Learn More About What Med Advantage Has To Offer

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MED ADVANTAGE HIGHLIGHTS

Established in 1993, Med Advantage is the largest independent Provider Data Center performing Credentials Verification Organization services and Provider Enrollment Services to providers. We provide credentialing services to managed care companies, insurance companies, hospitals, independent physician associations and other healthcare organizations. Providers include physicians, dentists, chiropractors, podiatrists, psychiatrists, nurses, social workers, and therapists.

  • 20+ years’ experience

  • 1.8 million application transactions

  • Over 1 million providers

  • National accreditation with URAC & NCQA

  • Profiling primary source verified data

  • 3000+ unique documents & applications

  • Full services CVO credentialing

  • Network recruiting

  • Provider reimbursement evaluations

  • Full web based reporting

  • Offers both CVO and Provider Enrollment Services

  • 97% of all MD & DO in the nation are in our database

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CVO & PROVIDER ENROLLMENT SERVICES

CVO OVERVIEW

The credentialing process for a doctor’s office, provider network, or hospital can be one of the most expensive budget items.

Med Advantage has been working diligently to expedite the process and reduce the cost to credential a provider through the use of automation, large data centers, and a proprietary process & software.

  • Credentialing / Re-Credentialing
  • Primary Source Verification (NCQA, URAC, JC, AAAHC)
  • Online Verifications
  • Web Portal & Reporting
  • Sanction Monitoring
  • Hospital Privileges (Appointment / Re-Appointment)
  • Database Management
  • Application Management

NCQA    URAC

Click the icons to view our certifications in PDF format.

Learn More About CVO

PROVIDER ENROLLMENT SERVICES

Med Advantage, armed with 20+ years of credentialing experience is now offering services to guide providers as they maneuver through applications for enrollment and health plans, and hospital privilege appointments.

We get our information straight from the source (the agency, board, school, medical association) so you’re enrolled faster and receiving reimbursements sooner.

  • Initiate Credentialing / Re-Credentialing Process
  • Provider Document Maintenance
  • New-Hire Provider Enrollment
  • NPI/CAQH Registration & Monitoring
  • Hospital Privileges
  • Medicare/Medicaid (Initial / Re-Validation)
  • Identify Key Plans & Hospitals to Target
  • Update Documents & Expirables

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PROVIDER ENROLLMENT SERVICES

Learn More About PES