- Proposal for Credentialing and Contracting Services
PACT RCM LLC offers comprehensive credentialing and contracting services designed to streamline your insurance enrollment process and expand your business capabilities.
Insurance Credentialing
Complete credentialing services with major national providers including Aetna, Cigna, United Healthcare, and more
Insurance Contracting
Strategic contracting services with Anthem, Blue Cross Blue Shield, and other key providers
Billing Solutions
Optional comprehensive billing services to maximize efficiency and reduce operational costs
Credentialing Services
Based on our discussion, PACT RCM LLC will initiate the credentialing process for QuickLabs using your new Tax ID. Our comprehensive approach ensures a smooth transition while maintaining the highest professional standards.
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Complete Application Management
Expert handling of all required applications and documentation submission, ensuring accuracy and timeliness
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Primary Source Verification
Thorough verification of all credentials through authorized primary sources
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Status Monitoring
Continuous tracking and monitoring of your application status through every stage
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Proactive Communication
Regular updates and transparent communication throughout the entire credentialing process
We understand that navigating the credentialing process can be complex and time-consuming. Our team of experts handles all administrative tasks, allowing you to focus on providing high-quality medical laboratory services to your patients.
Target Insurance Providers
Insurance Networks
Aetna: Major national provider with comprehensive coverage options
Cigna: Leading healthcare insurance network
United Healthcare: Extensive nationwide coverage
Anthem: Broad network accessibility
Blue Cross Blue Shield: Trusted insurance network
Medicare: Federal healthcare program
Enrollment Process
We will conduct a thorough analysis to identify which insurance panels are currently open for new providers. To facilitate this process, we will require you to complete our onboarding questionnaire, which provides the necessary information for submitting your applications.
Some insurance panels may be closed, which requires a strategic approach and persistent follow-up to explore potential opportunities for enrollment.
Comprehensive Billing Services
PACT RCM LLC offers comprehensive billing services designed to optimize your revenue cycle and minimize administrative burdens. Our billing services cover the entire patient lifecycle and function as your back office to build trust with patients.
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Initial Patient Contact
Assistance with appointment scheduling and initial documentation
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Insurance Processing
Complete insurance verification to confirm coverage and benefits
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Service Documentation
Accurate coding and charge entry for all services provided
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Billing Management
Processing of bills and proper payment posting to accounts
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Account Monitoring
Thorough accounts receivable management and tracking
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Claims Resolution
Handling of appeals and denial management processes
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Patient Follow-up
Management of patient collections and payment reminders
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Performance Analysis
Comprehensive reporting and analytics on billing operations
By outsourcing your billing processes to PACT RCM LLC, you can improve cash flow, reduce operational costs, and ensure compliance with industry regulations. We utilize advanced technology and best practices to maximize reimbursements and minimize errors.
Pricing Structure
We believe in transparent, value-based pricing that aligns with your practice's success. Our competitive rates include:
Credentialing: $400.00 per provider/insurance panel - a one-time investment in your practice's growth
Timeline: Typical completion within 90-120 days, subject to insurance carrier processing times
Billing Services: Flexible rate of 4-10% of net collections, scaled to your monthly collection volume - ensuring we grow together
Volume Discount: Premium rate of 3.5% flat fee available for high-performing practices collecting over $400,000 in monthly insurance payments
Additional Savings: Exclusive discounted rates from our technology partners, maximizing your cost efficiency across all administrative functions
For complete peace of mind, our fees are all-inclusive, covering CAQH management, comprehensive application processing, and all technology costs. We maintain a strict no-hidden-fees policy, ensuring you can budget with confidence.
Cost Savings with Voucher Credit
When you engage PACT RCM LLC for credentialing services, 30% of your credentialing fees will be converted into a voucher credit. This voucher can then be applied towards your future monthly billing service fees when you choose to utilize our billing services after completing the credentialing process.
For example, if your credentialing costs are $1,000, you'll receive a $300 voucher that can be used to offset your billing service fees. This approach allows you to maximize your investment while streamlining your practice's administrative operations through our comprehensive service bundle.
Patient-Centric Approach
Exceptional Service
PACT RCM LLC delivers outstanding service that benefits both medical laboratories and their patients through personalized attention and support.
Transparent Billing
Our patient-friendly billing processes ensure clear, easy-to-understand statements that help avoid confusion and build confidence.
Trust Building
As an extension of your team, we strengthen your laboratory's reputation through professional, prompt billing management.
Key Benefits of Partnering with PACT RCM
Streamlined Credentialing
Efficient and accurate credentialing process to get you enrolled with major insurance providers quickly.
Maximized Revenue
Optimized billing processes to ensure accurate and timely reimbursement for your services.
Reduced Administrative Burden
Outsourcing billing and credentialing frees up your staff to focus on core business activities.
Cost Savings
Voucher credit and efficient billing practices help reduce overall operational costs.
Our Technology Partners
AdvancedMD
Our seamless integration with AdvancedMD streamlines your billing operations
Collectly
Enhanced patient payment solutions through our Collectly partnership
Standard Practice AI
Advanced automation powered by Standard Practice AI technology
Next Steps
To move forward with this proposal, we recommend the following steps:
Review and approve the proposal.
Complete the onboarding questionnaire to provide necessary information for credentialing applications.
Schedule a kickoff meeting with our team to discuss timelines and project milestones.
Execute a service agreement outlining the terms and conditions of our engagement.
We are confident that PACT RCM LLC can be a valuable partner in helping QuickLabs achieve its business goals. We look forward to the opportunity to work with you and provide exceptional credentialing and billing services.
Contact Information
Feel free to reach out with any questions or to schedule a consultation. At PACT RCM LLC, we're committed to providing exceptional credentialing and billing services for your healthcare practice.
Contact
Aravind Kumar Founder / CEO
Phone
(408) 650-6983
Email
aravind@pactrcm.com
Office Location
PACT RCM LLC
2033 Gateway Pl, Suite 500, 5th floor, San Jose, CA 95110
Thank You for Considering PACT RCM LLC
We appreciate your review of our credentialing and billing services proposal. The opportunity to partner with QuickLabs and support your healthcare operations is exciting.
Our team is ready to help streamline your credentialing process and optimize revenue cycle management to drive your success.
Please reach out if you need any additional information.
Schedule a free consultation with our founder, Aravind Kumar, to discuss this proposal and your healthcare revenue cycle management needs. Please contact us at (408) 650-6983 or select a meeting time below.