Provider Enrollment

Practice Management

Enrolling as a participating provider with the many different payers can be a very time-consuming and frustrating process. Incomplete applications, neglecting to attach required documentation or failing to respond to requests for additional information can all lead to delayed or denied applications, resulting in increased costs to the practice and delayed reimbursement for the provider. Partnering with GLMS Provider Enrollment can ease this administrative burden so you can focus on other tasks, saving time and money for your practice. Contact us today!  

The GLMS Physician Education and Practice Support Department will handle all the paperwork for initial enrollment and/or re-enrollment and track responses from each payer until provider numbers are obtained. Enrollment applications are completed and stored in our secure database. We attach all required documentation such as current licenses, CME’s, declarations pages, malpractice narratives, certifications, etc. to complete applications and then send it to the provider for signatures. All services can be customized to fit the needs of your practice.  

Time frame: The amount of time required will vary but the average time needed is approximately 90-180 days. Note: Medicare will only backdate effective dates thirty (30) days from the date they receive an enrollment application and the effective dates for the commercial plans can vary.  

Pricing: Discounted rates for GLMS members. Prices vary based on the services requested.  Click here to Learn more about GLMS Provider Enrollment.

List of our most popular plans

Product Name

Details

Adding an enrolled provider to existing Group

Adding a provider that is already enrolled with the payers to an established group with the payers. This includes updating CAQH, Completing appropriate Demographic Forms with each payer and Follow-Up/Tracking.

Annual Maintenance & Health Plan Revalidations

Annual Maintenance & Health Plan Revalidations -including Maintenance of CAQH. Includes revalidation and maintenance of all current health plan enrollments, CAQH maintenance and attestation and regular provider directory authentication and demographic updates

New Insurance Enrollment
Package A

New Enrollment with up to 5 payers Medicare and/or Medicaid considered one payer each. Some payers require use of CAQH – New CAQH enrollment is considered one payer; Application Completion & Submission, Application Follow-Up/Tracking, Follow Through with Payer until participation is granted.

New Insurance Enrollment
Package B 

New Enrollment with up to 10 payers Medicare and/or Medicaid considered one payer each. Some payers require use of CAQH – New CAQH enrollment is considered one payer; Application Completion & Submission, Follow-Up/Tracking, Follow Through with Payer until participation is granted.

New Insurance Enrollment
Package C 

New Enrollment with up to 15 payers Medicare and/or Medicaid considered one payer each. Some payers require use of CAQH – New CAQH enrollment is considered one payer; Application Completion & Submission, Follow-Up/Tracking
 

New CAQH Enrollment

New CAQH account application, completion and attesting for providers who do not already have a CAQH account.

Individual Medicare or Medicaid Revalidation

Completion of Medicare or Medicaid Revalidation for Group; Submission of Group revalidation information to Medicare or Medicaid and Follow-up/Tracking

Annual Maintenance & Health Plan Revalidations

Medicare or Medicaid revalidation for individual providers enrolled with Medicare (or Medicaid); Submission of revalidation application and Follow-up/Tracking

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