- Therapy and medication management
- IOP, PHP, and SUD treatment programs
- Case management, community support, and residential services
DENmaar Revenue Cycle Intelligence
Claims Copilot ™
Stop Chasing Claims.
Start Preventing Problems.
Claims Copilot is DENmaar’s behavioral health revenue cycle solution
designed to help practices prevent claim issues before submission, reduce
aging, accelerate reimbursement, and improve operational performance.
Pre-Submission Claim Readiness
Payer Lifecycle Monitoring
Aging & Collections Visibility
Pre-Submission Readiness
Catch eligibility, authorization, payer, and documentation issues before claims go out.
Lifecycle Claim Monitoring
Track claims after submission with rejection management, status visibility, and aging oversight.
Operational Performance
Support clean claim performance, reduce aged claims, and improve collections visibility.
Behavioral Health Focused
Designed for therapy, medication management, SUD, IOP/PHP, community support, and more.
Built for Behavioral Health
Designed for Behavioral Health
Revenue Cycle Workflows
Whether your organization provides therapy, medication management, IOP,
PHP, SUD treatment, case management, community support, or residential
services, Claims Copilot is built around the operational and reimbursement
realities of behavioral health.
Behavioral health support areas
Claims Copilot is positioned to support behavioral health organizations that need stronger claim readiness, reimbursement visibility, and operational follow-up across complex service lines.
Prevent Problems Before Claims Are Submitted
Address Revenue Cycle Breakdowns
Before They Turn Into Denials or Delays
Most claim problems begin long before a claim is submitted. Claims Copilot helps practices identify and
resolve those issues earlier so reimbursement performance is not undermined later.
Verify Insurance Eligibility
Confirm insurance coverage details early to reduce preventable reimbursement delays and billing confusion.
Review Insurance Information & ID Cards
Validate insurance information and supporting details so claims are built on more accurate payer data.
Track Authorizations
Monitor authorization requirements and approval status to reduce avoidable denials tied to missing coverage approvals.
Monitor Provider Credentialing Requirements
Support awareness of credentialing-related payer requirements that can affect billing and reimbursement workflows.
Identify Claim Issues Before Submission
Catch missing information, workflow gaps, and other claim barriers before the claim enters the payer lifecycle.
Improve Documentation-to-Billing Alignment
Route messages and requests to the appropriate team, department, or follow-up queue.
How Claims Copilot Works
A continuous workflow built to
support prevention, monitoring, and resolution.
Claims Copilot doesn’t stop at submission. It supports the operational work needed before the claim goes out, then continues
tracking activity through the payer lifecycle to help teams reduce delays, aging, and reimbursement bottlenecks.
1
Review claim readiness before submission
Insurance, eligibility, authorization, and workflow details are reviewed to identify claim risks before they become downstream reimbursement problems.
2
Submit claims and monitor payer activity
Once claims are submitted, Claims Copilot supports visibility into rejections, claim status, aging, and other signals that indicate a claim may require action.
3
Route follow-up through the right workflow
Operational tasks can be prioritized based on the issue—whether the next step involves internal follow-up, claim correction, payer research, or payment posting support.
From prevention to reimbursement performance.
Claims Copilot is designed to help organizations manage the full payer journey—not just claim submission. The result is a more proactive revenue cycle process with clearer visibility and fewer avoidable surprises.
Before submission:
improve readiness across insurance, authorizations, and documentation alignment
After submission:
monitor claim status, rejections, denial patterns, and aging across the payer lifecycle.
Operationally:
help teams reduce aging, recover delayed payments, and improve turnaround performance.
Monitor Claims Through the Entire Payer Lifecycle
Submitting claims is only the beginning.
Claims Copilot continuously tracks claim progress and supports the workflows needed to identify
reimbursement issues, respond to payer friction, and keep claims moving toward payment.
Claim Submission & Rejection Visibility
Support clean electronic claim submission while maintaining visibility into rejections and claim issues that need attention after submission.
- Electronic claim submission
- Rejection management support
- Visibility into claim readiness breakdowns
Status Monitoring & Aging Analysis
Track claims after submission to identify delays, payer inactivity, unresolved statuses, and aging trends that can impact collections.
- Claim status monitoring
- Aging analysis and prioritization
- Operational follow-up workflow visibility
Denials, Follow-Up & Payment Support
Improve follow-through on denied or delayed claims by supporting structured next steps across payer follow-up, resolution activity, and payment posting workflows.
