Credentialing is the first step and also the most crucial step in the medical billing process. For a patient to have the insurance company of the patient pay for their treatment, the insurer must credential the patient to process the claim.
Credentialing Insurance is a complicated process involving lots of paper works and data entry. However, with having Bristol Healthcare to your aid, this whole process is simplified. Our trained and experienced staff will ensure the entire Credentialing process gets completed without arising any hassles.
The Benefits Of Our Credentialing Services
Our Credentialing Services
The credentialing process comprises of three services, Provider Credentialing, Provider Enrollment, and Medicare Revalidation. We offer all the three solutions to our clients as part of our extensive offshore medical billing service.
The Process We Follow
We follow a 4 step process to credential the providers and enroll them.
The first step involves gathering all the information required for the credentialing process. With the help of the documents and information gathered, we generate an application for the procedure.
Once all the information is collected, our team will verify the authenticity of them by directly contacting the healthcare service provider. The purpose of verification is to ensure that no claims get denied due to data mismatch.
Based on the outcome of the verification, our team will decide on the future actions of the credentialing process. If the details provided are accurate, we will go ahead, or else will reprocess it.
We do regular monitoring of the credentials and update the data if the need arises. Regular updations of data will ensure that the whole process stays up-to-date.