Provider Credentialing Services
All healthcare service providers enroll with insurance companies through the process of medical billing credentialing. Only trusted, vetted, and verified insurance companies include healthcare providers in their network of providers to serve their patients.
Credentialing, also known as "primary source verification," is a time-consuming process in which the insurance company investigates the physician's background. They confirm the healthcare provider's education, competencies, and legal right to practice.
Payer Enrollment & Contracting Management
- A successful credentialing approval is followed by a process known as payer contracting, which connects the physician to the payer's network. In most cases, the payer will share standard reimbursement rates as well as traditional plans such as HMO, PPO, WC, and auto insurance.
- The credentialing and contracting process takes between 60 and 90 business days.
How To Apply Credentialing And Contracting
- Online Application
- Paper Application
- Letter of Intent
Our Credentialing Workflow
- Many commercial insurances are very easy on submitting the online applications through the web portal. Once the online application is submitted, you will receive a credentialing application from insurance.
- Once the credentialing application is completed and sent, it takes 30-60 business days.
- Once the provider is credentialed, the panel is open, and insurance will send the contract.
- Receive an agreement or contract from insurance. Once an agreement or contract is sent, the complete contracting process takes 45-60 business days.
Specialties We Support for Provider Credentialing Services
- Therapist Credentialing (Physical Therapist, Occupational Therapist, and Speech Therapist)
- Nurse Practitioner
- Physician Assistant
- Urgent Care
Why Practices Choose iMagnum for Medical Credentialing Services
- Contracted with a 65-therapist group across the US for providing credentialing services.
- We have created all the information for one tool. That tool is called Cred Pro
- This tool is very secure and safe.
Our More Services
- Under Paid Claims Audit
- Accounts Receivable
- Appeals
- AR Run Down And Recovery Audit
- Charge Entry
- Chronic Care Management
- Claims Submission – Work Edits & Rejection
- Coding Denial Management Services
- Complete Practice Analysis
- Contracts Negotiation
- Credit Balance Services
- Denial Management Services
- Document Management Services
- DRG
- EHR Support
- Eligibility & Benefits Verification
- Provider Enrollment & Credentialing
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VP Services
from CaliforniaWow that’s an amazing performance, you have collected 40% from the claims that was sitting unpaid for more than 180 days in less than 4 months. This is truly great performance team. Love your commitment, speed, and technology.
Pediatrician Physician
from AtlantaThe team has done a stupendous job in clearing the backlog of work from the other vendor in such a short time. Thanks, team, for your dedication by working through days and nights and weekends to have this accomplished.