Credentialing is the process of scrutinising, verifying and validating the qualification and skill set oflicence holding dental practitioners and assessing their background and legitimacy as a professional. Dental facilities conduct their in-house credentialing. However, it is a time-consuming task in itself and might hamper the dental facility’s productivity and budget too.
Doctors or any other healthcare professional if wishes to bill an insurance company and expects reimbursement for services has to undergo the process called credentialing. Here, an insurance company will verify a professional’s background, experience, and qualification, legal records, etc.
A professional will have to apply for credentialing after the verification process is complete, the insurance company decides if the applicant is eligible to treat their insured members.
Though it is vital for medical providers to maintain transparent and positive relations with insurance companies. However, taking care of patients does not need to be compromised to take care of legal matters. Nothing is more critical than patients’ health and smooth treatment.
Astron EHS takes care of the paperwork and time-consuming matters like credentialing and ongoing maintenance. Our team knows all the payers, their expectations, and how to get successfully credentialed.
Data gathering CAQH enrollment, Application submissions, Payer communications & Everything to facilitate:
- New Credentialing
Astron EHS handles the procedures of credential and enrolls the doctors of your facility in Federal or commercial insurance plans.