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Given the lengthy, tedious nature of Affordable Insurance Credentialing Services, the question that most physicians and medical practitioners are left with is if there is such a thing as Insurance Credentialing. Most of the cost incurred during the Insurance Credentialing is directly related to the time that physicians spend in the process.

The typical duration of the entire process is around four months. During these four months, the medical practice has to go through a variety of steps to get the credentialing process right. Frankly, it varies according to various factors.

The Affordable Insurance Credentialing Services may vary based on:

•  Current Credentialing Service
•  The number of physicians needed to be added.
•  How quickly you grow your practice.
•  Changes in insurance contracts
•  Additional services rendered from the credentialing service provider.

One way to estimate the Affordable Insurance Credentialing Services cost in calculating the time a physician would spend on the actual credentialing process. On average, that would be 43 minutes per day.

Now, if we assume that a physician works on a $100/hr, pay, that’s approximately $20000/year in credentialing work per physician. This is excluding any paperwork; of course, you lose more money if you lose relevant documents.

In hindsight, you are spending way more than $20000/year. medical Insurance Credentialing cost way less when outsourced to a third party like Denmaar.

Credentialing Cost Breakdown

Individual Physician Cost – 100-200$ per physician

CAQH Database

Initial Setup Cost can go up to $200-$500

Panel Application Cost

Physicians should expect to pay $100 per panel

So, on average, the general cost of Affordable Insurance Credentialing Services is somewhere between $2000-$3000/ year.

Most of the cost incurred in the process of credentialing is because of its lengthy nature. You lose money if you lose your documents. You lose money, if you fail to follow-up with the insurance companies, resulting in the expiration of your application. The entire process has too many pot-holes for medical practices to crash and burn.

This is why third-party Insurance Credentialing is so essential in getting on insurance panels. Denmaar offers a fully automated system that provides practitioners with end to end solutions to credentialing. You are automatically updated about the status of your application. You get automated re-validation alerts, are assisted throughout the CAQH form filling process, and alerted of your status application in real-time.

Affordable medical Insurance Credentialing Services cost can be availed only when you outsource them to companies like Denmaar.

Fill the form below or call now on 1-888-595-5100 to get a free estimate.

Psychologists Insurance Credentialing Services and counselors have become extremely important today. Psychologists, just like other practitioners, need to go through an extensive credentialing process to validate their practice.

Mental health specialists have become an integral part of the modern society reeling with record-high numbers of people suffering from a mental ailment of one form another. Psychologists Insurance credentialing Services need to have access to insurance panels to continue to cater to clients covered under the federal insurance program.

Below are some reasons why Insurance Credentialing for Psychologists Services is vital. 

Flexibility

If you are a professional working for a firm or a group practice then, of course, you can get away with not getting credentialed as your firm is already an in-network provider. But what if you want to start your own practice? In such a scenario, not having the valid credentials will pinch. Having the necessary Psychologists Insurance credentialing Services requirements helps individual psychologist tend to clients who are covered under the federal insurance program.

HMO’s

Not long ago, it was the norm for psychologists to rely on PPO’s (preferred provider options) being used by their new clients. This allowed psychologists and counselors to avoid the need for being on insurance panels.

However, today, HMO’s are used more extensively than PPO’s, which have become very rare. PPO’s simply isn’t financially viable anymore, and practice will incur fines and penalties for using PPO’s if you are out of their network.

Universal Healthcare

Our times are different than our predecessors. The affordable healthcare act launched by the US has created an amicable environment where everyone can afford to see a counselor. This is excellent news for counselors on insurance panels, and not so much for those relying on the cash-based system.

With cries for more progressive healthcare policies like Medicare for all becoming deafeningly louder, it is beneficial for Psychologists Insurance Credentialing Services to get in-network with insurance panels.

Panels are closing

Many group and private practices are vying for the same panels at the same time. This is leading to many reputed and well-known insurance panels rapidly closing down. The competition is just too intense. Insurance companies cannot afford to be in-network with everyone as it is just not financially viable for them. Hence, jumping at the opportunity sooner than competitors is important.

Just like other practitioners, psychologist credentials with insurance companies need to get in-network. With universal healthcare, they simply cannot afford to lose clients that are on insurance programs. Getting on insurance panels is crucial for Psychologists Insurance Credentialing Services and counselors to accept new clients and expand their practice.

That is where the professional assistance of Denmaar comes into play. With the help of our credentialing experts, we can walk you through the entire process without any complications and hassle  so that you can work on other core areas of your medical practice.

