What is Credentialing
or Provider Enrollment?
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Credentialing is the process of being reviewed by insurance panels to determine if you will be considered an “in-network” or a “participating” provider.
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Once you are on an insurance panel, clients insured through that panel can maximize their insurance benefits when seeing you.
[/vc_column_inner][/vc_row_inner]Learn about the credentialing process here!
[/vc_column][/vc_row][vc_row inner_container=”true” bg_color=”#ecf0f1″][vc_column width=”1/1″]Why is Credentialing Important?
There are many advantages to being on an insurance panel. Including, but certainly not limited to the following:
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Credentials shows dedication to the profession
[/vc_column_inner][vc_column_inner width=”1/3″]More clients are aware of your practice as you are a “participating” provider
[/vc_column_inner][vc_column_inner width=”1/3″]Credentialing can increase your credibility with future clients
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Clients feel comfortable seeing you knowing they can use insurance benefits for which they already pay
[/vc_column_inner][vc_column_inner width=”1/3″]You will be paid for your services directly by the insurance companies
[/vc_column_inner][vc_column_inner width=”1/3″]You’re open to a new client base once unavailable to your practice
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How do you get on an Insurance Panel?
The credentialing process can vary from tedious and time-consuming to unbelievably simple, it all depends on your approach. If you choose to venture on the credentialing process on your own, here’s a bit of what you can expect:
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Ensure your target insurance carrier has an “open” network and are actively accepting applications
[/vc_column_inner][vc_column_inner width=”1/4″]Research the requirements of each insurance panel
[/vc_column_inner][vc_column_inner width=”1/4″]Identify proper forms and submit each insurance-specific application to the correct panel
[/vc_column_inner][vc_column_inner width=”1/4″]Follow-up with insurance carrier to ensure applications are being processed
[/vc_column_inner][/vc_row_inner][vc_row_inner inner_container=”true”][vc_column_inner width=”1/1″]After the above process is completed, which typically spans 6 months, you’ll be notified if you have been accepted or rejected from the panel
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