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Our Services

Specialist Credentialing Services.

Medics Billing provides specialist credentialing services that give you peace of mind from the complexities of insurance agencies and the never-ending documentation requirements. We deliver this at an unmatched cost in the market, and our services incorporate primary source checks. So, no matter where you are starting from, and whether credentialing for insurance systems like Medicare, Medicaid, or commercial insurance payors, our credentialing specialists will get you vetted quickly and ready to start receiving payments. We serve standalone physicians as well as hospitals. Therefore, anyone can benefit from our credentialing services.

What is Medical Credentialing, and Why is it Important?

Medical Credentialing is the method of turning into an insurance corporation so that your patients or clients will use their insurance to pay money for your services. You—the health care provider—can settle for third-party reimbursement. In today’s medical marketplace, accepting potential patients’ insurance plans simply is crucial for the success of practices, whether large or small. Put simply, if likely patients cannot use their insurance plans at your trial—be it a family medical clinic, a content workplace, treatment, dental, associate optometrist’s workplace —patients are seemingly to “vote with their feet” and find a competitive supplier. Medics Billing also offers skilled Medical Credentialing for Nurses, Doctors, and Physicians. 

Insurance is in Demand 

Physicians and healthcare professionals considered medical credentialing (getting in insurance networks) to be optional for building a practice. In contracts, nowadays, it has become necessary for providers to be networked with insurance corporations. This is often partly due to many individuals within the US having insurance compared to 20 years ago. One may also see that insurance plans even have “mental health parity,” implying insurance plans cover services provided by psychological state content and psychiatric practices. Today, in distinction to years past, only a few insurance plans have out-of-network advantages. They are doing (again, very rare) their area unit vital money penalties to the patient for selecting AN out of network provider. Hence, patients look in-network to seek out a provider. Sometimes, the primary place they appear for a doctor or healthcare provider close to them is their insurance plan’s most popular provider list. 

Insurance Plans: Covering more Services than Ever 

Medical credentialing is becoming more valuable as insurance plans are becoming broader about the scope of treatments they cover. These changes include psychological state and activity health parity, fewer restrictions on pre-existing conditions, and the coverage of supplemental services. These services include physiotherapy, massage medical care, treatment, and others. However, the cost of insurance within the US has redoubled accordingly. As a result, persons invest heavily into their insurance plans. You better believe that once they want health care services—be it general treatment, emergency medical care, dental, chiropractic, optometry, psychological state services, or anything—patients need (even demand) to use their insurance plans once seeking those health care services. 

Insurance Panels: Getting Full and Closing 

Unfortunately, as droves of care professionals apply to join insurance networks, those networks square measure increasingly turning into complete (and typically even closing), which implies the process of medical credentialing is changing into a more difficult one every day. That being said, some panels that claim to be “closed” are significantly simply being highly selective concerning the providers they are adding. Knowing how to position your practice and experience will go a long way once you get in “closed” panels. 

What to get onto Insurance Panels? 

If you are looking for a medical credentialing service that can take the burden of getting on insurance panels off your plate, then speak to us today. We’ve helped thousands of providers and practices get certificated, and we would like to talk to you about our credentialing service. 

Our Services

Key Features.

Our process takes care of the needs of your practice/organization and includes but is not limited to the following:

  • Account Receivables Management
  • Electronic and Paper Claims Submission
  • Charge Entry – All Specialties
  • Eligibility Verification
  • Secondary Insurance Billing
  • Fee Schedule Reviews and Analysis
  • Assistance with EDI, ERA, and Provider Enrolment
  • Old Account Receivables Recovery
  • Extensive Insurance Follow Up
  • Denial Review and Management
  • Appeal of all Denied or Low Paid Claims
  • Referral and Authorization Alert
  • Management Reports
  • Patient Statement Processing and Mailing
  • Posting of Insurance and Patient Payments
  • Incoming Patient Calls
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