Setting the Anchor.
The anchor your providers tie their billing to.
- Lessons
- 7
- Running time
- 25 min
- Includes
- PDF guide
Joshua Tree National Park
Seven lessons, in order.
Each lesson stands on its own, 25 min in all. Start at the first waypoint, or go straight to the one you need.
-
Lesson 1
Meet Elena
Follow Elena as she builds the enrollment infrastructure that lets every credentialed provider bill.
3 min Start -
Lesson 2
The Federal Base
The NPI and PECOS - the federal identity layer that absolutely has to come first.
4 min Start -
Lesson 3
The State Foundation
State licensure and behavioral health entity designation - the regulatory layer that unlocks Medicaid.
5 min Start -
Lesson 4
The Medicaid Conduit
Medicaid enrollment - connecting the state foundation to the public payer that serves most behavioral health clients.
5 min Start -
Lesson 5
The Regional Matrix
Regional managed care contracts - the layer where public infrastructure meets private administration.
2 min Start -
Lesson 6
The Commercial Topline
Commercial insurance contracts - the fifth and final layer that completes Elena's enrollment.
3 min Start -
Conclusion
The Complete Picture
Five layers of organizational enrollment - step back and see the whole infrastructure.
3 min Start