We don’t just submit claims. We create visibility and accountability around every unpaid claim—so management knows what’s being worked, what’s stuck, and why.
Know What’s Happening With Every Unpaid Claim
Behavioral health billing with complete visibility and accountability
98.1%
Clean Claim Rate
1.47%
Rejection Rate
0.32%
Denial Rate
5–10%
Denial Rate
10–20%
Average Revenue
Improvement
$0
EHR Software Fee
With Billing Services
With Billing Services
CLAIMS VISIBILITY
Your Claims May Be Getting
Submitted. But Are They Getting Paid?
Submitting a claim is only the beginning.
Your Claims May Be Getting
Submitted. But Are They Getting Paid?
Revenue is lost when rejected claims aren’t corrected, denials aren’t resolved, authorizations expire, payer requests go unanswered, and unpaid claims disappear into spreadsheets and work queues.
DENmaar gives behavioral health practices a clear view of:
- Which claims remain unpaid
- Why each claim is stuck
- What action has been taken
- Who is responsible for the next step
- When follow-up is due
- What the payer said during the last follow-up
- Which payers and problems are creating the most lost revenue
You no longer have to accept, “We’re working on it.”
You can see exactly what is being worked, what happened and what comes next.
The Improvement in Claims Can Pay for DENmaar
any practices are already losing more money through preventable claim problems than they would spend fixing them.
For a practice collecting $100,000 per month
6% = +$6,000 / month
in realized insurance revenue
That improvement alone could offset the cost of DENmaar’s billing services.
- Behavioral health EHR software at no additional cost
- Claims Copilot
- Eligibility and insurance workflows
- Payment posting
- Rejection and denial management
- Aging-claim follow-up
- Reporting and management visibility
- Support from DENmaar’s Insurance Knowledge Team
Claim Lifecycle
Every Claim Has an Owner, a Status
and a Next Action
DENmaar creates a structured process for managing the entire claim lifecycle—from appointment readiness
through final payment.
01
Prevent Problems Before Submission
Eligibility, payer, authorization, credentialing and documentation issues are identified before they become rejected or denied claims.
02
Submit Clean Claims
Claims are reviewed for common errors and payer requirements before submission.
03
Monitor the Payer Lifecycle
Claims are tracked after submission so unresolved claims don’t quietly disappear into aging.
04
Assign the Next Action
Every problem claim has a clear status, responsible team member and required next step.
05
Document Every Follow-Up
Management can see when follow-up occurred, what the payer said and what must happen next.
06
Escalate Unresolved Claims
Claims receive additional attention before filing limits or appeal deadlines are missed.
07
Measure Performance
Monitor clean claims, rejections, denials and aging by payer, provider, location, service and responsible team member.
Management Visibility
Your Billing Operation Shouldn’t Be a
Black Box
Monthly reports tell you what has already happened. DENmaar provides visibility into
what is happening now.
Visibility creates accountability.
A practice should not have to wait until collections fall to discover that claims aren’t being worked effectively.
- Whether claims are being worked consistently
- Whether follow-up is producing results
- Why claims remain unpaid
- Whether the same errors keep recurring
- Where responsibility for the next action sits
- Which workflows or team members need support
- Which payers are causing the most problems
- How much revenue remains at risk
Visibility creates accountability.
Accountability creates action.
Action moves claims toward payment.
Improve the Team You Have—or Let DENmaar Manage the Process
Some practices already have an internal billing team but lack the technology, payer knowledge and management visibility required to oversee it. Others want an experienced partner to manage the entire revenue cycle.
OPTION 01
Claims Copilot for Your Existing Team
Give your billing staff the structured workflows, claim intelligence and accountability tools needed to manage unpaid claims more effectively. Management gains visibility without immediately replacing the internal team.
OPTION 02
Full Revenue Cycle Management
Let DENmaar manage claim creation and submission, rejection correction, payment posting, denial resolution, insurance follow-up, aging claims, payer escalation, patient balances and revenue-cycle reporting.
Either way, management gains control over the revenue cycle.
Behavioral Health Expertise
Built Specifically for Behavioral Health
Behavioral health billing requires more than generic claim submission.
