Credentialing &
Re-Credentialing


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Credentialing & Re-Credentialing

Credentialing & Re-Credentialing

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
  • Re-Credentialing
  • Documentations

Astron EHS handles the procedures of credential and enrolls the doctors of your facility in Federal or commercial insurance plans.

More Our Services

Our market-leading RCM Services, Dental Billing and Medical Billing Support are quality driven and client-oriented. We cater to your needs with a customized approach; hence you get the best you deserve. Our solutions include:

Document
Indexing
  • We manage the collected data for every service-availing patient. This data is stored in software to avoid errors and delays

Fee Schedule Maintenance
  • Right from PPO Fee, UCR Fee, HMO/ DMO Fee & Specialty Fee we handle and manage everything with the help of the best professionals in the market.

Account
Receivable
  • We handle the following operations and observe each stage of account receivables carefully to make sure the cash-flow is positive and uninterrupted. Claims Status, Paid Amount and EOB, Reason of Denial and EOB, Missing information and resubmission.

Eligibility & Benefit
Verification
  • It is crucial for the insurance company to check if the claimed insurance is payable, authorized, legit and genuine. We do the needful to make sure you get the claim approved.

Payment
Posting
  • Asrton EHS Services deals with multiple operations to support medical centres, Payment Posting is one of them. We handle your payment flow with the help of innovative technologies like Lockbox and SFTP.
    We deal with scanned EOBs and checks.

Revenue Cycle Management
  • Revenue cycle management (RCM) is an end-to-end financial process in itself. With the help of upgraded dental billing software, Aston EHS keeps a track of each patient care stage, right from registration and scheduling appointments to the final payment of the total dental expenses.