Stars Pro Amerigroup Credentialing & Enrollment Services
Stars Pro specializes in seamless Amerigroup credentialing and enrollment, ensuring providers meet all state-specific Medicaid requirements with zero delays. Our expert team handles everything from application submission to contract activation, minimizing administrative burdens for your practice. With real-time tracking and dedicated support, we guarantee faster approvals so you can start seeing Amerigroup patients sooner.
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What is an Amerigroup Credentialing & Enrollment Company?
What does our Amerigroup Credentialing company do?
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What makes Us a good Amerigroup Credentialing Company?
What Differentiate Us from Others Amerigroup Credentialing Service Providers?
Stars Pro stands out by combining 15+ years of Medicaid-specific expertise, a credentialing-certified team, and a physician-trusted approach to deliver unmatched Amerigroup enrollment success. We don’t just submit paperwork—we strategically navigate state-specific hurdles, prevent denials, and accelerate approvals so you can start billing faster. Our transparent process and dedicated support make us the preferred partner for providers who value
precision, speed, and long-term compliance.
- 1. Deep Medicaid-Specific Mastery – Expertise in all 50 states’ Amerigroup requirements
- 2. Faster Time-to-Revenue – 30-50% quicker approvals than competitors
- 3.Zero Denial Guarantee – Triple-check system eliminates application errors
- 4.White-Glove Service – Dedicated specialist from start to finish
- 5.Ongoing Compliance Guardrails – Automatic tracking for renewals & audits
What questions to ask an Amerigroup Credentialing Company?
- 1) What’s your average turnaround time for Amerigroup credentialing, and how do you handle delays?
- 2) Can you share examples of how you’ve resolved complex Amerigroup application rejections or audits?
- 3) Do you have dedicated specialists for my state’s Medicaid program, and how do you stay updated on policy changes?
- 4) What’s your process for verifying CAQH profiles, licenses, and malpractice insurance to prevent denials?
- 5) How do you communicate progress, and who’s my direct contact if issues arise?
What Are Amerigroup Credentialing Requirements?
Active State Medical License Verification
Amerigroup requires primary source verification of your current, unrestricted license from each state where you practice. Any past disciplinary actions, restrictions, or probationary status must be fully disclosed and may require additional documentation for review.
DEA Registration Validation (If Applicable)
Providers with prescribing authority must maintain an active DEA registration matching their practice state(s). The credentialing process verifies your DEA status, controlled substance privileges, and investigates any history of suspensions or limitations.
Board Certification Documentation
For any advertised specialties, primary source verification of board certification is mandatory through the appropriate specialty board. Non-certified providers must submit alternative qualifications documentation and may undergo additional clinical review.
Malpractice Insurance Compliance
You must maintain continuous professional liability coverage meeting Amerigroup's minimum requirements ($1M/$3M). The policy must cover all practice locations and services, with proof of current coverage and tail coverage for any prior acts.
Comprehensive Background Screening
This includes OIG/SAM.gov exclusion checks, sanction history review, work history verification, and disclosure of any malpractice settlements. Amerigroup monitors these continuously throughout your enrollment period.
Complete CAQH Profile Management
Your Council for Affordable Quality Healthcare (CAQH) profile must be fully completed, regularly attested (every 120 days), and perfectly aligned with primary source documents. Any discrepancies between CAQH data and verification sources will delay approval.
Why Choose Stars Pro as Your Amerigroup Credentialing & Re Credentialing Company?
FAQ’s About Amerigroup Credentialing & Provider Enrollment
Standard processing takes 60-90 days, but Stars Pro averages 30-45 days by pre-screening
applications and resolving issues upfront. Delays often stem from incomplete CAQH profiles or
license verifications.
Key items include:
- Active state license(s)
- DEA certificate (if prescribing)
- Malpractice insurance (min. $1M/$3M)
- Updated CV
- CAQH ProView profile
- W-9 and EFT forms
No. You must be fully credentialed before seeing patients or submitting claims. Retroactive
billing isn’t permitted, making timely submission critical.
Yes, for certain specialties (e.g., behavioral health, home health). Stars Pro prepares clients by:
- Reviewing facility requirements
- Ensuring documentation aligns with standards
- Pre-audit your documents
- Resolve discrepancies before submission
- Assign a dedicated specialist to track progress
- Escalate delays through Amerigroup contacts