Getting credentialed with insurance companies is essential for timely reimbursements. However, the process can be confusing and time-consuming—especially for mental healthcare providers. That’s why we streamline payer enrollment from start to finish, so you can focus on patient care, not paperwork. With our help, you’ll meet payer requirements, avoid delays, and bill with confidence.
Insurance credentialing is a vital step for getting reimbursed. We simplify the process of payer enrollment so you can bill confidently.
Our efficient system ensures your applications stay on track—no more lost paperwork or missed deadlines.
Get your medical credentialing questions answered here. Don’t find what you need? Contact us!
Insurance credentialing is the process of verifying a healthcare provider’s qualifications with insurance companies so they can join payer networks. It includes submitting applications, verifying education and licenses, and obtaining approval to bill for services. Credentialing is required for reimbursement from most insurance plans.
The credentialing process can take 60 to 120 days, depending on the insurance payer and provider type. Delays can occur due to missing documentation, verification issues, or payer backlog. It’s best to start early and respond quickly to requests for additional information.
Credentialing verifies a provider’s qualifications, while payer enrollment adds them to an insurance company’s network so they can receive reimbursement. These steps often happen together, but credentialing ensures eligibility, and enrollment activates billing privileges.
Recredentialing is a periodic process—usually every 2 to 3 years—that ensures a provider’s qualifications remain valid and up to date. Missing recredentialing deadlines can result in loss of network status, claim denials, and billing delays.
From insurance credentialing to precise medical coding and virtual assistant support, we help healthcare providers thrive and get paid faster.
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