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Four Phases of a Provider Enrollment Application

Four Phases of a Provider Enrollment Application

by Zessa Chin Delossantos | Apr 14, 2021 | CAQH, Credentailing, Provider Contracting

Provider credentialing and enrollment with the payers is becoming more demanding and strenuous every single day. With most insurance panels getting a bulk load of work, due to the burst in membership applications. And a lot of them being particular about enrolling...
Understanding Your Provider Contract Fully

Understanding Your Provider Contract Fully

by Zessa Chin Delossantos | Apr 7, 2021 | Provider Contracting

Provider Enrollment (Initial and Re-credentialing) – this is the process of enrolling a group or a provider with the insurance payers, also called payer enrollment or credentialing. It can often be a lengthy process depending on the payer and can sometimes take about...
Credentialing, Provider Enrollment, Privileging – isn’t it all the same?

Credentialing, Provider Enrollment, Privileging – isn’t it all the same?

by Zessa Chin Delossantos | Mar 31, 2021 | Credentailing, Provider Contracting

Not really. While these 3 terms are often used interchangeably, they actually have different meanings: Credentialing, as defined by Joint Commission, is the process of obtaining, verifying, and assessing the qualifications of a practitioner to provide care or services...
Outsourcing Credentialing and Provider Enrollment

Outsourcing Credentialing and Provider Enrollment

by Zessa Chin Delossantos | Mar 24, 2021 | Credentailing, Provider Contracting

When we meet with potential clients, some hesitate to externalize their credentialing and enrollment processes. Outsourcing, however, provides various perks and benefits that help your organization function at optimal levels, gain market share and increase profit....
Provider Contracting and Everything You Need to Know

Provider Contracting and Everything You Need to Know

by Zessa Chin Delossantos | Mar 18, 2021 | Credentailing, Provider Contracting

The provider contract is a vital element for any health care provider who wishes to operate a smoothly run facility with high patient satisfaction and on-time payments. However, there are many different types of healthcare provider contracts. Each is filled with lots...

Recent Posts

  • Credentialing during Covid-19; How’s it like?
  • Four Phases of a Provider Enrollment Application
  • Understanding Your Provider Contract Fully
  • Credentialing, Provider Enrollment, Privileging – isn’t it all the same?
  • Outsourcing Credentialing and Provider Enrollment

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