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Credentialing

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

Regular Updation of Data

Regular Updation of Data

Faster Payment processing

Faster Payment processing

Security of Data

Security of Data

Mitigation of Paper-works

Mitigation of Paper-works

Reduction in Loss of Revenue

Reduction in Loss of Revenue

Lesser Denial Rate

Lesser Denial Rate

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

Provider Credentialing

In this process, our team of experts will verify the credentials of the healthcare service providers. Credentialing of the provider is essential to ensure that the provider has the required skills, training, and expertise to render service for the patient.

Provider Enrollment

Provider Enrollment is a process where the healthcare provider is on-boarded to the insurance policy network of the patient. The patients and their insurance providers are the other parties of this network.

Medicare Revalidation

An insurance provider who is in the network requires revalidation every five years. Medicare Revalidation is a cumbersome process that involves lots of paper works; However, the team at our disposal will make this whole process seamless

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.