practolytics (3)

1
Credentialing Best Practices That You Should
Adopt For Successful Enrollment Into Insurance
Panels That Includes All Sub plans
2
Conduct Your Research and Make a List

• Its essential you know what youre getting into
  before hopping on getting credentialed. Every
  insurance company has different processes with
  unique difficulty. But, once you make a list and
  determine the ones you want to be credentialed
  with, youll know what to expect.

3
Prepare Yourself

• An effective way to be prepared is having
  your National Provider Identifier (NPI) readily
  available in the state you intend to practice.
  Additionally, you should have completed your CAQH
  before starting the process of credentialing.

4
Be Willing to Commit time

• The willingness to commit time to this
  application makes things easier. If you think
  credentialing involves filling and submitting an
  application that gets processed in a matter of
  days, youll be setting yourself up for a
  frustrating experience. 

5
Submit a Participation Request

• This step allows you access to the health plan
  while processing your application. You get to
  join the insurance companys network through the
  link they make available on their website.

6
Follow Up

• You run a high risk of lost application if you
  dont follow up closely. Insurance companies
  often unintentionally lose applications once they
  arent reviewed till the end. 

7
Outsource Credentialing

• In the current dispensation, theres little to
  nothing that cant be outsourced. For healthcare
  providers hoping to get credentialed, outsourcing
  credentialing services can be a practical
  alternative to doing it on your own  

8
Keeping All Forms

• You should always keep copies of all application
  forms, contracts, and enrollment letters you get
  from insurance companies.

9
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