Credentialing & Re-Credentialing
Bizmed IT Solution Private Limited has a team of professionals who specialize in provider credentialing and stay up-to-date with industry changes and payer requirements. Taking on the credentialing process from start to finish can certainly be a valuable service for healthcare organizations, as it can free up their staff to focus on other important tasks.
Advantage of Credentialing
Effective credentialing is crucial for ensuring that providers meet the necessary qualifications and standards to deliver high-quality care. By outsourcing this process to a dedicated team of experts, healthcare organizations can have peace of mind knowing that their providers are properly credentialed and in compliance with industry standards.
Tips & Info
We track the completion and collect the necessary documents; complete the credentialing process; send applications to payers; and then swiftly respond to all requests for corrections or any additional information from payers. At Bizmed IT Solutions, we assign a team of expert to track re-credentialing deadlines and initiate, and complete the process each time your practice is due for re-credentialing.
Our team works with the provider to fill out the initial application, perform the due tasks required of the organization such as primary source verification, background screening, and coordinate with payers to support timely approval as well as expedite provider starts.
The claim may be for a service or treatment that is not covered under the claimant’s insurance policy or plan.
The claim may have been submitted with incorrect or incomplete information, such as missing or inaccurate diagnosis codes, or incorrect patient information.
The claim may have been denied because the condition being treated was considered to be pre-existing and not covered under the policy.