, maintaining, and monitoring the provider’s CAQH profile and ensuring required information and documentation remain current.
Payer Enrollment & Credentialing
Managing the enrollment and credentialing process from application preparation and submission through approval and effective date.
Medicare Enrollment
Managing Medicare enrollment and reassignment requirements, including PECOS and group affiliation.
Medicaid Enrollment
Managing state Medicaid enrollment and applicable managed Medicaid plan requirements.
Commercial & Medicare Advantage Payer Credentialing
Credentialing providers with appropriate commercial insurance carriers, Medicare Advantage plans, and other applicable networks.
Payer Follow-Up & Problem Resolution
Maintaining regular contact with payers, monitoring application status, responding to requests for additional information, correcting deficiencies, and escalating issues when necessary.
Effective-Date & Enrollment Tracking
Tracking application status, approval dates, effective dates, participation status, and outstanding requirements to help ensure providers are appropriately enrolled before billing begins.
Credential & Document Expiration Monitoring
Monitoring CAQH attestations, medical licenses, DEA registrations, malpractice coverage, board certifications, and other time-sensitive credentials.
Reporting & Client Communication
Providing regular status reports and ongoing communication so practice owners and managers know exactly where each provider stands in the credentialing process.
Our Goal
Our goal is simple: get your providers credentialed correctly and as quickly as the payers will allow, so they can begin seeing patients and generating revenue for your practice.
