Get a dedicated credentialing manager at DuxWare to represent you with commercial and government payers. We complete all applications and necessary paperwork on your behalf with the chosen payer networks and government entities.
Credentialing Services
Credentialing is the process of establishing the qualifications of licensed medical professionals and assessing their background and legitimacy. We provide professional services to assemble, complete and submit necessary documentation or applications for enrollment related to a Provider’s professional credentials or licensure. This is required to be an approved Provider of a Payer.
What you get with our Provider Enrollment and Credentialing services: A “Dedicated” credentialing manager to represent you with commercial and government payers. We complete all applications and necessary paperwork on your behalf with the chosen payer networks and government entities. Confirm receipt of application with each Payer and conduct a bi-weekly follow up until the application has been processed. Provide status reports so you know where you are in the process with each payer.
Why is Re-Credentialing service needed:
Each insurance panel you’re on requires that you renew your agreement with them – this is the process of re-credentialing. Typically, this renewal needs to happen every 2-3 years. However, re-credentialing does involve playing a bit of a waiting game, so we stay on top of the process before it catches up to you.
Failing to re-credential can cause quite a bit of hassle and inconvenience for you. If you continue to see clients after your agreement with the insurance panel has expired, you may be removed from the panel or even locked out permanently. Additionally, you will not be reimbursed for any services you provide during this period of time.
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