Many insurance carriers are requesting or requiring Caqh credentialing as a way to join or recredential with their victualer network. What is a Caqh application, what facts is needed to unblemished the application, how long does it take and how do I apply are a few of the questions that arise.
In the past in order for a victualer to participate with an insurance carrier he or she would ask for and be sent a victualer application packet. Each application was dissimilar than the next. If you wanted to participate with 12 insurance companies, you might have to unblemished 12 credentialing applications.
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The Caqh credentialing process was designed to furnish a universal credentialing principles for healing assistance providers who wish to join an insurance company's network. Caqh is a non behalf assosication formed to simplify healthcare administration. By completing the Caqh application, a victualer now has his or her facts ready for an insurance firm to check online for credentialing purposes.
The Caqh application is quite lengthy and involved but it will in time become necessary as we saw with the Npi numbers. Many companies are now requiring a completed Caqh application for both credentialing and re-credentialing and no longer offer an application of their own. We offer a assistance of easily doing the Caqh application for providers. You can get more facts on help with your Caqh application at our website link below.
The Caqh credentialing process works well for new providers just beginning in practice. They can apply to many insurance companies by completing only one application. They then would sense the insurance companies they were interested in and the insurance firm can access the provider's facts online at a regain site.
The facts required to unblemished the application consists of name, address, practice location, tax id#, npi #, schooling, malpractice insurance, references, hospital affiliations, and much more.
The application can be completed online or you can ask a hard copy be mailed to you. A printed copy would be completed and returned to Caqh. When working on an online application it is not necessary to unblemished it in one setting. You generate a login name and password so you can return later.
Upon completion the applications experience an audit to make sure all the necessary facts is complete. Supporting documentation must then be faxed to a regain database. You are then notified by email or fax that your application is complete.
Once your application is complete, participating health plans and hospitals that you designated during the application will be automatically notified that your application is ready for them to view.
For help with the Caqh credentialing process, check out our website Solutions healing Billing
Coryright 2007 - Alice Scott
Caqh Credentialing - The Why and How of Caqh Credentialing for healing Providers
Very nice post for health care....
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