Unlike Medicare, Medicaid is a state-run program. So if you’re a healthcare provider and you want to get paid for treating an out-of-state Medicaid patient, you need to get enrolled with their state. Easier said than done.
Out-of-state Medicaid enrollment is an administrative nightmare for providers. In some states, only the facility needs to be enrolled. In other states, the facility and the attending physicians need to be enrolled. In many states, the process is still manual. In nearly every state, the process is different. If you’re like most providers, no one is quite sure what to do with these claims, so they get passed around from office to office before ultimately getting written off.
With years of expertise in all 50 states, our Provider Enrollment Team takes care of the entire enrollment process for physicians and facilities, so you don’t have to.
As an EnableComp client, our Provider Enrollment Team works for you at no additional cost.
Effortless Enrollment
You and your staff have better things to do than chase down physician and facility information for enrollment. When you’re an EnableComp client, we do the legwork for you.
We gather the required information, complete all enrollment documents, and then send them to you for review and signature. We track your enrollment status with the state and stay on top of it for timely filing.
We keep your documentation current in our system. This allows us to renew your enrollment, and when a new out-of-state claim comes in, we’re able to start the enrollment process for that state automatically.
Take Control of Lost Revenue With a Partner Who Knows How to Find It.
Schedule a ConsultationGet Paid Retroactively
What about all of the out-of-state Medicaid claims you never submitted because you weren’t enrolled? We’ll get you enrolled and, if the claims are less than a year old, we’ll begin the process to get you paid for those claims.
Secure Information Handling
There are times when a state’s enrollment process requires us to gather personal information from a facility’s Board of Directors which can, understandably, cause some initial concern. We handle sensitive patient health information (PHI) safely and securely every day. EnableComp is SOC2 Type II certified and HIPAA compliant, and our company is independently audited on an annual basis. The security of your information is our top priority.