The process starts with requesting Credentialing Application Kits from the commercial and government health Insurances. The submission of signed applications is followed-up with the payers to retrieve the Provider or Group ID # to confirm the doctors’ participation in the insurance. The weekly status is updated to the provider until an effective enrollment date is determined to begin claim submission. Re-credentialing is done over a period of time to revalidate the criteria considered during the credentialing time.
These solutions address the importance of implementing a holistic patient engagement strategy, especially at the pre-encounter stage, to maintain financial viability, create sustainable change, and improve patient and physician satisfaction.