Help with Insurance Credentialing
Dec10

Help with Insurance Credentialing

Help with Insurance Credentialing … You have landed on this page because you are looking for help with insurance credentialing. I know it can be very tedious work to do if you don’t know how to even get started. You have to go through insurance credentialing in order to become a participating provider and become contracted. Getting into the CAQH Most of the insurance companies are now utilizing the CAQH credentialing database system. This actually eliminates application forms to be required from the providers.It eliminates the snail-mailing of credentialing application packets! It captures all demographic information of the provider to ease the credentialing process and in fact, it becomes faster and more efficient way. I am guessing, it may save it may save the provider at least 3-4 weeks of processing time for the insurance credentialing process. Healthcare providers who wants to participate with the insurance companies can utilize caqh database system for the credentialing process. It may take approximately 2 hours to complete and enter all your demographic information on CAQH. So make sure you have everything ready, relaxed and have more than enough time when entering your data on CAQH Provider Credentialing database. You can upload your all other related documents such as your professional liability insurance and copies your license and certifications. After you are finished, you have to perform attestation. And if there is a problem, CAQH will let notify you if there is a need for you to provide additional information or there are missing information. They will also notify you if one of your documents is expired. They will then provide you with how to fax them the missing information (such as a copy of an updated professional liability insurance). CAQH credentialing is a database system where you will allow the insurance companies to look you up on your information through this database. Instead of you submitting application forms, they can look you up and all your related credentials, practice location addresses and your specialty and sub specialty. You can authorize all insurance companies to view your data on CAQH or you can choose which insurance companies will you allow. You will be asked to attest and then review your entry to make sure you have everything entered on the system. Make sure you have all the following documents .. (help with insurance credentialing) 1. NPI Number for the Individual Provider (s) 2. NPI Number for the Facility/Practice/Group 3. Practice Service Location Address/Telephone Number/Fax Number/Email Address (*Provide Mailing Address or Business Address if different from Practice Service Location Address) 4. TAX ID Number for the Individual/Group/Practice (with IRS letter – CP-575) 5. Profession Licenses, Certifications and CV 6. Malpractice...

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