Mental health therapy
Psychiatry and medication management
Substance-use treatment
Intensive outpatient and partial hospitalization programs
Community behavioral health
Multidisciplinary practices
Telehealth billing
Time and unit requirements
Rejections and denials
Built Specifically for Behavioral Health
- Behavioral health payer carve-outs
- Eligibility and benefit verification
- Prior authorizations
- Provider credentialing
- Therapy and psychiatric coding
- Same-day services
- Telehealth billing
- Missing or incomplete documentation
- Coordination of benefits
- Rejections and denials
- Aging insurance balances
Before Billing Begins
Problems Are Often Created Before Billing Begins
Many claim problems originate before the claim reaches the billing team.
An appointment may be scheduled with the wrong payer. Eligibility may not be verified. An authorization may be missing. Documentation may not support the code or units billed. A provider may not be enrolled correctly.
DENmaar connects scheduling, eligibility, authorizations, documentation and billing in one operational system.
This helps prevent bad claims—not merely work them after they fail.
Prevent the problem upstream.
01
Scheduling
Right payer • right workflow
02
Eligibility & Authorization
Verify before service
03
Documentation
Support code and units
03
Billing
Submit cleaner claims
More Than Billing
Technology, Insurance Expertise and
Human Follow-Through
Most billing companies provide reports. Most software companies provide tools. DENmaar combines:
Technology, Insurance Expertise and
Human Follow-Through
You get a system designed to improve the financial performance of your behavioral health practice.
Enterprise capability with small-practice simplicity.
- Behavioral health EHR technology
- Claims Copilot
- Revenue-cycle services
- Insurance knowledge
- Human payer follow-up
- Management visibility
- Operational accountability
Billing Review
See What Better Claims Performance Could Mean for Your Practice
If too many claims are rejected, denied, aging or simply unexplained, let’s look at the process together.
Current monthly insurance revenue
Baseline performance
Clean-claim rate
Rejection and denial rates
Claims over 30 days
Value of unpaid and aging claims
Follow-up process
Where accountability is breaking down
Let’s Determine Whether There Is Operational Alignment
We begin with a discussion focused on:
- Organizational structure
- Insurance workflows
- Operational goals
- Implementation fit
Request Information
Capterra, Software Advice And Get App 2023 / 25
Best Of Badges Awarded To DENmaar
2023 / 25 “Best of” badge winners = DENmaar Neuro has earned a well-deserved Best Value Badge.
See our reviews for our software being recognized as an impactful solution for your business.
Our Latest Blogs
Insurance Credentialing Specialists – Its Importance
You are probably thinking of whether to hire Insurance Credentialing Specialists or undertake the entire process solo if you are an individual or group practice. If you are even remotely aware of the workings of a typical credentialing process, then you know that going solo is probably not a good idea.
The credentialing process is long, and time-consuming, which can interfere with the efficiency of your practice. As medical professionals, that is something you can’t allow to happen. Hence, hiring credentialing specialists for health insurance payments becomes a wise decision.
What is an Insurance Credentialing Specialist?
The primary role of an Insurance credentialing specialist is to work with group, private or other such medical practices. Hence, helping ensure their medical professionals are complying with government credentialing standards. Insurance Credentialing specialists take it upon themselves to verify the legitimacy of medical professionals with regards to their background, work experience, and education.
An Insurance credentialing expert will have an intricately organized database of the training, education, licensing, and experience information. They ensure that the data thus collected from a healthcare professional is complying with staff policies, government laws, and regulations.
Importance of Insurance Credentialing Specialists
Hiring credentialing experts like Denmaar, helps healthcare organizations in a variety of departments including, of course, the process of credentialing itself. We just discussed the role of insurance credentialing specialists with regard to credentialing. Now let’s dive deep to know why they are absolutely essential players to aid providers in the process of credentialing.
Hiring Qualified Healthcare Professionals
Credentialing specialists can help hospitals and medical organizations hire only those professionals that are qualified and meet all of the credentialing standards set by the government. Specialists extensively verify documents to check whether they are compliant with rules and regulations. This helps hospitals and health care enterprises maintain a staff of competent professionals.
