ProEnrollment LLC vs Bikham Healthcare

What should you compare for how a quote prices payer and provider work?

A clinic comparing a per-project scope with ongoing support should compare how a quote prices payer and provider work using the same provider and payer information in each proposal. Request a quote for one added clinician, one extra location and a returned application. Ask which events are included and which require a separate work order.

How to compare how a quote prices payer and provider work

Request a quote for one added clinician, one extra location and a returned application. Ask which events are included and which require a separate work order.

For how a quote prices payer and provider work, compare the agreed service scope with the expected payer handoff.

What to verify about fee basis for applications

Use a single representative file in both discussions. Record how each proposal handles fee basis for applications and which named role owns the handoff. Confirm the current offer in writing.

How to review charges for roster or location changes

What to verifyProEnrollment proposalOther proposal
Fee basis for applicationsRequest written scope and ownershipConfirm included work and documentation
Charges for roster or location changesRequest written scope and ownershipConfirm included work and documentation
Returned-file and follow-up scopeRequest written scope and ownershipConfirm included work and documentation
Activation recordsRequest written scope and ownershipConfirm included work and documentation
Fees and exclusionsRequest written scope and ownershipConfirm included work and documentation
Activation recordsRequest written scope and ownershipConfirm included work and documentation
Fees and exclusionsRequest written scope and ownershipConfirm included work and documentation
Activation recordsRequest written scope and ownershipConfirm included work and documentation

What returned-file and follow-up scope should show

Ask for proof of returned-file and follow-up scope and record any exclusions. The final plan decision and effective date depend on the payer and the specific network product.

For how a quote prices payer and provider work, compare the agreed service scope with the expected payer handoff.

For how a quote prices payer and provider work, compare the agreed service scope with the expected payer handoff. View payer credentialing services · behavioral health credentialing · Compare credentialing approaches · Request a credentialing consultation

Questions for Bikham Healthcare and ProEnrollment

Send the same payer and provider list to each option. Ask for the contract owner, a sample deliverable for fee basis for applications and terms for changes after submission.