MedNetOne

Provider Enrollment and Credentialing

Provider Enrollment and Credentialing

Med Net One understands that your time is precious and has heard your frustrations with the Payer Enrollment and Credentialing processes.  Med Net One has partnered with Healthcare Credentialing Services, LLC to reduce the administrative burden on your practice.

Healthcare Credentialing Services is a Credentialing Verification Organization (CVO) that facilitates provider enrollment, credentialing and recredentialing activities for Med Net One members with the various Payers.  Healthcare Credentialing Services offers Med Net One members additional services which include reporting of plan specific data (including Americans with Disabilities Act (ADA) compliance, payer directory attestations, and annual training attestation reporting).  These services will allow Med Net One the ability to initiate Delegated Credentialing relationships with various payers.

Healthcare Credentialing Services provides a solution to physicians and other healthcare professionals and administrative team for data gathering and retention and helps streamline ongoing data sharing processes. This is accomplished by enabling information exchange between the healthcare professional as well as creating connectivity between contracted entities.

Services available

  • CAQH Initial Application and Ongoing Maintenance
  • Demographic Change and Updates
  • Directory Update and Maintenance
  • ECFMG Verification
  • Education and Training Verification
  • Enrollment with Commercial, Medicaid Managed Care and Medicare Advantage Payers
  • Executed Initial Credentialing Information and Re-credentialing Information
  • Expiration Monitoring
  • Medical License, Controlled Substance and DEA Verifications
  • NPI Verifications
  • Ongoing Sanction and Adverse Action Monitoring
  • Payor Roster Auditing/Reconciliation
  • Verification of Board Certification (ABMS, AMA, AOA, etc)
  • National Practitioner Data Bank (NPDB) Monitoring

To request more information or have questions on the Provider Enrollment and Credentialing process please contact Healthcare Credentialing Services LLC at enrollment@hcscredentialing.com or (248) 221-0066.

Ready to start the Enrollment and Credentialing Process?

Completed documents can be returned via mail, email, or fax to the following:

Medical Network One

Attn: Provider Services

4986 Adams Rd. Ste D

Rochester, Michigan 48306

Fax: (248) 436-4758

Email: enrollment@hcscredentialing.com

FIND A PHYSICIAN OR
HEALTHCARE PROFESSIONAL

Med Net One is pleased to provide
a roster of our physician and provider
members, located conveniently in
Wayne, Oakland and Macomb counties
and throughout SE Michigan.