- Denial tracking
- Follow-up workflow support
- Payment posting support
Reduce Aging and Improve Collections
Give your organization earlier visibility, better follow-through, and fewer preventable delays.
Many behavioral health organizations struggle with growing accounts receivable because claim issues are discovered too late. Claims Copilot helps teams stay ahead of the work required to keep reimbursement moving.
Reduce aged claims
improve readiness across insurance, authorizations, and documentation alignment.
Recover delayed payments
Identify unresolved payer issues sooner and reduce the amount of time claims spend waiting without meaningful action.
Improve turnaround and clean claim performance
Support stronger revenue cycle performance by reducing preventable breakdowns before and after submission.
A Partnership Approach
Successful revenue cycle management requires operational collaboration.
Many behavioral health organizations struggle with growing accounts receivable because claim issues are discovered too late. Claims Copilot helps teams stay ahead of the work required to keep reimbursement moving.
Before submission:
improve readiness across insurance, authorizations, and documentation alignment.
After submission:
monitor claim status, rejections, denial patterns, and aging across the payer lifecycle.
Operationally:
help teams reduce aging, recover delayed payments, and improve turnaround performance.
Included With DENmaar
Claims Copilot is part of the DENmaar
Behavioral Productivity Platform.
When DENmaar manages your insurance billing, your organization also gains access to the broader operational and clinical
platform that supports scheduling, documentation, reporting, and patient management workflows.
Behavioral Health EHR
Clinical and operational workflows designed around behavioral health documentation and care delivery.
Scheduling
Integrated scheduling workflows to support patient flow, operational visibility, and billing readiness.
Documentation Tools
Clinical notes, treatment plans, and documentation workflows that support stronger operational alignment.
AI-Assisted Notes
Support documentation efficiency while maintaining professional review and oversight workflows.
Treatment Plans
Behavioral health planning tools that connect care planning with documentation and operational workflows.
Clinical Workflows
Support multidisciplinary behavioral health processes with connected operational and clinical workflows.
Reporting
Visibility into productivity, claim performance, and operational trends across the platform.
Patient Management Tools
Connected workflows for patient registration, intake coordination, operational follow-up, and practice support.
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See how DENmaar AI Notes can help your clinicians reduce documentation time while improving
Request a demonstration or pilot program today.
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TESTIMONIALS
WHAT OUR CLIENTS SAY
On behalf of everyone at Meadowlark Counseling Services, I want to extend our sincere thanks for the continued improvements you and your team have made to the DENMaar EMR platform. We have been consistently impressed with both the functionality and user-friendly design of the system, which has made a meaningful difference in our day-to-day operations. The intuitive layout and ease of use have allowed our staff to spend less time navigating the system and more time focusing on client care. The regular updates and enhancements reflect your commitment to meeting the evolving needs of providers in the behavioral health and substance use treatment fields. We genuinely look forward to the new features introduced each month and appreciate how responsive the platform has been to the demands of clinical workflows. We have been so pleased with our experience that we’ve taken the opportunity to recommend DENMaar to other professionals in Pennsylvania who are working in the SUD field. Thank you again for your ongoing support and partnership. We are grateful to be working with a company that truly understands the needs of its users. KIndly, Becky Parks on behalf of the entire team at Meadowlark Counseling Services
I referred one of my colleagues Dr Aaron to you he is just starting g his psychology private practice and looking at where to start. I told him hands down you guys are the best billers and have a great EMR and team. He said he reached out just wanted to let you know!
FANTASTIC job keeping things rolling along with any and all of our billing concerns as well as responding to other issues which may well have been out of your wheelhouse. We are VERY grateful to have you and the crew in our corner.
I appreciate you all so much and DENmaar has been such a blessing Donna to our overall operations and success as an expanding company—allowing us to ultimately operate more efficiently, get our claims paid more consistently, ad stay on top of the critical credentialing piece, among other things. Teamwork does in fact, make the dream work. I’ll loop Chris/Isabella in on this message thread too, as I want All of your team to be aware of how much we appreciate our working relationship with DENmaar
Thank you for your diligence!! I appreciate it so much. Thank you Edwina…
Thank you so much Amy! I will be referring to DENmaar as often as I am asked about credentialing services.
Our Latest Blogs
Top Insurance Companies to Be Credentialed With
What are the top insurance companies to be credentialed with?
