We’ll work with you to ensure you have a variety of popular and effective in-network payors to work with. Our experienced team will determine timelines and open-panel availability with the payors of your choice.
We’ll work with you to gather all of the necessary information to file applications. We pride ourselves in our efficiency and thoroughness to ensure a short turnaround time and accurate filing.
Our team will ensure that the submitted application has been received by the payor and that there are no outstanding requests for changes. We follow up regularly with the payor until the contract comes through and arrives at your office or practice.
When needed, we will submit an extensive appeal when there are closed panels for labs of a particular specialty. We communicate your key points of services and overall history of exceptional patient care. We’re prepared for this challenge, as our team has a high success rate of overturned closed panel decisions.
When needed, we will submit an extensive appeal when there are closed panels for labs of a particular specialty. We communicate your key points of services and overall history of exceptional patient care. We’re prepared for this challenge, as our team has a high success rate of overturned closed panel decisions.
We take care of any documentation required by demographic changes, such as a new Tax ID with your payors, updating addresses, changing bank accounts, and any other necessary tax. We’ll set up all ERA and EFT enrollments, as well.
Our credentialing portal manages all of your providers’ and physicians’ credentialing data, and is comprehensive, transparent, and HIPAA-compliant. to ensure we keep your database efficient and accurate.
We maintain and manage any PECOS and CAQH profiles that you may use, making sure all information is HIPAA-compliant and accurately profiled.
Credentialing builds trust with leading healthcare insurance companies.
Proper credentialing ensures accurate reimbursement for services rendered.
Credentialing ensures that providers fulfill requirements and follow rules, which reduces risk.
Timely credentialing helps to avoid financial losses due to delayed reimbursements / claims.
With our insurance contracting and credentialing service, we help your organization establish contracts with the various insurance companies.
Processing time of your application depends on how busy the payor is and also the accuracy of the submitted application. Generally, from our experience we have seen the following timelines:
We'll provide the following reports, as needed.
Up-to-date on all HIPPA compliance.
Customer signs, and the onboarding process begins.
Verify open applications with insurances (3-5 days).
Collect all necessary documents from the customer.
Submit applications within 2 weeks of contract signing.
Biweekly updates and regular follow-ups with payors.
Deliver approved contracts and fee lists to the customer.
Verifies provider qualifications to ensure optimal patient care.
Meets regulatory standards for exceptional patient care.
Enhances provider reputation through high standards of excellence.
Reduces malpractice risks and boosts patient satisfaction.
Validates provider credentials for consistent and seamless care.
24 hours
60-80 Days
95%
98%
More than 95%
More than 97%
Provider credentialing is the process by which healthcare providers join with insurance networks or payers. It is necessary because it enables providers to get paid for the services, they render to patients who are insured by certain payers or networks. Providers could not bill for their services and would not be paid without credentialing.
Partnering with 3DS Healthcare for Provider Credentialing has several advantages, including time and resource savings, reduced administrative burden, accurate and fast credentialing, and increased chances of credentialing success.
• Initial Provider Credentialing (for New Providers)
• Re-credentialing & Re-validation
• Demographic changes
• Maintenance CAQH/NPPES/PECOS
Depending on the payer and the physician’s area of expertise, several documents are needed for provider credentialing. In most cases, providers require copies of their professional licenses, malpractice insurance, NPI (National Provider Identifier), and other supporting records. Providers can get a lot of assistance from 3DS Healthcare in getting ready for the credentialing procedure.
The duration of the provider credentialing process varies based on the provider’ss specialty, region, and payer they are enrolling with. Usually, the procedure takes a few weeks to several months to finish. This could typically take 60 to 120 days, and if the payers are behind schedule, it might take longer.
We try to prevent this from taking place. But, if this occurs because of unanticipated events, we stay connected with the payer on a frequent basis to give you up-to-date information and to attempt to speed up the processing. Our team works carefully to ensure we achieve the finest result possible, no matter how long it takes.
3DS can assist providers in identifying alternative options for credentialing, such as joining other insurance networks or participating in government programs, or helping the providers enrolled as out-of-network providers.
