For healthcare providers in practice today—from nurses, to chiropractors, to physicians—the process of becoming credentialed with insurance providers (that is, the process of getting on insurance panels, and being able to accept 3rd party payments from new and potential patients) is one of the most important things that one can do to ensure the health and growth of their healthcare company.
The challenge is that the provider credentialing process is an arduous one, and can take 90-120 days of filling out paperwork, following up with insurance companies by telephone (playing phone tag), and responding to ongoing requests from insurance companies for “clarification” and for more information.
In fact, it is easy to spend well over 10 hours work trying to become credentialed with just one insurance company!
Lastly, many healthcare providers find–that with their busy schedules–something has fallen through the cracks (they haven’t follow up enough, they missed an important phone call from and insurance company and then couldn’t get a hold of the person again, their application had some minor flaw, their application was lost by the insurance company, etc.) and that even after months of processing, they have nothing to show for it–except perhaps a rejection notice.
There is a better way!
Credentialing teams and services are designed to help healthcare professionals of all types to become credentialed as quickly as possible, with no hassles, so that they can focus on their passion–helping clients and patients.
Have you had enough of fighting with insurance companies? Are you sick of filling out provider applications, just to find out your applications have been lost or stuck in a limbo? In other words, are you sick of concerning yourself with the credentialing process? Well, we have good news! You can step aside and hire a team to do it for you. If you’re looking for help with medical billing or credentialing, consider our friends at Credentialing.com. They’re available to offer a timely quote, or help you find a solution. You can reach them at 1-855-664-5154 or by filling out this quick and easy form here: or by filling out this quick and easy form here.
Let’s keep in touch! Sign up to receive our newsletter:
Anthony Centore
Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the set amount of reimbursement that provider can expect back.
After the credentialing process has been completed the healthcare provider is then able to start treating patients in that network and sending claims for reimbursement. A medical biller will use CPT and ICD-10 codes on the claim to describe to the insurance companies what treatment the provider has given. They will then follow up on the claim to make sure that it has been properly paid by the insurance company.