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Unlocking Cost Savings and Efficiency

How Credentialing Specialists Can Cut Costs and Streamline Processes

Need five different planners to keep up with your credentialing?

While the planners may have adorable designs, it can get crazy trying to keep track of everything you need to do for the credentialing process.

That's why we've got it down to a science to maximize your time and money. Here are a few ways we make sure the process goes smoothly.

1. Choosing the proper application to send to the correct payer in the correct state. It seems like a no-brainer, but you'd be surprised how often we've seen the wrong application submitted, the wrong portal chosen, or it was submitted for a different state.

2. Ensuring the proper documentation goes along with the application to meet the insurance company's standards and requirements. Again, this seems simple, but sometimes, it's not apparent what documentation is needed or the process has changed. We utilize our experience to understand what the insurance needs to complete the credentialing process.

3. Clear, honest, and constant communication with the insurance company reps. Keeping an open line of communication with the reps. Helps them process the documentation smoothly and ensures minimal delays if any additional information is needed.

4. Open lines of communication with our clients and their billers. We will give you as accurate of a timeline as possible so that you know when to expect a response from the insurance company. We provide a tracker to see the play-by-play for every application submitted. We also notify you immediately if any additional information is needed to continue the credentialing process as quickly as possible. Once we receive the determination letter from the insurance, you can take the necessary next steps.

So, even though we cannot promise a specific timeline for the credentialing process, following these steps ensures it is as smooth as possible. The more accurate and up-to-date your application and the documents, the easier it is for the insurance company to process.

If you want to know more about the credentialing process, book a Free 30-minute call today.

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