Medical Credentialing Services

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Medical Coding Services, Medical Crendentials

Medical Credentialing

Physicians and other healthcare practitioners such as a hospital, a counseling office, chiropractor, Dentist, Physical Therapist, Occupational Therapist, an optometrist’s office, Urgent care, Treatment center, Social worker, etc, who wish to bill an insurance company as an in-network provider must undergo the strenuous process of credentialing.

Unfortunately, medical credentialing can be an unwelcome distraction from providing quality care to patients – but it doesn’t need to be. We’ll take care of that for you!

Talk with our experts and see why we are the best medical credentialing management platform.

Areas We Cover

Our Medical Credentialing Services include:

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Credentialing specializing in all the states

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Data Gathering & CAQH Enrollment

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Application Submission & Payer Communication

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Medicare Revalidations & Yearly Maintenance

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Re-Credentialing and Demographic Updates

Medical billing reports Ucontrol billing

Credentialing entails verifying a provider’s qualification to ensure that they can provide care to patients. As the industry evolves, it becomes more and more important for medical service & healthcare providers to become in-network with the insurance companies

Put simply, if potential patients can’t use their insurance plans at your practice — be it a family medical clinic, hospital, a counseling office, chiropractic, dental, physical therapist, occupational therapist, an optometrist’s office, etc — patients are likely to find a competing provider who will have it.

Frequently Asked Questions

How does billing work with Medical Credentialing Services?

Credentialing in medical billing is the method that all healthcare service providers perform to become registered with insurance companies. Only verified and trusted insurance companies include healthcare providers for serving their customers.

What are Medical Credentialing Services?

Medical Credentialing is an intensive process in which insurance companies conduct a background check on medical doctors. They verify all the necessary elements of healthcare providers like education, competencies, and legal authorization. 

How much should I be charged for Medical Credentialing Services?

It depends on the package you select. For more information, get in touch with our support team.

What are the steps in the Medical Credentialing process?

There are multiple steps in the medical credentialing process: 

  • Identification of required documents
  • Prioritize insurers 
  • Checking for accurate information 
  • Completing CAQH
  • Wait for Verification 
  • Following up 
  • Recertification 

How do I fix Medical Credentialing errors?

You can contact us to fix any sort of medical credentialing errors. 

Which Software is used for Medical Credentialing Service?

Software like Certifier or Modio health is used for medical credentialing services. Also, we can use any software that the client desires. 

What Clients Say About Us?

  • We had some hiccups in the start however later it became a smooth journey. Their attention to detail and quick response has helped me to improve my collection rate overall. Highly recommend it if you are looking for a reliable billing outsourcing partner and keep control on your billing.
    Eric Blacker
    MD
  • They are always quite responsive to any question we may have and have been able to obtain a higher level of claims processed than our previous biller. Their team of billing personal has a level of experience that is unmatched, and they were able to integrate with our EMR seamlessly. I would recommend this company to any private practice looking for a billing service of higher quality.
    Andrea Warburton
    MSPHS, PA-C
  • UControl Billing has helped me grow my outpatient therapy clinic by taking over the part of billing. They are very efficient and always on top of reimbursements. I would highly recommend this company to any Medical Professionals looking for a trusted billing outsourcing partner.
    Linda Lukose
    MD
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