Our credentialing team maintains our clients’ contracted client files current with Health Plan credentialing standards. We utilize the latest technology in tracking information to keep our client files constantly up-to-date. Advanced MSO uses a unique database that allows fast entry and reporting to the health plans.

Advanced MSO accepts the use of Council for Affordable Quality Healthcare (CAQH) ProviewTM, a service that provides a fast and easy way to securely submit credentialing information to multiple plans and networks by entering information just once. Application data can be submitted online at any time. This simplified credentialing process reduces paperwork and saves time. It is provided at no cost. Please be sure to grant Advanced MSO access to the CAQH Preview application.

Advanced MSO also accepts the California Participating Physician Application (CPPA).

To become credentials for the first time, you will need a current and complete application.

⚬ Please be sure to:

• Complete all fields on the form or mark them “N/A”
• Include all prior and current practice locations.
• Include identification numbers, such as the physician or provider’s Social Security Number, National Provider Identifier (NPI), Drug Enforcement Agency Number, unique provider ID, and professional license numbers.
• Answer all questions and provide explanations if needed.
• Include the signed and dated attestation form.

⚬ Provide digital copies of your:

• Curriculum vitae, including work history in a month/year format
• Professional license or DEA certificate
• Controlled Dangerous Substances (CDS) certificate
• Copy of malpractice insurance face sheet
• Summary of pending or settled malpractice cases

⚬ Provider Enrollment Services/Medical and Physician Credentialing Services

Trust the experts at Advanced MSO to guide you through the difficult process of provider enrollment and medical credentialing.

⚬ Who we work with:

• Physicians – Medical Group Practices
• Independent Practice Associations
• Network of Healthcare Providers (ie. home health, surgery centers, PCPs/specialists, urgent care, & etc.)
• and More!

⚬ What Enrollment and Physician Credentialing Services We Help With:

• Medicare and Medicaid Revalidation
• CAQH Registration
• NPI Registration (Type I and Type II)
• Reimbursement Issues
• Managed Care Contracting Issues
• Hospital Privileging

⚬ Why work with Advanced MSO?

• Save you on average at least 2 months of time and over 100 or more hours of work!
• Take away all the headaches due to the mounds of paperwork and endless applications!
• Increased patient referrals!
• Get you paid by the insurance companies faster!
• Contracts and applications are setup right the first time and we will not stop until the process is 100% completed!
• Dedicated project manager assigned to your project!
• We make all the phone calls, follow-ups, and submit all applications, e-mails and faxes for you!
• 24/7 access to documents related to your project
• The service is typically provided at a cost less than it would be for you to hire your own provider enrollment or credentialing team and we can handle any volume you have!

⚬ What you get with our Provider Enrollment and Physician Credentialing Services:

• An “All Purpose” credentialing manager to represent you with commercial and government payers.
• We complete all the applications and necessary paperwork on your behalf with the chosen payor networks and government entities.
• Status reports so you know where you are in the process with each payor
• Maintain and update CAQH profile
• Complete all necessary credentialing requirements for each payor and follow through to completion
• Follow all payor contracts through to contract load date and provide copy of fully executed contract and fee schedules to your practice or billing company.

Simply put, we handle the entire enrollment and physician credentialing process from start to finish for one low flat fee!