Provider enrollment delays turn into claim holds, effective-date gaps, and missed revenue visibility. The Hamill Group manages CAQH, NPI Registration, Medicare, Medicaid, DEA, CLIA, and payer enrollment workflows, enabling healthcare organizations to bring providers into billing operations with cleaner data and controlled follow-up.
Provider identity, license, and payer data verified.
CAQH, NPI, taxonomy, and locations aligned.
Medicare, Medicaid, and commercial enrollment are tracked.
Effective dates and payer responses monitored.
Billing activation is checked before claims begin.
The Hamill Group team helps healthcare organizations align provider records, payer enrollment, effective dates, and billing activation before claims begin.
Provider data is checked before payer submission.
Every open application is tracked by payer status.
Effective dates and payer setup are verified before claims are submitted.
Renewals, attestations, and expiring records are monitored.
THG coordinates Medicare Part B, Medicaid, TRICARE, CHIP, and Railroad Medicare enrollment with status tracking, revalidation oversight, and payer response control.
Our insurance credentialing services support applications to Aetna, Cigna/Evernorth, UHC/Optum, BCBS, Humana, Kaiser, Anthem, and Molina, including roster and participation updates.
Credentialing can slow provider onboarding when payer files, approvals, and renewals are handled without a clear process in place. The Hamill Group gives healthcare organizations a structured credentialing team that keeps enrollment work organized, payer responses moving, and provider records ready for active billing.
Your team spends less time chasing forms, payer calls, and missing records.
Licenses, profiles, payer files, and renewal dates stay in one controlled process.
Each payer application is tracked from submission to active participation.
Renewals and revalidations are monitored before participation is at risk.
Different providers need different enrollment paths. The Hamill Group supports physicians, facilities, groups, and specialty providers with credentialing services structured around their payer requirements, practice model, locations, and billing setup.
Credentialing for solo doctors, groups, and specialty clinics.
Enrollment support for therapists, psychiatrists, and SUD programs.
Provider files managed for NPs, PAs, and CRNAs.
Credentialing for ASCs, labs, urgent care, and diagnostic sites.
Best for: Solo providers, new practices, and small clinics
Best for: Growing practices, adding new providers or payers
Best for: Multi-location groups and high-volume provider teams
Best for: Specialty practices, facilities, and complex payer networks
Every payer wants a complete provider file before enrollment can move forward. THG helps practices prepare the documents needed for identity verification, professional standing, tax setup, payer access, and specialty approval before applications are submitted.
These records confirm the provider’s identity, qualifications, and professional standing for payer review.
These documents connect the provider to the correct tax profile, practice location, and billing structure.
Some provider types need added records before payers approve participation or specialty billing access.
The Hamill Group supports healthcare organizations with state-aware credentialing services for providers, physicians, groups, and facilities. Our team manages payer enrollment, licensing details, Medicaid variations, commercial plan rules, and participation updates across multi-state revenue operations.
We verify provider documents before they move into payer packets.
We align licenses, history, taxonomy, and practice data.
We prepare organized files that meet payer documentation rules.
No. THG works with your existing EHR and helps optimize your current workflows, integrations, and revenue cycle processes.
THG reviews key workflows including patient registration, eligibility, charge capture, coding, claim submission, payment posting, denials, and reporting.
THG reviews claim transmission, rejection reports, payer responses, and clearinghouse data to identify integration or workflow issues affecting claims.
Yes. THG can help identify issues with 835 ERA files, payment posting, remittance mapping, and reconciliation workflows.
Yes. THG can review documentation and transcription handoffs to identify workflow gaps that may contribute to coding, billing, or claim delays.
THG supports billing for therapy, psychiatry, counseling, group therapy, SUD, IOP, PHP, telehealth visits, and multi-provider behavioral health organizations.
We track authorization numbers, approved units, CPT/HCPCS codes, provider details, date ranges, payer rules, documentation requests, re-authorization deadlines, and concurrent review needs.
Yes. THG reviews telehealth claims for POS 02/10, modifiers 95, GT, or GQ where applicable, payer-specific rules, documentation support, authorization status, and session-level coding accuracy.
We classify denials by CARC/RARC, payer, CPT, provider, authorization status, service line, documentation issue, and workflow source to identify whether the root cause is VOB, authorization, coding, documentation, or payer policy.
Pricing depends on specialty, claim volume, payer mix, provider count, number of locations, EHR/PM setup, denial volume, AR cleanup needs, credentialing scope, reporting requirements, and service complexity.
It may, because behavioral health often requires deeper VOB, recurring authorization tracking, telehealth validation, H-code support, session-level review, and payer-specific documentation management.
Aged AR cleanup is usually reviewed separately because old claims require denial analysis, timely filing checks, payer status review, appeal validation, underpayment review, and recoverability scoring.
Pricing can be structured based on the client’s scope, volume, specialty, and revenue cycle needs. Final pricing is confirmed after reviewing claim volume, payer mix, AR status, EHR setup, and workflow complexity.
Review your claim volume, denial rate, AR over 90 days, payer mix, provider count, authorization volume, EHR limitations, credentialing gaps, and reporting needs. These factors affect the scope and pricing model.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
THG follows compliance-focused workflows that support role-based access, secure documentation, PHI handling controls, payer record management, BAA requirements where applicable, and audit-ready billing notes.
Yes. THG works around HIPAA-related billing workflows, including 837 claim submission, 835 ERA posting, 270/271 eligibility, 276/277 claim status, and 278 authorization/referral workflows where applicable.
THG can help organize claim notes, payer communication, appeal documentation, authorization records, EOB/ERA files, denial history, and supporting documentation needed for payer audit response.
We review coding alignment, documentation support, payer requirements, authorization status, provider setup, billing notes, payment adjustments, and repeat denial patterns to reduce preventable exposure.
Only if verified documentation is available. Safe website wording is HIPAA-aware processes, ISO 27001:2022-aligned controls, CPB-aligned billing workflows, and RHIA-informed documentation standards unless formal proof is confirmed.
Share your practice details, and THG will help move your credentialing work into a more controlled path. Our team supports healthcare organizations that need cleaner enrollment execution, better payer follow-up, and provider files that are ready for active billing.
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