In the present marketplace of healthcare, it has become essential to accept potential patients insurance plans for the success of your practice. Health insurance credentialing is even known as insurance provider credentialing. It is a process used by medical insurance companies for you to apply for inclusion in their provider panels. In case you want to bill an insurance company as an in-network provider, you need to take up the credentialing process.
Initially, the insurance company to which you are applying will verify your coping with the internal requisitions such that you can begin working as an in-network provider on their panel. This could be comprising your education level, training and professional experience.
Once you are done with the credentialing of your practice or organization with an insurance company, you can directly bill the payor. Besides, there are incentives offered by many insurance companies or payors to the Healthcare providers like:
- Their inclusion in their web based directories such that consumers are able to locate you as a participating Helathcare provider for your specific specialty.
- Preferred rates of reimbursement.
With CredablePro, we assist you in getting your applications accomplished doubly faster for Medicare, Medicaid, Aetna, Cigna, United Healthcare, TRICARE and almost any other provider. Mentioned below are a few of the purposes we serve on your behalf throughout the process of credentialing: