Medical Credentialing Services
ClearMed Bill is a top-rated Medical Credentialing Service Provider. Our Outsourced Credentialing Services eliminate administrative burdens while also unlocking privileges, ensuring in-network integration, and accelerating reimbursements. Our Provider Credentialing Company has empowered doctors, nurses, and therapists to thrive in their careers. Join the ranks of satisfied practitioners via our Doctor Credentialing and Enrollment Services.
Enjoy the advantage of first-preference reimbursement rates, maximizing your financial rewards. This means you get paid more for the same services, increasing your profitability and satisfaction.
Our streamlined approach not only wins you contracts but also secures vital privileges. You will be able to participate in innovative programs, as well as get incentives for quality performance.
You'll be prepared to bill from day one, saving you precious time. You will receive a unique provider identification number (PIN) that allows you to submit claims electronically and track them online.
Faster reimbursements ensure a healthy cash flow for your practice. You won't have to wait for months to receive your payments, as we process claims within 15 to 30 days on average.
Our advocacy ensures insurance companies stand by you, supporting your needs. We negotiate on your behalf and resolve any issues that may arise, ensuring you get paid fairly and promptly.
With our expertise, denials become a thing of the past, boosting your efficiency. We verify eligibility, obtain authorizations, and submit accurate claims, reducing errors and rejections.
BellMedEx provider enrollment services unlock in-network contracts, no matter how exclusive the payor panel.
Credentialing, also known as insurance credentialing or doctor credentialing, is a process that verifies the qualifications, skills, and legitimacy of a healthcare providers. This process ensures that the provider has necessary licenses, certifications, and education to provide healthcare services to patients.
Only a credentialing provider is eligible to receive payments from the payer and work in compliance with the state and federal regulations. Medical credentialing authorizes physicians to practices in a specific facility and be included in insurance networks like CMS/Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield.
As a provider, you want fast credentialing so as to start practicing and billing (legally and ethically). But credentialing is a complex process that involves a lot of documentation and verification at different stages by the insurance network. This means a single mistake can result in denials and wastage of resources such as time and money.
ClearMed Bill medical billing company offers the best healthcare credentialing solutions. Our professionals handle all the tasks for you, from primary source verification to enrollment in premium payer networks. We do all of this in minimal time and budget.
BellMedEx’s provider credentialing process is not just a routine procedure, but a validated and certified process that ensures the highest standards of compliance. We have achieved up to 98% success rate of getting providers approved in premium payer networks with maximum privileges in their specific specialties. The process typically includes the following steps:
CareMed Bill credentialing company offers all-inclusive provider credentialing services for healthcare professionals and organizations. Here’s an overview of the medical credentialing and enrollment services we provide:
We enroll providers in Medicare and Medicaid programs, which are the largest health insurance programs in the US, covering millions of Americans. By enrolling in these programs, providers can expand their patient base, increase their revenue, and comply with federal and state regulations.
We credential providers with commercial insurance payers like Aetna and Humana, which are private health insurers that offer different plans and networks for their members. By credentialing with these companies, providers can access more patients and negotiate better reimbursement rates.
Our credentialing solutions help individual providers (Type 1) and organizations (Type 2) with obtaining and updating their National Provider Identifier (NPI), which is a unique 10-digit identification number assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS). Having an NPI is required for billing, reporting, and electronic transactions.
Credentialing can be a hassle, but not with us. We have the skills, the tools, and the connections to get you credentialed and enrolled with any payer you want. No matter what your specialty or location, we will enable you enjoy the benefits of being in-network!
Clear medbill is a full service medical billing company that handles every aspect of your billing process, from coding and claims to payment and follow-up.