Credentialing for Optometrists with maximum Insurance Firms

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Credentialing for Optometrists with maximum
Insurance Firms

• As per the last US Census Bureau report, almost
  84 of the countrys population is covered under
  health insurance, and thanks to the Affordable
  Care Act, this number is growing rapidly.  Hence
  it is important for optometrists to be
  credentialed with a good number of insurance
  firms as it adds to the revenue.
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• However, credentialing is a tedious process and
  can often turn out to be a formidably daunting
  task. With over 30 pages in the Medicare
  application form for solo providers and almost
  double that number, if you are a corporate entity
  or established group practice, it can be quite a
  nightmare.
• For an optometrist who plans on treating
  patients, the healthcare plan must state clearly
  that the providers are credentialed. There are
  several criteria for credentialing optometrists.
• The primary requirement is a degree
  in optometry acquired from an accredited
  university.
• If working independently, the optometrist needs
  to hold certification for prescribing diagnosis
  drugs.

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Credentialing for Optometrists with maximum
Insurance Firms

• Optometrists also need to have access to 24-hour
  coverage for all Plan patients needing treatment
  for Ocular Disease.
• They should have well-equipped facilities and be
  sufficiently staffed in order to provide the best
  services.
• Any queries regarding professional history need
  to be answered promptly and relevant information
  should be made available thereby absolving the
  Plan or personnel from liabilities.
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• The credentialing process needs to be certified
  by the National Committee for Quality Assurance
  (NCQA). All documentation, including history and
  data, needs to be validated and submitted to the
  Credentialing Committee.
• The credentialing process is usually completed
  within a maximum of 30 business days, provided a
  complete application is submitted.

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Credentialing for Optometrists with maximum
Insurance Firms

• Upon approval, the optometrists receive
  notification in writing within 3 business days
  from the date of approval.
• The administrative processes are streamlined and
  do away with any delays in completing
  credentialing for multiple health plans at one
  go.
• Credentialing applications can be submitted
  online, eliminating the need for printing and
  mailing hard copies of applications.
• Updates, if any, can be made online within a
  matter of minutes, thus doing away with
  cumbersome paperwork.
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• Medical Billers and Coders (MBC) is a leading
  medical billing company providing complete
  revenue cycle solutions. If you are still not
  sure if outsourcing is the right option for you,
  contact us and we will discuss the same in
  detail. You can call us at 888-357-3226 or email
  us at info_at_medicalbillersandcoders.com.