Starting the process to accept insurance payments for your clients can be a predictably unpredictable process. Getting the details correct on your CAQH, and the every changing insurance application gives you a better chance of getting a timely contract.
A flat fee for each insurance credentialing application, which includes a review of your CAQH, and the submission of your application with all the required documents. Half of that fee is due upon signing a contract, and the other half is due once you receive a starting date to submit claims.
Consistent follow-up is done to manage any insurance bureaucracy. You will receive emailed updates when changes occur to your application.
Your credentialing is ultimately decided by insurance companies, but every effort is made to get you a contract. Please note that it is routinely 90-120 days from application to contract completion.
Insurance applications include all state based BCBS plans, and national insurance networks, such as Tricare, UnitedHealthCare/Optum, Aetna, and Cigna.
Other state or regionally specific insurances can be discussed on a case by case basis.
We do not submit MD Medicaid or Medicare applications, but we do bill for these insurances.
(Please note we are not submitting new Johns Hopkins insurance applications in Maryland at this time. This is due to their average completion timeline being a year or more.)
The completion of the CAQH (Council for Affordable Quality Healthcare) ProView database is a necessary first step towards insurance credentialing. More and more insurance companies are pulling demographic, educational, and professional information from CAQH for their credentialing applications.
Thorough review, and editing of a pre-existing CAQH is included in the cost of the insurance credentialing flat fee.