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
Credentialing Doctors to Your Group Practice
You have just started a new practice, and you now want to learn about the process of Credentialing Doctors to your group practice. There are many questions that storm the mind before the inception of such a process. Where to begin? Whom to approach? What insurance panels to choose, or how to panel with an insurance company?
The question can be baffling and complex, but not as complicated as the process itself. Those who have undertaken the process know-how stretched out and overwhelmingly complex it actually is. With lots of paperwork, constant follow-ups, and increased risk of loss of documents, it is one hell of an undertaking; many practices wish they would never have to go through. Thankfully, there are third-party Insurance credentialing service providers that can help you immensely with the entire dreadful process by avoiding all of its hassles.
Let’s look at some of the main questions that practices have with regards to insurance credentialing for physicians.
How to Know Which Insurance Companies to Panel With?
You start by asking your colleagues in the same field, or the providers in your own locality about which insurance they are using. Find out all the pros and cons of the insurance companies from them like their rates, promptness of payment, etc. Know which physician credentialing insurance companies are popular in your locality, and which have the most clients’ coverage.
Should You Set Up a Group Contract with Insurance Company?
Some insurance companies allow group contracts, and some don’t. It varies from one company to the other. What is more important to consider is that your clinicians get credentialed using the practices NPI2 and tax ID, and not their own social security numbers. You don’t want to chase all of your clinicians for the checks that were supposed to come to you. Let your clinicians fill out their w9 form with your name, TIN, and address, so insurers know to send the checks to you and not them.
Another benefit of applying as a group is that it is easier to negotiate rates this way than it is to negotiate to be a solo provider. Also, the process of adding clinicians is easier and less time-consuming.
What to do once clinicians have completed their application to participate?
Documents get lost all the time during the process of credentialing. In such a scenario, it is important to follow up with the provider relations departments regarding the receiving of a document. Follow up every week, but do not do it constantly so as not to annoy the already irate officials.
Like we said before, the entire credentialing Doctors process is not without its hassle. We would suggest putting together a Credentialing packet for all your clients with all the credentialing Doctors related information they will need. This will make the entire process easier as every entering therapist will have the knowledge needed for their individual credentialing requirements.
With the help of Denmaar’s 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. You deserve the best physician insurance credentialing services, and we know how to deliver it.
Humana Behavioral Health Credentialing Services
Humana Provider Credentialing & Contracting Services
Join Humana as an in-network healthcare provider and expand your services to a wider base of patients with our Humana Insurance provider credentialing services.
Let’s discuss the Humana Health Insurance Credentialing Process.
Humana Inc is a health insurance company based in Kentucky, Louisiana. Over the years, it is responsible for amassing over 13 million Americans into its healthcare program. With revenue of $41.3 billion, Humana was ranked 56 on the Fortune 500 list.
Now, Humana credentials and re-credentials all licensed independent practitioners including physicians, facilities, and non-physicians who fall within its scope and authority.
The following elements are crucial for a practitioner to be credentialed by Humana:
- Applying provider is in good standing with state and federal regulatory bodies.
- Applying Provider has been reviewed and approved by an accredited body.
- Every three years is still in good standing with state and federal regulatory bodies and is reviewed and approved by an accredited body.
- Liability insurance coverage is maintained.
- Copy of facilities State License.
- CLIA certificates are current.
- Completion of a signed and dated application.
As mentioned, Humana has at least 13 million Americans covered under its insurance program. Hence, it makes sense for Humana health insurance provider credentialing to get in-network with humans to tap into what could potentially be a lucrative market. The process, however, is overwhelmingly tedious with too many moving parts. Thankfully, DENmaar’s team of experts will help assist you throughout the Humana credentialing process.
Check out Credentialing Process Checklist.
The Process to Apply for Humana Health Insurance Credentialing
The provider credentialing process for Humana is as follows:
1. Pre Application
Before applying, Humana physician Credentialing requires practitioners to handover some necessary information to confirm that the applying practitioner is meeting the basic guidelines of Insurance Credentialing with Humana. A Humana representative is assigned to the practitioner who informs whether the applying party meets all the mandatory guidelines or not.
