In all medical practices, whether small, large, new, or established, it is crucial to keep medical insurance credentials up to date, and this can become a real challenge. This complex process involves much documentation and verification by the insurance network at different stages, a single error will lead to denials and a waste in your time and money.
Why Choose BilliMD Over Others?
Bilingual Team: We adapt to your preferred language, whether English or Spanish, to offer you a more personalized service.
Financial Stability: We offer the best prices in the market with monthly plans that ensure your growth.
Error Minimization: Our process is designed to minimize errors and avoid denials, saving you time and money.
Competitors
Time-Consuming Process: Credentialing can be lengthy, taking several weeks to months, which can delay the hiring and onboarding of new providers.
Costly: Credentialing can be expensive, with costs related to verification services, administrative staff, and possible legal fees.
Risk of Errors: Mistakes in the credentialing process can lead to significant consequences, such as hiring unqualified providers or legal issues.
Our process
- Gathering Documents
The doctor submits a credentialing application with personal, educational, and professional data.
- Selecting Insurance Companies
Includes: medical diploma, specialization certificate, license, insurance, and work references.
- Application for Credentialing
The insurer verifies document authenticity and checks for malpractice or sanctions history.
- Document Verification
Some insurers review patient records, complication rates, and compliance with standards.
- Contract Negotiation
If requirements are met, a contract is signed detailing compensation and operational procedures.
- Contract Finalization
Once signed, the doctor joins the insurer’s network and can treat covered patients.
- Maintenance and Renewal
Credentialing requires periodic renewal; license, certification, and insurance must be current.
KEEP YOUR
CREDENTIALing UPDATED
- More Patients
Doctors recognized as providers within the insurance network can see more patients by facilitating their access to services.
- Quick Reimbursement
Once accredited and part of a health insurance network, you can bill the insurance directly for the services provided, ensuring compensation.
- Credibility and Trust
Affiliation enhances a doctor’s perception of credibility and trust by verifying qualifications, experience, and background.
- Quality Standards
In some health systems, regulations require doctors to be accredited with health insurance to practice legally, ensuring quality and competence.
- Alliances and Coordination
Accreditation facilitates collaboration and referrals among doctors and other health professionals within the same network.
- Resources and Training
Some insurers offer educational resources, management tools, and continuing education opportunities, benefiting professional development.
