PROVIDER INSURANCE CREDENTIALING
Provider Credentialing Services
Would you like to be an in-network provider for more insurance networks? When you’re included in a patient’s insurance network, you’re likely to receive more referrals and a steady flow of new patients. Getting paid for your services also tends to improve, as you begin to receive reimbursement from insurers rather than having to track payment down from your patients. It also benefits your patients. They won’t have to worry about out-of-pocket expenses, so it’s much easier for them to continue to see you.
CareMed Partners can help you get the credentialing you need for all major commercial insurance companies and government payers, including Medicare and/or Medicaid.
Insurance credentialing of healthcare providers – also called primary source verification – involves completing an application, which is assessed by insurers. We ensure your credentialing paperwork is complete and properly filed with each insurer – and we’ll track your success as we hear back from insurers.
Once you are approved, a contract will be issued between you and the insurance company or payer entity setting forth the billing and reimbursement relationship between you. In some cases, parts of these contracts can be negotiated. The entire credentialing process can take several months.
What Insurers Review
The credentialing experts at CareMed will pull together the requisite information for your application, including your:
- Education, training, and work history
- Applicable licenses
- Proof of liability insurance
- Regulatory compliance record
- Malpractice history
- Tax ID and national provider identifier (NPI) numbers
- Professional references
We will be able to access some of the information on our own and will work with you or your staff to obtain the rest.
Contact the Medical Credentialing Experts at CareMed
Find out how our provider insurance credentialing services can help increase revenue at your healthcare practice. Call CareMed Partners today at (877) 271-2645.