Getting In-Network with Insurance Companies
Getting on insurance panels is what credentialing is all about for many providers. They want to serve clients who are covered under a particular or federal insurance program. Without the necessary credentialing requirements, that is not possible, and the practice loses valuable clients. Third-party credentialing specialists like Denmaar, walk you through the entire process without any hassle so that medical practitioners can concentrate on their practice.
Denmaar also helps in speeding up the process with Medicare, Medicaid, and other commercial insurers, allowing you to now see patients faster and get paid for them sooner.
Credentials Management
The entire application process, diligence, and constant follow-ups can be overwhelming for a provider. However, credentialing specialist relieves providers of such a burden. They keep providers up to date on their application and expedite the process that would usually take months to complete.
Most credentialing specialists now use robust softwar9e’s to manage the credentialing process for their clients. We at Denmaar use a fully automated system that inputs all the relevant information from the provider. The system also provides automated updates on upcoming expiration dates to ensure credentialing is done on time, and providers can continue to accept patients.
Why We Need Credentialing Specialists Today
With a significant portion of the nation’s population already covered under a federal or commercial insurance program, credentialing has become vital. Without it, providers will continue to lose clients. On the other hand, we realize that credentialing is a complex process.
Hence Denmaar has a team of credentialing experts ready to deliver on our promise of efficient credentialing services. Our specialists meet the qualifications that any insurance credentialing specialist job description needs.
With our experts and an advanced system, we promise an efficient credentialing process, unlike any other in the market.
CAQH Insurance Credentialing-It’s Benefits in Credentialing
Let’s understand what CAQH insurance credentialing is and how to complete the CAQH profile
efficiently.
CAQH, aka Council for affordable quality healthcare, is essentially an online database that contains vital provider information. It is through the CAQH portal that providers grant insurance companies access to their documents, thus making the entire acquisition process quite efficient.
As of 2019, Almost 90 % of all National Health Insurance Companies use CAQH as their primary database for provider information. This includes over 900 health plans, hospitals, and healthcare organizations.
Benefits if Insurance Credentialing with CAQH
The CAQH was founded with a simple objective in mind, to simplify the data gathering process and allow physicians and other healthcare providers with a single source to submit their information. Without CAQH, a typical physician would have to apply separately to multiple insurance companies, each with their own time-consuming process.
However, with CAQH insurance credentialing, this process is simplified, and the time taken for the processing of applications is significantly reduced.
Another benefit of CAQH insurance credentialing is the security the portal offers its users. The CAQH database resides in a secure network operations network. All information here flows to and fro through redundant firewalls. Strict measures like secure internet access, use of passwords, electronic signatures, SSL certificates ensure that the data is only accessed by authentic users.
No cost is incurred by the providers to use the database, whereas health plans and other healthcare providers pay a certain fee per provider to access information.
Completing The Insurance Credentialing CAQH profile.
Completing the CAQH profile is a crucial step in achieving the credentialing process.
There are three steps to get acquainted with the CAQH system. They are as follows.
1) Getting a CAQH Number
There is a higher chance that the insurance company a provider wants to get into a panel that uses CAQH as its provider information database. Check the list of participating organizations on the Council for affordable quality healthcare website to make sure. If your insurance company does use CAQH, then you will receive a CAQH ID number via mail.
Alternatively, you can also self-register with the CAQH portal to get the CAQH number before applying for credentialing.
The number is significant and should not be lost as it will come in handy while re-attesting the information later down the line.
2) Keeping Information Ready
It is recommended to have all the information ready to complete the CAQH profile. The following are the information required:
- Basic Personal Information
- Education and Training Information
- Specialties and Board Certification
- Malpractice Insurance Information
- Work History and References
- Disclosure and Malpractice History
Here are some materials you’ll need:
- CV or Resume
- Malpractice or Insurance Policies
- Drug Enforcement Administration Certificate
- State Licenses
- W9’S
- Various applicable ID numbers
The information on your CV/ Bio Data needs to be perfect and devoid of any errors. It is mandatory to use dates in the CV complying with the following format – MM/YYYY. There should be no gaps in employment. If your date isn’t formatted correctly, or the gaps in your employment are not filled, then your application will be rejected.
3) Completing the Profile
Once we have all the information required to complete the CAQH profile, it’s time to complete it. It is recommended to undertake this process online. The paper-laden method is simply too chaotic to be conducted with efficiency.