2. Submit Your Application
Once the practitioner is deemed compliant with Humana’s Health Insurance Credentialing guidelines, they send an e-mail with an application packet containing all the information needed to get started.
If the application information already exists on the CAQH aka Council for Affordable Quality Healthcare exists on the CAQH or One Health-port website, then Humana will with the applying parties’ permission, proceed to access it electronically.
The Following application information is required from the applying party, depending on:
- • Active and Unrestricted License in the State
- • Drug Enforcement Agency Certificate (If Applicable)
- • Good Standing With Medicare and Medicaid, Medicaid Number
- • Humana participation in-hospital clinical privileges
- • letter of interest for insurance credentialing for Humana
- • Board Certification Status
- • Professional and Educational Training
- • 5 Year of Work History
- • Malpractice Claims History
- • Adequate Malpractice Insurance
- • Prior Sanctioning Activities
3. Follow Up
Once Humana receives the application packet, they will start the credentialing process. The entire process will take 45 to 60 days to complete.
During this time, the applying party will receive e-mails regarding:
Confirmation of Application received
Request any missing documentation or application information. If any fundamental document or information is found to be absent during the process, Humana will send a notification, notifying about the closure of that particular application.
Constant updates about the status of an application, including delays if any.
4. Humana Approval
If Humana approves a particular practitioner’s application, the practitioner becomes an in-network provider with Humana. Humana will update the provider information in their database within the next 10 business days.
Being a Humana in-network provider although tedious, is essential for providers to get clients who are covered under the Humana Insurance program. We at Denmaar, understand that medical practices would rather focus their energies on treating their patients rather than focus on the tedious task of credentialing. Hence, we offer a robust end to end credentialing solution that assists you throughout the process.
DENmaar’s Insurance Credentialing Services and its Benefits
The following are the major benefits you can enjoy by availing of our Humana Provider credentialing services.
1. Access to Credentialing Specialists
We are home to highly skilled credentialing specialists who are with you from start to finish to make sure your credentialing process with Humana goes smoothly, without any hiccups.
2. Expiring Document Alerts
We arm you with personalized credentialing software that promptly alerts you of expiring documents so you can take the necessary steps before the set deadline.
3. Up-To-Date CAQH
CAQH is an integral part of the healthcare credentialing process. At DENmaar, we help you create, update, and keep your CAQH relevant.
4. Automated PAR Status Updates
Be up-to-speed about your application’s status at each and every step of the Humana credentialing process with DENmaar’s special RCM portal.
Who We Help with Insurance Credentialing & Enrollment?
We simplify the insurance credentialing & contracting process for the following entities.
- • Physicians
- • Physician Assistants
- • Nurse Practitioners
- • Urgent Care Facilities
- • Audiologists
- • Behavioral Health Providers
- • Physical, Occupational, and Speech Therapists
Join Humana as an In-Network Provider with DENmaar
Humana contracting and credentialing is no child’s play. At DENmaar, however, we are home to Humana credentialing specialists who possess the experience, skills, and resources needed to help you get credentialed with Humana in a quick and efficient manner. We make sure all of your documentation is taken care of to make sure your submitted application has a chance of being rejected. If by any chance your application is denied, you rest assured that our specialists will do the necessary and resubmit the application in time to boost your chances of getting credentialed with Humana.
Addiction Treatment Credentialing – Benefits
Addiction Treatment Credentialing have become absolutely necessary for medical practices who have taken it upon themselves to combat the crisis of substance abuse disorder.
The Addiction fighting workforce today is represented by at least 100,000 counselors, healthcare professionals, and educators. These professionals help in the treatment, recovery, and support of individuals suffering from substance issue problems.
However, rendering of such treatment and recovery process becomes impossible for medical professionals if they fail to get credentialed with government or private medical agencies like Medicare, Medicaid, Aetna, etc. Private and group practices cannot offer addiction treatment or collect payments from patients who are covered by the federal insurance program.
