(260) 426-1321 [email protected]

Managed Care Support Services

Tri-State Medical Group provides Managed Care Support Services.

Lana Lowe
Director of Operations
(260) 426-1321
[email protected]

Managed Care Support Services provides the physician practices access to our secured online provider Database providing them with pertinent information on each of their providers. Our staff members work diligently in giving their full attention to ensure the provider’s credentialing needs are meant timely and accurately”. TSMG eliminates this tedious task from each of your practices, and centralizes this process to reduce cost and time that can be better spent on providing quality care to your patients.

Managed Care Support Services:

  • New Group & Physician Contracting and Credentialing
  • Managed Care Plans & Hospital Application Completion
  • Fee Analysis Reports
  • Contract Matrix
  • Malpractice Claim Summary Program
  • Medicare & Medicaid Revalidations

Physician/Allied Health Credentialing

Our goal is to improve the quality and efficiency of the credentialing process. TSMG works as a clearinghouse to reduce the burden that is placed on the medical practice. The preparation of credentialing applications for managed care plans, other third party payors, government agencies, hospitals, licensure, and related organizations have become increasingly time consuming, costly, and duplicative process. TSMG removes this burden from the practice and allows you to focus on providing care to your patients. TSMG continues to build a strong relationship with managed care plans, hospitals and related organizations, who have in turn, applauded our expertise and timeliness in streamlining with accuracy, the application process.

Licensures
Managed Care Plans
Government Plans
Malpractice
Hospitals
Ambulatory Surgery Centers
Facilities
Medical Society
Managed Care Plans
Hospitals
Ambulatory Surgery Centers
Government Agencies
Revalidations
Maintenance of NPI & CAQH
Malpractice Carrier
Malpractice Claim Summary
Indiana Department of Insurance
National Practitioner Data Bank
Medical Licenses
Licensure renewals
CSRs
DEAs
Allied Health Licensure

(Client has access to Database for viewing)

Personal Information
Practice Information
Malpractice Coverage
Board Certifications
Licensures – effective & expiration dates
Schooling
Hospital Privileges/ASC
References
List of Contracted Insurance Companies
NPI
CAQH

Tri-State Medical Group provides Physician/Allied Health Credentialing Services.

Lana Lowe
Director of Operations
(260) 426-1321
[email protected]

Tri-State Medical Group provides Credential Verification Services.

Lana Lowe
Director of Operations
(260) 426-1321
[email protected]

Credentialing Verification

Hospital & Ambulatory Surgery Center Credentialing Verification

Credentialing verification services provides hospitals and ambulatory surgery center credentialing verification services for all their physicians and allied health professionals on staff at their facility. The credentialing guidelines are determined by the facility’s by-laws, state regulations and their accreditation affiliation such as JCAHO or AAAHC.

Services Provided

Our online secured database allows our clients access to each physician/allied health professional, as well as third party auditors, to view the following documents:

  • Initial and Re-appointment
  • Education Verification (AMA)
  • State Licensure(s) Verification
  • CSR Verification
  • Hospital Verification(s)
  • DEA verification
  • Malpractice Verification
  • Board Verification
  • CME’s
  • NPDB Query
  • Mantoux (TB)
  • CV
  • Photo identification (Drivers License or passport)
  • CPR, ACLS
  • Criminal Back Ground Check
  • OIG Exclusion Check

Tri-State Medical Group can help you.

Contact Us Today!