Credentialing is a process of assessing, reassessing and validating the qualifications and practice history of a dental provider. The credentialing process is conducted prior to participation in any insurance network. This can be a time-consuming process and often takes up to six months to complete. The reason for the lengthy process is the requirement for submission of extensive background information.
Our credentialing specialists have tremendous experience in the domain and are well versed with the process, requirements, and specifics of all insurance networks. The vision is to save our clients the money, time, and resources spent on the lengthy and tedious process.
Submit your documentation to us just once and we take care of enrolling you in the networks you choose.
- All commercial insurance payors
- Medicaid / Medicare
- CAQH registration
- CLIA application & processing
- EFT application & setup
In the past, each provider had to be individually credentialed with each individual health insurance plan. For some, this is still the case. But now many health insurance companies, however, are now using a centralized database to ease the process and to better maintain a check.
The Center for Affordable Quality Healthcare, Inc. (CAQH) is one of the most frequently-used Web services for credentialing. CAQH offers an online database called the Universal Provider Datasource (UPD) that collects all of the information required for credentialing, and then makes it available to third-party payers.