Addiction Treatment Credentialing – What is it?
Credentialing is the process of assessing the legitimacy and background of a medical practitioner and establishing the qualifications they require to become licensed professionals. The concept is simple and is designed to protect ailing individuals from being exploited by fraudulent practices.
With the help of Addiction treatment Insurance credentialing, healthcare professionals have the necessary license requirements to legally serve new patients and get paid by these patients for the services they perform.
Why Get Addiction Treatment Insurance Credentialing
Rising Substance Abuse Disorder (Crisis)
The crisis of addiction our nation faces today is the stuff of nightmare. In 2017 alone, 70,000 Americans died of a drug overdose. This includes prescription opioids, heroin, and illicitly manufactured fentanyl abuse. The death rate has gone up from 6.2 per 100000 people in 2000 to 14.2 per 100000 people in recent years.
The numbers signal the imminent demand for Medical practitioners who have the skills and qualifications needed to provide medical attention to a population of people suffering from Substance Abuse Disorder.
Consistent Work
Probably one of its vital benefits is how it can get a medical practice onto an insurance panel, or better yet turn them into an in-network provider. This allows for dealing with billing codes, rates, and other reports and deliverables consistently. The overall uniformity this system offers can help healthcare enterprises make essential decisions more effectively and efficiently.
Better Customer Support
As many insurance companies, today have their own team of autism specialists, in-network providers such as licensed medical practitioners have the chance to socialize and build valuable relationships within the organization that can help with faster claim resolution, or helps resolve queries regarding claim issues. This allows for pre-authorization, re-authorization, and claims information online. All of these factors ultimately enable clinics to provide better customer support to their customers.
Electronic Claims
Getting credentialed allows medical practices to send bills to insurance providers electronically. Electronic claims are a faster, more convenient way of receiving payments quickly than traditional paperwork. Unfortunately, this benefit cannot be enjoyed by medical practices that don’t possess the necessary credential requirements.
The Process of Getting Addiction Treatment Credentialing.
The Addiction Treatment Credentialing process is a long and complicated one. The whole process can take between 90 and 120 days to culminate. It is highly recommended that the credentialing process be started as soon as possible, especially for new medical practices.
You also have to be ready to take 45-minute calls every day while your application is under process. Hence due to its length of time and complicated nature, it is highly advisable to seek the help of third-party support like denmaar who can get the job done for you.
The following is the process to get Addiction Treatment Credentials.
1. The first step towards getting credentialed requires medical firms to apply for an NPI aka National Provider Identifier. An online application requires the input of information like social security number, BCBA certificate number or BCaBA certificate number, Taxonomy code for behavioral analysts, and BA license number if applicable. The NPI is usually acquired within a day and is essential to receive reimbursements for ABA services with any carrier.
2. After the acquisition of NPI, the next step is to become a member of The Council for Affordable Healthcare. A medical practice can only become a part of CAQH. The medical practice needs an invitation from the insurance provider. Once the firm can log in to the CAQH system, they are required to submit a plethora of information such as employment history, references, resume, and W9, BCBA, or BCaBA certificates, educational history, information about medical practice.
3. After the application is completed, insurance companies will have access to the information provided. They will use the information to verify it with their agency.
Stop Losing Patients with Insurance
Medical practices need to be privy of all the plans and terms of coverage offered by insurance companies. Almost all Americans are enjoying the benefits of some of the other health insurance programs. Without the necessary credentialing requirements, there is no point in even starting a medical practice that treats addiction, no matter how noble your intentions may be.
Addiction Treatment Insurance Credentialing is essential for medical practices to continue to accept new patients and receive payments to justify their services. The process to get credentialed can be tedious, a problem that can be alleviated by hiring third party professionals like denmaar who can do the heavy lifting for a medical practice.
Our Partners
Ready to get started?
Feel free to reach out if you have any questions.
