To receive patients at your clinic, you will need to demonstrate that your clinic is considered to be "in-network." To be able to do this, you will need to turn to a physician enrollment company. Then you will be a part of a health insurance network.
The Advantage of Being Part of a Network
Once you are a part of a health insurance network, patients who carry health insurance will be able to find you. This is because your practice will be listed as a preferred provider on the health insurance website. You will also have a much easier time being paid after you have delivered your healthcare services to your patient.
The Application Process
When you contact a physician enrollment company, you will be asked to fill out an application. You will be able to decide which health insurance companies will be your partners. The process takes a long time and you will want to make sure that you are justified in choosing a particular provider.
How to Become Credentialed
To be able to partner with a health insurance provider, you will need to verify that you are competent, have a license, and are qualified. This process is referred to as "credentialing" and requires that you submit a large number of documents. A physician enrollment company will help you throughout this process.
Avoid Delays in the Processing of Your Application
To make sure that the application goes through, you must answer all of the questions in detail. Dates and phone numbers should be written using the correct format so that there will be no issues when processing the application. Any requested documents must be provided promptly.
Also, all of the documentation must be complete. Even if your application is approved, there might be delays while processing your application. Therefore, it's important to make sure that everything is done properly.
Negotiate Your Contract
After you have finished the credentialing process, you will be offered a credentialing contract. This will allow you to become an official partner and will also allow you to determine the terms of your contract. A physician enrollment company will assist you in negotiating so that you can get the best possible terms.
Ask About Other Services
Many clinician enrollment services also provide additional services such as medical coding and billing. However, even for enrollment services that do not provide billing and coding services, they will be able to refer you to a company that does.
For more information, reach out to a local service, such as Provider Enrollment Specialists, LLC.