Mellissa Harmon, Executive Vice President of Contracting and Credentialing and Head of Provider Services

I am a results-driven Contracting and Credential Senior Director with over 13 years of experience. My passion is to help organizations/clinics grow, develop and become successful. I bring extensive experience in managing contracting and credentialing processes. My commitment to compliance, attention to detail, and strategic approach have contributed to successful outcomes for both organizations and healthcare providers.

OIG Exclusion Screening: Whose Job Is It for Referrals?

Key Finding OIG exclusion screening is not just for your own staff. If you bill for a service...

NCQA Behavioral Health Accreditation: What Practices Face

TL;DR: NCQA behavioral health accreditation now scores the organizations that run your payer...

Best Credentialing Companies: How to Choose the Right One

TL;DR: The best credentialing companies keep a provider's DataSpring profile current between...

Outsource Credentialing or Not: The Honest Sizing Guide

TL;DR: The outsource credentialing decision turns on load, not price. Operators report one payer...

Aetna Credentialing Timelines and How to Sequence Them

TL;DR: Aetna credentialing routinely outruns every other payer on the list. Operators in AAPC's...

M115 Denial Code: Why Credentialed Providers Still Get Denied

TL;DR. The M115 denial code means a payer treats the provider as non-contracted. Often the real...

NCQA Credentialing Standards 2026: What Practices Must Know

TL;DR: The NCQA credentialing standards 2026 surveys enforce apply to files processed on or after ...

Billing Under Another Physician: What Actually Holds Up

Key Finding: Billing under another physician is legal, but only in narrow cases. Reciprocal billing...

Behavioral Health Provider Services: The Complete Guide

TL;DR Behavioral health provider services face real 2026 shifts. NCQA renamed its MBHO...

Medicaid Credentialing: State-by-State Basics

TL;DR Medicaid credentialing is not one process. It is 50-plus separate state programs, each with...