Apple Billing and Credentialing provide comprehensive medical credentialing for all healthcare providers who are eligible for credentialing with Medicare, Medicaid, or commercial insurance carriers. The health care provider will have a dedicated medical credentialing coordinator who will ensure that all necessary documentation is collected and processed in accordance with each payer. Medical credentialing enables healthcare providers to utilize the patient’s insurance to pay for medical services performed. Hence it is important for healthcare providers to credentialed with most payers depending upon the geographical area. Failing to medical credentials results in losing patients to other healthcare providers.
Contact Credentialing and Medical Billing Specialist
Here are the information needed
CAQH Proview
Medical license
DEA certificate
Malpractice insurance certificate
Board certifications
Updated CV with all educational and work history details
W9
PECOS
ABC’s Provider Credentialing Process
1. Gathering credential documents
2. Credential documents verification
3. Suggest to update or how to obtain certain missing documents
4. Payer application evaluation
5. Application submission to payers
6. Follow up with payers until the applications are approved
7. Maintain provider data and CAQH profile
Credentialing Status
1. Weekly Status reports credentialing process
2. Dedicated credentialing coordinator to assist throughout the process