It is not mandatory to finish the CAQH profile in one sitting. The application can be saved to be completed on a later date. Once the information is provided, the website will ask you to review the application and attest to its validity.
Once completed, you will have to choose who gets to access it. CAQH portal gives you two options.
- Allow any insurance company that indicates they would like to allow you on their panel to have access to it.
- Manually choose which panels you would like to have access to your information on CAQH portal.
Although the process is complete, you mustn’t lose your approved information. You will be required to re-attest to the information quarterly.
CAQH Insurance Credentialing With Denmaar
To complete the CAQH profile efficiently, you need a third-party provider you can trust. Denmaar with years of experience to its credit can help you complete the CAQH profile to make your credentialing experience as convenient and hassle-free as possible.
Affordable Insurance Credentialing Services-Cost Efficiency
Given the lengthy, tedious nature of Insurance Credentialing Services, the question that most physicians and medical practitioners are left with is if there is such a thing as affordable Insurance Credentialing. Typically, the cost of credentialing with insurance companies 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.
Physician Credentialing Services Cost 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 by the credentialing service provider
So coming back to the original question – how much does it cost to get credentialed with insurance companies? That answer will vary from physician to physician, based on how much time they spent on the process. To get some clarity on provider credentialing services cost, we must first understand why the process takes so long to conclude.
Why is the Insurance Credentialing Process So Long?
Thanks to credentialing, any newly hired health professional cannot start work at their new facility for the initial few weeks to six months. Normally, it shouldn’t take providers more than 3 hours as all they have to do is gather all necessary documents and submit them.
For the facility staff, however, this process can be excruciatingly long. They are responsible for executing several crucial tasks, which include:
- • Launching a Background Check
- • Gathering and reviewing the health professional’s credentials, past reputation, and case history.
- • Reviewing claims, board history, and privileging
- • Check sanctions with OIG (Office of Inspector General)
- • Perform primary source verifications such as medical boards, education history, etc.
- • Present files to facility stakeholders, credentialing, and executive committees.
The process has to be repeated every time a new provider is to be credentialed. This makes insurance credentialing extremely frustrating. Communication is often a problem during the execution of these processes and the fact that each facility has its own way of spearheading the credentialing process, makes it even more challenging.
Other factors, like incorrect or missing information in the application, can delay the process even further. If the credentialing board has a stuffed schedule, then you can expect further delays. As such, you can now understand why many health professionals and institutions consider credentialing to be a never-ending headache.
How Much Does Credentialing Cost?
One way to estimate Insurance Credentialing Services costs is by 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 $100/hr, 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 $20000/year. Medical Insurance Credentialing costs way less when outsourced to a third party like DENmaar. Refer to the below breakdown to understand – how much does physician credentialing costs?
Credentialing Cost Breakdown
Individual Physician Cost – 100-200$ per physician
CAQH Database
Initial Setup Costs can go up to $200-$500
Panel Application Cost
Physicians should expect to pay $100 per panel
So, the average cost to credential a physician is somewhere between $2000-$3000/per year. The average cost to credential a nurse practitioner will be more or less the same as well.
Why does Credentialing Cost So Much?
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.
An average physician can lose thousands in income due to this process. Let’s say that a physician makes $299,000. Waiting to render their services for a few weeks due to credentialing will cost them around $25000. Even worse, waiting for six months could cost them an income of around $150,000.
The problem isn’t limited to a few healthcare professionals. In fact, the entire healthcare industry loses billions every year in the USA due to an inept credentialing process. Fortunately, there is a way to avert this disaster and make the credentialing process more cost-effective.
Perform Credentialing in a Better way with DENmaar
Credentialing doesn’t have to be as time-consuming or costly as it has been for a long time. All you need are the right credentialing experts shouldering the responsibility on your behalf. This is where DENmaar’s insurance credentialing services come into play.
DENmaar is home to the credentialing experts, resources, and insight needed to expedite and execute the entire credentialing process in an effective and efficient manner.
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 are alerted of your status application in real-time.
Affordable medical Insurance Credentialing Services cost is possible only when you outsource them to companies like DENmaar.
Fill out the form below or call now on 1-888-595-5100 to get a free estimate.
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