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Our Services

  • Robust Reporting

    Credentialing and Insurance Enrollment reporting tailored to your individual needs to help with practice management.

  • Network Verification & Enrollment

    Whether you are a start-up medical practice or a vetted practice, PrepRx can help you better understand what payors you should enroll with or verify what payors your are currently network participation.

  • Practice Management Help

    Office Workflow Process Implementation. Relieve Administrative Burden.

  • CAQH Registrations and Maintenance

    CAQH technology-enabled solutions eliminate redundant & inefficient administrative processes between health plans, individual providers and provider groups for credentialing, directory maintenance, coordination of benefits & other essential business functions.

  • I & A Management System

    Manage the following through the use of the CMS I&A Management System :

    1) NPPES

    2) PECOS

    3) EHR Incentives

  • NPPES Registration and Maintenance

    Registering correctly and maintaining type 1 and type 2 NPI numbers on NPPES is vital to insurance credentialing and enrollment process.

    Centers for Medicare & Medicaid Services (CMS) encourages health plans to use NPPES as a resource for insurance online provider directories, allow you to provide more reliable information to your patients.

  • PECOS Setup and Medicare Enrollment

    Internet-based PECOS supports the Medicare provider and supplier enrollment process by capturing provider/supplier information found on the CMS-855 family of forms. Through this system, members of the Medicare provider and supplier communities can perform most enrollment activities online, while shorten Medicare enrollment timeframe at record rates.

  • EFT/ERA/EDI Enrollments

    EFT, ERA, and EDI enrollments are important for healthcare providers who want to receive electronic payments and remittance advice from insurance payors. PrepRx, has vast experience in performing these enrollments, which is essential for efficient and timely billing.

  • State Medicaid & MCOs

    Medicaid is a joint federal and state health insurance program. Managed Care Organizations (MCOs) are private companies that contract with state Medicaid programs to provide health care services to Medicaid recipients.

    PrepRX understands the credentialing reprocess and provider qualifications needed to be credentialed into state Medicaids and their MCOS.