Our Services

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Managed care contracting utilizing an FTC approved "messenger model".
Coordination with employer alliances, managed care plans and insurance companies to ensure locally directed quality patient care.
Risk Management Education for physicians, mid-level providers and office staff. CME's available for physicians.
Credentialing and recredentialing of all our licensed professionals consistent with NCQA standards.
Group purchasing program for Professional Liability Insurance resulting in significant savings for Members.
Practice Management Education to assist our members to be more efficient and cost effective.
Annual OSHA Compliance Testing.


Testimonial

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The SEQC network provides an extensive variety of speciality physicians who offer local, quality and affordable care to Primary PhysicianCare members. The administrative staff members of SEQC are always pleasant and ready to lend a hand. They constantly supply prompt and accurate information regarding their physician practices.

LaTonya Dalton
Primary PhysicianCare

Credentialing


SEQC credentials all of its physicians and licensed mid-level providers every three years.  It contracts with Atlantic Integrated Health, Inc. (AIH) to peform the primary source verification.  AIH follows credentialing guidlines established by the National Comittee for Quality Assurance (NCQA). 

SEQC has delegated credentialing for a number of plans which reduces SEQC Members' credentialing paperwork.  SEQC has delegated credentialing for the following plans:

  • DirectNet, PPO
  • Fortified Provider Network
  • Healthgram (FKA Primary PhysicianCare)
  • Health Payors Organization
  • Multiplan

The North Carolina Standard Application should be utilized for all providers' credentialing. In addition to completing and mailing the application to Mary Beth Black at Medical Management Associates, it is important that copies of all documentation be included.  The package should include copies of the following: NC License, DEA Certificate, CV, diplomas including Medical School, Internship, Residency and Fellowship certificates (as applicable), ECFMG (as applicable) and Professional Liability Insurance Face Sheet.

http://www.ncdoi.com/LH/Documents/Licensing/ CredentialingApplication.pdf




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Gaston Medical Associates, P.A.