Louisville Medicine Volume 66, Issue 2 | Page 27

GLMS PROVIDER Enrollment Services

PROVIDERS MAY CHOOSE TO CONTRACT WITH GLMS FOR ALL OR PARTS OF THE
FOLLOWING SERVICES :
»
CAQH Profile Set-up and Maintenance
»»
Commercial Insurance Credentialing
»»
Medicare Enrollment
»»
Medicaid and Managed Care Organization
Credentialing
»»
NPI Registration – Individual and Group
»»
Collection and Verification of information
provided by the physician for credentialing
with third party payers
»»
Completion of all applications for commercial
payers tracking the progress of obtaining
provider numbers
»»
Re-credentialing application and management
»»
Medicaid Revalidation
»»
Medicare Revalidation
»»
Terminating providers from your contracts
»»
Demographic changes
TIME FRAME : The amount of time required will vary but the average time is approximately 90-180 days .
Note : Medicare will only backdate effective dates thirty ( 30 ) days from the date they receive an enrollment application & the effective dates for the commercial plans can vary .
PRICING : Discounted rates for GLMS members . Prices vary based on the services requested . Email provider . enrollment @ glms . org for specific pricing information .
Note : For group options , 50 % of eligible physicians in the group must be GLMS Members to receive the member rates . Application Fees are not included as part of the prices given .