BCBS aka Blue Cross Blue Shield Association is a widely recognized federation of 36 separate Health Insurance organizations, and Companies. This association, which includes different well-known insurance providers, covers more than 106 million citizens in America. Publicly traded and privately owned insurance companies like Anthem, CareFirst, Highmark, Premera, Cambia Health Solution, etc. are all part of the BCBS Insurance Credentialing Services.

As such, applying for BCBS Provider Credentialing is crucial for practitioners who seek to tap into the pool of potential clients who are covered by the Blue Cross Blue Shield Association. Now, becoming an in-network provider is a three-part process. It is lengthy and fairly complicated. It is advisable for the group and private practices to seek help from third-party credentialing service providers like DENmaar to simplify the entire process.

  Let us look into the BCBS Credentialing Process:

As mentioned before, becoming an in-network provider with BCBS is a three-part process.

• •     Getting Credentialed or Re- Credentialed with BCBS
• •     Register Your NPI (National Provider Identifier)
• •     Have a Signed Contract with BCBS in your state.

1 – Getting Credentialed or Re- Credentialed

BCBS first checks the credentials of medical practitioners who apply for Insurance Credentialing Services. They have to submit their resume, work history, and other vital information for the purpose of background verification. The applying party can send their applications and documents online or manually.

Online application with BCBS Insurance Credentialing Services is only exclusive to providers. The information is sent to the Universal Credentialing DataSource (UCD). BCBS works closely with the Council of Affordable Quality Healthcare, thus making the entire process quite simpler.

BCBS Provider enrollment also requires that facilities that are not providers have to send their applications manually.

2 – Obtain an NPI (National Provider Identification Number)

The NPI, also known as National Provider Identifier, is a ten-digit unique identification number used to replace provider identifiers such as the unique provider identification number in HIPAA standard transactions.

Healthcare providers must obtain an NPI in accordance with HIPAA regulations. AN NPI should be obtained before applying to get into BCBS network.

3 – Get a Signed Contract with BCBS

Before getting a signed contract with BCBS you have to register your NPI Through the enrollment application process. You need to register to be able to access Explanation of Payments (EOP), and sign an EFT to receive claims payment.

The entire process can take 30 – 45 days from the date of NPI enrollment.

As you can probably guess by now, becoming an in-network provider with BCBS can be a very long and tedious process. The entire BCBS behavioral health credentialing process requires at least 90 – 120 days to be completed and approved. There is a lot of paperwork, which makes the whole process quite frustrating for medical practitioners who want to accept clients with medical insurance. There is also a higher risk of application rejection when you go about the BCBS credentialing process alone.

That is where the professional assistance of DENmaar comes into play. With the help of our BCBS Insurance Credentialing Services, we can walk you through the entire process without any complications and hassle so that you can work on other core areas of your medical practice.

  Benefits of utilizing DENmaar’s Credentialing and Enrollment Services

The following benefits await those who seek DENmaar’s Blue Cross Blue Shield Provider Credentialing.

• •     Get Assisted by Highly Skilled BCBS Credentialing Experts
• •     Get Credentialing Assistance from Start to Finish.
• •     Our Credentialing experts ensure your applications are submitted to BCBS on time. 
• •     We regularly follow up with BCBS at your behest to get updates on your applications
• •     We will help you update your CAQH profile
• •     Get real-time status updates with a real-time RCM portal
• •     Stay informed and get alerts on expiring documents on time.

  Who We Help with Blue Cross Blue Shield Provider Enrollment

• •     Physicians
• •     Physician Assistants
• •     Nurse Practitioners
• •     Urgent Care Facilities
• •     Audiologists
• •     Behavioral Health Providers
• •     Physical, Occupational, and Speech Therapists

  Join BCBS as an In-Network Provider with DENmaar

Getting on the BCBS network is no easy task. However, it is essential if you want to accept and care for patients with BCBS-sponsored health insurance. At DENmaar, we offer end-to-end BCBS Credentialing services that help your behavioral health practice expand its reach and provide care to more patients in the process. You can rest easy knowing that our credentialing experts will be working closely with you and guide you throughout the often long BCBS Provider enrollment process. 

We are home to credentialing specialists who possess the insight, experience, and resources needed to get you to that credentialing finish line without a hassle. We will make sure your claims filed are clean to avoid claim rejections and accelerate the process of getting you in-network with BCBS. 

With DENmaar by your side, you can expect to overcome BCBS’s credentialing challenges effortlessly while making sure that other core areas of your healthcare enterprise receive your undivided attention.

Contact us at DENmaar, to start your journey to becoming an in-network provider with Blue Cross Blue Shield

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