Best Practices That You Should Adopt For Successful Enrollment Into Insurance Panels That Includes All Sub plans

1. Credentialing: Best Practices That You Should Adopt For Successful Enrollment Into Insurance Panels That Includes All Sub plans

2. Conduct Your Research and Make a List • It’s essential you know what you’re getting into before hopping on getting credentialed. Every insurance company has different processes with unique difficulty. But, once you make a list and determine the ones you want to be credentialed with, you’ll know what to expect.

3. Prepare Yourself • An effective way to be prepared is having your National Provider Identifier (NPI) readily available in the state you intend to practice. Additionally, you should have completed your CAQH before starting the process of credentialing.

4. Be Willing to Commit time • The willingness to commit time to this application makes things easier. If you think credentialing involves filling and submitting an application that gets processed in a matter of days, you’ll be setting yourself up for a frustrating experience. 

5. Submit a Participation Request • This step allows you access to the health plan while processing your application. You get to join the insurance company’s network through the link they make available on their website.

6. Follow Up • You run a high risk of lost application if you don’t follow up closely. Insurance companies often unintentionally lose applications once they aren’t reviewed till the end. 

7. Outsource Credentialing • In the current dispensation, there’s little to nothing that can’t be outsourced. For healthcare providers hoping to get credentialed, outsourcing credentialing services can be a practical alternative to doing it on your own  

8. Keeping All Forms • You should always keep copies of all application forms, contracts, and enrollment letters you get from insurance companies.

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