28 Feb Is Dental Credentialing Essential for Success?
Credentialing is the process by which a provider is approved by an insurance company to become one of its in-network providers. Being part of an insurance company’s network allows a dentist to access a larger patient base and increase potential revenue for the practice.
A Quality Measure for Providers and Patients
The process is comprehensive to give assurance to insurance companies and patients alike that a provider is a dentist in good standing. Consequently, the required documentation is significant, takes a great deal of time to assemble, and must be submitted correctly in order for the credentials to be approved. If it is not, resubmission is necessary which adds more time to the process. This is important because a provider whose credentials are pending is not able to practice. Is not contributing to the bottom line.
Every dentist can choose whether to be credentialed or not with any particular insurance company. But whatever the decision, each dentist must be credentialed separately with each network they choose. Even if every dentist in a practice wishes to be credentialed with a particular insurance company, they must be credentialed separately. Group credentialing is not an option.
This is Where Professional Grade Credentialing Shows Its Value
The most basic credentialing documentation includes proof of education, board certifications, CV, dental license, malpractice insurance, documents related to internship or fellowship, and compliance.
But each insurance company has different requirements, as well as different cycles for renewals, which also have to be kept current for the provider to remain active in that network. So the credentialing process is never really over. The best-case for completing an initial, single credential task is usually 60-90 days.
Most dental office administration staff don’t have the training, experience, or the time to assemble accurate credential applications that will be approved without resubmission.
Medusind: The Expert Credentialing Solution
Medusind’s credentialing experts (actual humans, not chat bots or 800 #s) are knowledgeable about every aspect of the credentialing process, from assembling comprehensive documentation to tracking the progress of an application, to delivering any follow-up documents required by an insurance company. They’re always available to answer questions, address issues, and provide support for best practices whenever they’re needed.
Medusind Credentialing Delivers:
Timely approvals, most within the standard 90-120 day credentialing timeframe