UnitedHealthcare Community Plan
The Veracity Group provides provider credentialing, recredentialing, payer enrollment, CAQH management, demographic updates and group enrollment for healthcare practices across all tennessee counties. Our U.S.-based team prepares accurate applications, follows up with payers and keeps your providers active so you can see patients and get paid.
We coordinate credentialing and enrollment across Tennessee Medicaid managed care, regional carriers, national commercial payers and other networks selected around your specialty, locations and patient mix. TennCare currently identifies Wellpoint, BlueCare and UnitedHealthcare Community Plan as its three managed care organizations.
From an individual clinician opening a new practice to a multi-location organization adding providers, the workflow has to connect provider data, entities, locations and payer requirements.
Physicians, nurse practitioners, physician assistants and other eligible clinicians preparing for payer participation.
New practices that need provider, group, tax, location and payer enrollment pieces coordinated around an opening date.
Organizations adding clinicians, locations, specialties or payer relationships while keeping enrollment activity organized.
Dental practices, behavioral health organizations, therapy providers and other healthcare businesses with credentialing requirements.
Organize professional information, licenses, work history, malpractice and supporting documents for credentialing submissions.
Coordinate Medicare, TennCare/Medicaid, commercial and managed-care enrollment according to the payer strategy.
Track recurring credentialing obligations, provider records and payer requests so renewals do not become last-minute work.
Keep provider information coordinated with CAQH-related requirements and the data used for enrollment workflows.
Coordinate provider, practice, address, specialty and service-location changes across applicable payer records.
Align individual providers, group entities, tax information and locations so enrollment records connect correctly.
The Veracity Group is positioned as a national healthcare credentialing and enrollment partner: structured SOPs, defined ownership and specialized support instead of an ad-hoc application-by-application process.
Defined intake, document review, submission, follow-up and closeout stages.
Work is assigned to a manager and supporting specialists rather than a generic support inbox.
Each payer can have different portals, documentation expectations, contracting steps and follow-up paths.
Practice leadership can see provider status, blockers, next actions and pending payer responses.
Tennessee has 95 counties. We support practices in major metros, regional markets and rural communities through a centralized enrollment workflow.
Nashville, Franklin, Brentwood, Murfreesboro, Clarksville and surrounding markets.
Memphis, Jackson, Dyersburg, Bartlett and communities throughout western Tennessee.
Knoxville, Chattanooga, Johnson City, Kingsport, Bristol and surrounding markets.
Remote enrollment support for practices outside the largest metropolitan areas.
A new office creates several connected enrollment tasks: provider credentialing, group and tax information, service locations, NPI relationships, CAQH data, TennCare registration where applicable and payer contracting.
TennCare states that a valid TennCare/Medicaid ID is required for participation and to contract with TennCare managed care organizations. Individual provider registration also uses CAQH-linked information.
Work backward from the intended first billing date and identify enrollment dependencies.
Coordinate clinicians, entities, tax information and service locations.
Organize applicable TennCare registration and managed-care contracting steps.
Prioritize payer applications around specialty, geography and patient mix.
You should not have to chase a generic support inbox to find out what is happening with a provider application. We assign a dedicated manager and enrollment support team to coordinate credentialing work, collect missing items, manage payer follow-up and keep the workflow moving.
We can structure provider enrollment work in Monday.com so your team has a shared operational view of applications, payer stages, pending documents, next actions and blockers. Access and configuration can be defined for your organization.
See which payer application is preparing, submitted, pending or completed.
Identify missing documents, payer requests and internal approvals needing attention.
Connect enrollment milestones with the intended provider or office start date.
Give practice leadership a cleaner view of workload and outstanding dependencies.
Tell us your provider type, locations, target payers and opening or enrollment timeline. We can map the next steps and identify where the credentialing workload belongs.
Whether you’re opening a new practice, expanding locations, renewing provider credentials, or enrolling with Medicare, Medicaid, and commercial payers, The Veracity Group provides reliable nationwide credentialing support.
Simplifying provider credentialing, payer enrollment, and compliance management through transparent processes, dedicated support, and industry expertise.
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