It wasn’t long ago when practitioners considered credentialing to optional. You could start your own practice and derive profits from it without ever caring for credentialing. Plus, insurance companies weren’t even allowing certain medical practices like mental health clinics a place on their panels.
Fast forward to modern time, and things are not what they were just a couple of years ago. Credentialing has become crucial for medical practices to survive in an increasingly volatile and competitive industry.
Most American citizens today are covered by an insurance plan provided by some company or the other. If a budding practitioner fails to get credentialed with the insurance companies, then he will lose clients to his competitors.
Hence, having the knowledge of the top insurance credentialing companies is essential in a practitioner being able to thrive in the industry.
So let’s look at some of the top insurance companies to be credentialed within the USA.
So, there are a few ways to determine which top insurance companies in the USA are the biggest in terms of a client base. Their popularity can be due to the following factors:
- Companies Goodwill
- Lives Covered
- Company revenue
- Accessibility etc.
Based on the above factors, we were able to list down the following behemoths. If you are a provider looking to get credentialed, you might want to get in touch with them.
1) United Health Group
Our first name on the list is ranked 3rd on the 2019 fortune 500 lists. United Health Group is a for-profit healthcare company based in Minnesota. As of 2019, it is one of the largest healthcare insurance companies in the world with total revenue of $226 billion, along with 115 million customers. It is divided into four divisions that together provide health benefit plans and services for large national employers, to individuals age 50 and older, to serve state programs that care for the economically disadvantaged, and medically underserved.
2) Anthem
Anthem INC is also one of the largest providers of health insurance in the United States. As of 2019, the company has over 40 million customers under its belt. It is one of the largest for-profit healthcare companies in the Blue Cross Blue Shield Association. Today it operates as Empire blue cross blue shield in the state of New York and as Anthem Blue Cross Blue Shield in 10 other states.
3) Aetna
Aetna is recognized as one of the leading providers of health insurance in the United States. Aetna continues to grow stronger, with millions of users enjoying its medical plan. Hence many physicians and medical practitioners want to become participants in the Aetna healthcare network. The company’s extensive network includes over 22.1 million medical members, 12.7 million dental members, 13.1 million pharmacy benefits management members, 690,000 primary care doctors, 1,200,000 healthcare professionals, and 5700 hospitals.
4) Humana
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.
5) Cigna
Cigna is a popular American health service organization based in suburban Bloomfield, Connecticut, and Philadelphia, Pennsylvania. Their insurance subsidiaries are major providers of mental, dental, accident, and life insurance to American citizens.
Cigna is known to provide Medicare and Medicaid programs to an individual in the US and some international markets. Hence many physicians and medical practitioners want to become participants in the Cigna healthcare network. To become a participant, however, healthcare services need to apply for Cigna Insurance Provider Credentialing.
According to Market Share, US News and World Report rated the following top insurance companies to be the most popular in the US.
- United Health
- Kaiser Foundation
- WellPoint INC.
- Aetna
- Human
- Independent Blue Cross Group
- Highmark
- Cigna
- Blue Shield of California
How Denmaar Can Help you Get On these Panels
Getting on insurance panels has never been as crucial as it has been today. With many American citizens now covered under an insurance program, it would be foolish not to get credentialed with an insurance company. However, credentialing has also become a challenge because most panels are almost full and are not taking in new providers.
Denmaar knows the credentialing world from top to bottom. We have assisted many practitioners, both group and private through the entire credentialing process and continue to do so till date. We are the insurance credentialing experts you need to crack the overwhelming process of credentialing for the best of your merits. At Denmaar we do the heavy lifting, so you can concentrate on tending to your clients.
Insurance Credentialing and Contracting-Their Merits
When it comes to insurance credentialing and Contracting, you have to understand that they are two sides of the same coin. Both need to seamlessly go hand in hand for an individual or group practice to get on insurance panels.
In this article, we’ll try to simplify the concepts of both Insurance Contracting and credentialing and find out how the two concepts intertwine with each other.
Insurance Credentialing
Credentialing is a process providers need to mandatorily undertake if they seek to serve clients covered by the federal insurance program. The applying provider needs first to verify his/her professional records to get credentialed.
This includes NPI, CAQH, professional licenses, diplomas, certifications, attestations, references, etc. All of these documents are essential to verify the accuracy and reputation of the concerned provider.
