Custom Credentialing Services, Inc.

Mission and Vision

Custom Credentialing  Services is a professional services corporation doing business in the State of Colorado. Our mission is to fully dedicate our professional credentialing resources to our customers. The principal resource is our trained staff committed to putting the customers needs first. We strive to maintain superior and cost effective services.

Our Vision is Quality Customer Service, Commitment, Dedication and Integrity.

 

Credentialing and Provider Enrollment

CCS offers credentialing, insurance paneling, Medicaid and Medicare enrollment. To ensure successful credentialing and enrollment, in addition to the Group NPI, and Tax ID, we require the following:

  • CAQH ID and Application 
  • State License
  • Provider NPI
  • Board Certification
  • Diploma or Proof of Education
  • DEA Certification, prescribers only 
  • Primary Practice and Locations
  • Proof of Malpractice/Professional Liability Insurance

Primary Source Verification

As used herein, Primary Source is one that possesses direct knowledge of the validity and authenticity of an Applicant’s credentials. The cornerstone of the services performed by Custom Credentialing Services is to ensure education, training and professional credentials are carefully investigated through Primary Source Verification (PSV). We maintain the highest level of confidentiality with information obtained through the credentialing verification process. Our credentialing service is exclusively offered to the following Healthcare Provider Organizations:

  • Non-profit  
  • Non-profit Behavioral Health
  • For Profit Healthcare
  • Dental Medicine 

Please see Services for additional Credentialing and Enrollment details. 

Outsourcing Benefits

Credentialing is a challenging undertaking for Healthcare Organizations and Providers. When multiple entities perform credentialing for the same group of providers, there is a needless overlap and duplication for the same requests. They are besieged with  requests for exactly the same information. Outsourcing is:

  • Cost Effective
  • Increases Productivity
  • Paperwork Streamlined
  • Reduces Duplication
  • Reduces Overhead Cost

Abstract: Health Care Credentialing is a process that specifically define areas of medical practice inclusive of specific modalities of care a medical treatment facility grants to dentists, physicians and allied health professionals. Credentialing has come under closer scrutiny by the public, and federal and state government agencies as part of the overall concern for quality medical care and patient safety.