Author: S D

Below are 5 factors that influence the insurance credentialing process for group practices. 1. Discretion The first key to provider enrollment is to choose the most appropriate insurance companies and panels to target. Not all insurance companies are created equal; in fact, deciding which companies to partner with is an essential first step for your … Continue reading 5 factors that influence the insurance credentialing process for group practices →

Payer Enrollment: It Pays To Outsource Are payer enrollment requirements taking up more and more of your staff's time? Are you burdened with payer enrollment tasks and follow-ups? Are you frustrated by the amount of time it takes to train your staff on provider enrollment and medical credentialing work and to keep up with the latest trends … Continue reading Payer Enrollment: It Pays To Outsource →

If you want to start taking insurance, you might have discovered becoming an in-network provider is no cakewalk. It can be difficult to navigate the waters of insurance company jargon when you’re just starting out. It’s okay. We’re here to walk you through the process from becoming credentialed by insurance companies to becoming an in-network … Continue reading How to start taking insurance at your private practice →

Medical credentialing is a simple process, at least on paper. You send information about a provider’s qualifications – work history, education, certifications, licensure, and so on – to a payer for review and verification. After they go through a thorough vetting process, the payer confirms the provider and begins reimbursing him or her for services rendered. … Continue reading Avoiding Common Credentialing Pitfalls →