The same process applies if the Individual provider is applying for privileges in a group practice such as hospitals and surgery centers. They will be asked to submit a completed application which would be later sent to the credentialing entities for verification.
They will request the provider’s professional documents which may include National Data Bank records, credit card records, and criminal background searches.
They will also indulge in what is called primary source verification, which basically means verifying the source of the provider’s diplomas and educational certificates. There is no way to avoid this as hospitals are mandatorily required to check the above-mentioned documents to protect their patients from bad actors.
The Entire Credentialing process can be summed up as follows:
- Getting Information in Order
- Filling out the CAQH form
- Contacting Provider Relations
- Submit Application
- Reviewing Contract after Approval
As you can see, Insurance credentialing is a lengthy process. It is advised to seek help from third-party service providers like Denmaar to efficiently carry out the overwhelming process. The entire Insurance Credentialing and Contracting process culminates with the approval of the contract by the insurance company.
Contracting
If credentialing was the process of gathering and submitting information, contracting is the process of submitting the information and obtaining credentialing approval. This is where the provider finally obtains participation on an insurance panel. This means he/she can now take in clients that are covered by the health insurance coverage of that particular company. We often see providers enroll in these plans, only never to renew them again.
It is almost as if they forget that their application with a said insurance panel comes with an expiration date. A lot of time may pass by, and insurers may not review your contract, thus failing to reflect on the provider’s reimbursement rates. This spells a recipe for disaster as it can lead to thousands of dollars lost and payments interrupted.
Denmaar’s Insurance Credentialing and Contracting for Providers
Although time-consuming, there is a reason why credentialing requires such a high level of scrutiny. The affordable care act has raised the standards of such scrutiny to reduce fraud and abuse when it comes to Medicare and Medicaid enrollment.
The same applies to the contract. It is essential to be aware of the information contained in the contract of approval. Attention needs to be paid on when the period of credentialing may expire, to apply for re-credentialing quickly.
Denmaar is a mhBilling company that helps providers with both credentialing and re-credentialing. We offer a fully automated system to our clients that keep them updated in real-time with updates regarding their application. At Denmaar we are not just concerned with verifying your forms. We also ensure you are always in touch with your process to ensure your credentialing process is as smooth as possible.
Oscar Insurance Credentialing – Getting on Insurance Panel
Let’s understand the process of Oscar Insurance Credentialing
Oscar insurance company is a technology-focused healthcare company that was founded in 2012.
Headquartered in New York City, Oscar provides its services in 9 states across the USA. These 9 states include New York, New Jersey, Ohio, Texas, California, Tennessee, Arizona, Michigan, and Florida.
The company has been popular for using advanced technology to engage with their clients. They use telemedicine; healthcare based technological interfaces, and transparent claims pricing systems.
Oscar began selling insurance the same year the affordable care act exchanges and individual mandates went into effect. In the first year, Oscar managed to secure 16000 members, and it has progressed into even more significant numbers ever since.
As of today, there are at least 25000 members covered under Oscar’s insurance program. They have not only partnered with 3500 nationally ranked doctors, but also work with 20 top health systems in the US.
Hence credentialing with Oscar is crucial if your practice falls under their jurisdiction. This will allow you to tap into a client base that is covered under the Oscar insurance program. So without much further ado, let’s look at the process Oscar Insurance Credentialing for providers.
Oscar Insurance Corporation Provider Credentialing – The Process
1. Pre Application
Before applying, Oscar requires practitioners to submit the necessary information to confirm that the applying practitioner is meeting basic guidelines of insurance credentialing with OSCAR. An Oscar 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 Oscar’s guidelines, they send an e-mail containing all the information the provider needs to initiate the process.
If the application information already exists on the CAQH aka Council for Affordable Quality Healthcare, then OSCAR will with the provider’s permission, proceed to access it electronically.
The following information is essential from the provider, depending on :
- 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
3. Follow Up
Once Oscar Insurance Credentialing receives the application packet, they will start the credentialing process. The entire process will take 45 to 60 days to culminate.
During this time, the provider 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, Oscar 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. Oscar Approval
If Oscar approves a particular practitioner’s application, the practitioner becomes an in-network provider with OSCAR. Oscar health Insurance Credentialing will updates the provider information in their database within the next 10 business days.
Being an Oscar in-network provider can be a very long and tedious process. The entire 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. 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 by accomplishing tasks without any complications and hassle so that you can work on other core areas of your medical practice.
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