Credentialing
Credentialing is a process that the insurance companies use to verify a physician’s education, training, and professional experience and to ensure that they meet their internal requirements for serving as an in-network provider. It crucial to get credentialed and contracted with the insurance plans that are important to your service area. Once complete, consumers will be able to locate you as a participating provider in their panel for your specific specialty.
The process of “credentialing” with an insurance network actually consists of two phases. 1) Credentialing and
2) Contracting. The credentialing phase is when the insurance company verifies all your credentials and that you meet their requirements for participating in their network. The contracting phase is where the company issues you a participating provider agreement that defines the terms of participation for receiving in-network reimbursement for your claims.
At Ankh, we are experienced in the credentialing process and we can even negotiate reimbursement rates for in-network providers. This process is important to your practice because it maximizes your ability to treat patients with multiple health insurance companies.
