CREDENTIALING AND CONTRACTING SERVICES
Credentialing—also called provider enrollment—is the process of enrolling doctors, nurses, therapists, physician’s assistants, and other medical practitioners as in-network providers with an insurance company. The process for credentialing just one medical practitioner involves completion of multiple forms, detailed documentation, and follow-up that typically demands hours of work over the course of weeks or months.
Because every person at a medical facility must be credentialed, this process can be extremely time-consuming. At IBY Credentialing & Billing, we have a knowledgeable, experienced team that streamlines the process and provides the follow-up needed to complete it quickly and accurately. That’s critical because until credentialing is complete, a provider cannot receive in-network insurance reimbursement.
Our team ensures that you are contracted with the insurance companies most prevalent in the areas you service as well as Medicare and Medicaid. Over the years, IBY Credentialing has developed relationships with these companies, often giving us an advantage with our clients’ credentialing applications that enables us to complete the process more quickly. That’s a big benefit to you when it comes to helping patients and focusing your attention where it should be – on your practice.
WE ENSURE YOUR PROVIDER ENROLLMENT IS RIGHT FOR YOU!
Insurance company guidelines will generally dictate the type of provider enrollment for which you are eligible. Our specialists work with you and each insurance company to ensure you are properly enrolled.
Group Enrollment – The contract is set for all providers billing under a single Tax ID. Each provider is credentialed separately, then all are listed under the same non-transferable contract. Each Insurance company has its own requirements on minimum number of providers.
Individual Enrollment – Providers are credentialed and contracted separately under their own names. Each provider may bill under the same Tax ID as long as the Tax ID is listed on that provider’s individual contract.
Need your contract transferred?
Providers who were contracted previously as part of another practice or group may be able to transfer their contract or establish a new contract through a shorter process. Our team can help you determine the details of your existing contract and get your new credentialing and contract completed quickly.
Take advantage of our medical billing services!
Ask us about our combo packages for clients who need both our credentialing and billing services. By working with us for your medical billing, we ensure your contracts with each insurance company are up-to-date and renewed on time.
PROVIDERS WE CONTRACT
APPLIED BEHAVIOR ANALYSIS
DOCTOR OF CHIROPRACTIC MEDICINE
DOCTOR OF OSTEOPATHIC MEDICINE
LICENSED CLINICAL SOCIAL WORKER
LICENSED MARRIAGE/FAMILY THERAPIST
LICENSED MENTAL HEALTH COUNSELOR
LICENSED PROFESSIONAL COUNSELOR
SPEECH / LANGUAGE PATHOLOGIST
DISCOVER THE BENEFITS
REVIEW AND VERIFICATION OF YOUR INFORMATION BEFORE SUBMISSION.
WE ARE FAMILIAR WITH EACH INSURANCE COMPANY’S UNIQUE APPLICATION AND PROCESS.
INCLUDES CONSULTATION AND GUIDANCE THROUGH THE ENROLLMENT PROCESS.
WE MONITOR EACH APPLICATION FROM START TO COMPLETION WITH REGULAR FOLLOW-UP COMMUNICATION.
INCLUDES ACCESS TO A SHARED GOOGLE DOC WITH UPDATED STATUS OF EACH APPLICATION.
YOU HAVE THE OPTION OF REPLACING ANY INSURANCE COMPANY ON YOUR APPLICATION LIST IF STATUS SHOWS IT IS NOT ACCEPTING NEW PROVIDERS.
WE SAVE YOU TIME BY HANDLING THE ENTIRE PROCESS, INCLUDING FOLLOW UP CALLS AND APPEALS.
OUR YEARS OF EXPERIENCE AND ESTABLISHED RELATIONSHIPS OFTEN ENABLES US TO RESOLVE ISSUES AND RECEIVE RESPONSES MORE QUICKLY.