Rill Unique Blog
Rill Unique Enterprises -  'Where every one and every job is unique.'
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BHO - What is that?
Version 5010 - Are You Ready?
Credentialing Tid Bits
Mental Health Professionals vs Insurace
Leaving Money on the Table

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Medical Credentialing

Credentialing Tid Bits

Have you considered joining insurance panels, or becoming contracted with insurance carriers so that you can see patients that carry a specific type of insurance?  Do you know what it will take to do so?  Which carriers do you choose to work with?  All of these are important things to consider when you are wanting to become contracted with any insurance carrier.  First, you need to think about the which carriers you are interested in joining (Aetna, BCBS, Cigna, Humana, Medicare, Medicaid, united Healthcare, Tricare).

Credentialing, what is it?

Medical credentialing is the process of submitting your application to an insurance carrier to participate with them as a new in-network provider.  Upon submission, the insurance carrier will verify all information provided, making sure that you as a provider have the required training to practice in your field, have met state and federal licensing guidelines and you carry the minimum liability insurance for your related area(s) of expertise.  Once this process has been completed, you will then become contracted with the insurance carrier, agreeing and signing documentation about to the terms outlined by the carrier regarding services rendered, patient treatment restrictions, record keeping, state and federal laws adherence and reimbursement schedules.