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San Juan IPA is the only Physician Organization in New Mexico that is NCQA-certified for Credentialing and Recredentialing. Our rigorous program is accepted by every payer contracted with San Juan IPA and is audited, on average, six times per year. This means that providers only need to fill out one application for every payer they wish to contract with through the IPA, instead of wasting hours of administrative time filling out multiple applications.
San Juan IPA contracts with payers across the state of New Mexico. Contracts include commercial lines, Centennial Care, Medicare Advantage, and third party administrators (TPAs). Our CEO and Director of Contracting are available to answer your contracting questions, and the IPA is available to assist you with disputes between your office and any payer you are contracted with through the IPA.
San Juan IPA holds several in-person education sessions each year and also provides online education for you and your staff. Training and education includes resources such as CMS General Compliance Training guide and quiz, HIPAA training and quiz. For more information go to our “Resources” page to see what we have available!
San Juan IPA offers assistance with claims issues that are not related to your San Juan IPA contract or credentialing. We can work with your billing staff and offer advice and services to get your problem claims paid. See Membership benefits below.
Membership includes these benefits:
* Accrued and billed at the TIN level. Support will be billed at an hourly rate after the free hours are exhausted. Please contact the IPA for details.
†For an additional fee. Please contact the IPA for details.
