Credentialing
The credentialing process can be a daunting task, but it doesn’t have to be. At Erian Billing Solution, we have a team of experienced experts who can take care of everything for you, from completing applications to tracking deadlines. We’ll make sure that you are enrolled with all major payers and that your credentials are always up to date.
We recognise the time-consuming nature of the credentialing process and are committed to minimizing delays and ensuring timely completion. Our team works closely with you to streamline the process, efficiently gathering the necessary information, completing applications accurately, and submitting them promptly.
About Credentialing
- Improved patient confidence when healthcare providers are credentialed with a wide range of insurance companies, patients feel more confident in choosing them for theirmhealthcare needs.
- Established professionalism: Credentialing demonstrates a healthcare provider’s commitment to quality and professionalism, enhancing their reputation within the healthcare community.
- Timely reimbursement: Credentialed providers can expect to be reimbursed promptly for their services, ensuring a steady cash flow for their practice.
- Reduced medical errors: Credentialing ensures that healthcare providers meet the highest standards of competence and training, minimizing the risk of medical errors.
- Expanded patient base: Credentialing with a variety of insurance companies allows healthcare providers to reach a wider patient base, increasing their potential revenue.
- Access to new patient groups: By credentialing with pecialized insurance plans, healthcare providers can gain access to new patient groups, such as those with Medicare or Medicaid.
Our Credentialing Workflow
We follow a simple and efficient credentialing process that ensures your applications are submitted accurately and on time. Here’s a breakdown of our process:
- Gathering information
We start by gathering background information from providers, covering their education, licenses, and more. Providers can provide this information to us via email, questionnaires, or specialized software. We also work with third-party credential verification organizations (CVOs) to expedite the process. - Information verification
We collect all the required documents that the insurance company needs for the credentialing application. We then prepare the application according to the terms and conditions. We maintain your provider records in our collaboration and work management platforms, and we will automatically receive updates when your credentials need renewal or re-verification. We also monitor reports related to medical incidents, malpractice claims, or other factors influencing provider credentialing decisions. - Complete Your Applications
We’ll carefully complete your credentialing applications, ensuring that all information is accurate and current. We’ll also make sure that your applications are submitted to the correct payer. - Track Your Applications
We’ll keep track of your credentialing applications and provide you with regular updates on their status. We’ll also follow up with payers and licensing boards to ensure that your applications are processed promptly. - Maintain Your Credentials
Once your credentials are approved, we’ll help you maintain them by monitoring your recredentialing requirements and filing renewal applications on your behalf. - Credential Award
Once we have verified your credentials, we will grant you your credentials. We will also work with health insurance companies to get you approved as an in-network provider. This approval will allow you to receive payment for treating patients covered by the insurer.
Who Can Use Our Services?
Hospitals
Chiropractic Clinics
Home Healthcare Providers
Diagnostic Imaging Centers
Solo Practitioners
Ambulatory Surgery Centers
Urgent Care Centers
Independent Practice Group
Dental Process
Mental Health Professionals
Physician Group
Laboratories
Key Benefits of Credentialing with Erian Billing Solution
- Improved patient confidence: When healthcare providers are credentialed with a wide range of insurance companies, patients feel more confident in choosing them for their healthcare needs.
- Established professionalism: Credentialing demonstrates a healthcare provider’s commitment to quality and professionalism, enhancing their reputation within the healthcare community.
- Timely reimbursement: Credentialed providers can expect to be reimbursed promptly for their services, ensuring a steady cash flow for their practice.
- Reduced medical errors: Credentialing ensures that healthcare providers meet the highest standards of competence and training, minimizing the risk of medical errors.
- Expanded patient base: Credentialing with a variety of insurance companies allows healthcare providers to reach a wider patient base, increasing their potential revenue.
- Access to new patient groups: By credentialing with specialized insurance plans, healthcare providers can gain access to new patient groups, such as those with Medicare or Medicaid.
Why Choose Erian Billing Solution for Your Credentialing Needs?
- We’re experts in credentialing. We have a deep understanding of the credentialing process and the requirements of all major payers.
- We’re efficient and reliable. We’ll process your applications quickly and accurately, so you can focus on patient care.
- We’re cost-effective. We offer competitive rates for our credentialing services.
- We’re committed to customer service. We’re always available to answer your questions and provide support.
FAQ
What are the benefits of outsourcing credentialing?
Outsourcing credentialing to a specialized billing company can provide several benefits, including:
• Reduced time and cost: Credentialing can be a time-consuming and expensive process. Outsourcing can free up your staff to focus on other tasks and can save you money in the long run.
• Expertise: Erian has a deep understanding of the ever-changing regulatory landscape and
the specific requirements of each healthcare payer. They can help you avoid errors and
delays in the credentialing process.
• Streamlined process: Erian has a proven track record of streamlining the credentialing
process. They can help you get credentialed with the insurance companies you need
quickly and efficiently.
How does the credentialing process work?
The credentialing process typically involves 6 steps and we have discussed those in detail above.
How long does the credentialing process take?
The medical credentialing process typically takes 30 to 90 days, but it can take longer depending
How can I choose a credentialing company?
When choosing a credentialing company, consider the following factors:
• Experience: The company should have a proven track record of success in credentialing
providers.
• Expertise: The company should have a deep understanding of the medical credentialing
process and the specific requirements of each healthcare payer.
• Resources: The company should have the resources to handle your credentialing needs
efficiently.
• Cost: The company should offer competitive pricing.
Erian Billing Solution is committed to providing our clients with the best level of service and expertise. Please contact us as soon as possible to schedule a free consultation and learn more about our services.
