Provider Enrollment
Ventra’s vEnrollment™ platform offers a technology-enabled solution that integrates provider enrollment into the revenue cycle resulting in a streamlined process that accelerates speed to value.
Meet with an ExpertProvider Enrollment
Ventra’s vEnrollment™ platform offers a technology-enabled solution that integrates provider enrollment into the revenue cycle resulting in a streamlined process that accelerates speed to value.
Meet with an ExpertOUR UNIQUE STRATEGIC APPROACH
End-to-End RCM Integration
Ventra’s vEnrollment solution tracks and manages enrollment status through submission, revalidation, and the claims process.
Provider enrollment is the formal payer registration process that enables providers and groups to be reimbursed for services they provide to patients.
Most providers and vendors approach provider enrollment as a pre-RCM activity. We recognize provider enrollment for what it is: an ongoing process with significant, long-term, and frequently underestimated RCM impact.
Lost Revenue
A one-day delay in provider onboarding can cost a medical group up to $5,000 and result in months of uncompensated care.
High Volume
One provider with five locations and 20+ payers can generate 100+ enrollment applications.
Ongoing Maintenance
Enrollment doesn’t stop at approval, it requires renewals, revalidations, attestations—often 3x per year, per payer.
Significant Time Investment
Expect approximately one hour per provider, per payer (before follow-ups or corrections).
Extraordinary Complexity
The process becomes exponentially more complicated for providers with multiple locations.
Ventra’s Provider Enrollment Solution
Our vEnrollment team works hand-in-hand with our service delivery and payer contracting teams to optimize the enrollment process and reduce the significant revenue risk from enrollment-related denials.
- Visibility: Our workflows tie revenue risk to enrollment inventory to present a full picture of activity and impact.
- Denial Avoidance: We actively manage active enrollment holds and releases to reduce denials and accelerate speed to cash.
- Proactive Inventory Management: We track and manage enrollments and periodic revalidations to ensure providers remain current and eligible to bill.
- Service at Scale: We employ industry experts with expertise across state, federal, and commercial plans that allow us to provide service at scale, no matter the location or payer mix.
- Speed to Value: We maintain extensive playbooks that cover nearly 100% of available payers, allowing us to assume operations within 90 days of contracting.
“Most organizations don’t acknowledge that provider enrollment is part of the revenue cycle. If it doesn’t have a place in the revenue cycle, you’re going to lose money”
— Jessica Carden , Senior Director, Provider Enrollment
THE VENTRA HEALTH ADVANTAGE
Data and Expertise Are Our Differentiators
Our vEnrollment team members are Ventra employees with deep enrollment expertise and support from our dedicated Data & Analytics Team.
Resources
- Hospital Medicine Documentation Excellence: Maximizing the value of prolonged telemedicine visits with deeper documentation
Continuing from last month’s Telemedicine Tips, which included guidance and resources, this month’s focus shifts toward the appropriate documentation for … Read more - Doc-to-Doc Series: Leveraging AI to Defend Just Reimbursement and Strengthen RCM PerformanceBy Jamie Shoemaker, MD, FACEP When deployed thoughtfully in revenue cycle management (RCM), AI is not about replacing clinicians or … Read more
- Managed Medicaid Provider Enrollment: The Revenue Lever You Can’t IgnoreBy Jessica Carden, PESC Senior Director, Provider Enrollment One of the most important trends in Medicaid today is the continued … Read more
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Find Out More About Ventra Health
Meet our team and learn more about our Provider Enrollment services.
