Provider Enrollment & Credentialing Services
Enrolling the provider, also called the practitioner with different insurance payers is one of the most important steps in the revenue cycle. Enrolling the practitioner with the right insurance company enables the patients to utilize the maximum of their coverage to pay for the treatment and medical services. These bills are later reimbursed by the insurance providers.
Provider Enrollment
Once we credential the practitioner, the next process is to enroll them with various insurance providers. Our team takes care of monitoring the applications and processing them on time. We work carefully to identify and fix any issues before the errors impact reimbursements.
Medleeds Provider enrolment process involves the below steps:
- Contacting the payers to verify the information of the practitioner before submitting claims.
- Validate and update the pay-to-address or the correct billing address of the practitioner,
- Enrolling in four types of electronic transactions – electronic data interchange (EDI), Electronic Remittance Advice (ERA), Electronic Fund Transfer (EFT), and CSI.
- Electronic Fund Transfer (EFT)
- Monitoring the entire process through our experienced professionals to research and analysis any functionality gaps if any.
Provider Credentialing
Though it may sound simple, the actual process of enrolling and credentialing a practitioner involves a lot of manual work. It involves submitting manual application forms, clarifying any questions from the payers, and following up closely to close the request. Medleeds takes care of this tiresome process while you sit back and relax.
Provider Credentialing involves the below steps and Medleeds takes care of them.
- Evaluating the application form for correctness and affixing any missing documents.
- Verifying the practitioner from other physicians
- Collecting any missing documents or information to update the payer database.
- Following up with the payers for updates on the submitted requests
- Capturing labels, data, and link images specific to the practitioners in the payers’ database
- Update provider information to fit the policies of the insurance providers.