What is Credentialing?

medical-professionals-seeking-medical-credentialing

Medical Credentialing is Important for Building a Successful Practice -- What else do I Need to Know? Medical Credentialing is the process of … Read More about Medical Credentialing...

Which Insurance Panels?

lady-looking-to-get-on-insurance-panels

A question we are often asked is "What companies should I get credentialed with?" It's a good question, and an important one! While our … Read More about Choosing Insurance Panels...

We Can Help

woman-calling-thriveworks-about-medical-credentialing-service

Our credentialing team is 10 full-time employees strong! Why is this important? In an industry dominated by one person … Read More About How We Help with Medical Credentialing...

Contact us Today

Let Thriveworks take the hassle out of Medical Credentialing for You! Contact Us for Credentialing

Medical Credentialing is Important for Building a Successful Practice — What else do I Need to Know?  

Medical Credentialing is the process of becoming affiliated with insurance companies so that you (the medical provider) can accept third party reimbursement. While important for the success of a clinical practice, for many health professionals medical credentialing is an unwelcome distraction from providing quality care to their patients–it doesn’t need to be!


Today’s Patients Want to Use their Insurance


While just a few years ago health professionals considered medical credentialing “optional” for building a practice, today it has become more necessary than ever for providers to be networked with insurance companies. In part, this is because more persons/patients in the USA have health insurance than ever before, and because patients desire (even demand) to use their health insurance when seeking out health care services (in lieu of out-of-pocket payment).
Insurance Plans are Covering more Services (Pre-existing conditions, Mental Health, etc.)

In addition, medical credentialing is becoming more important as health insurance plans are becoming broader in regards to the scope of treatments that they cover. These changes include Mental Health / Behavioral Health parity, less restrictions on pre-existing conditions, and the coverage of supplemental services such as physical therapy, massage therapy, acupuncture, and other holistic health services.
Insurance Panels are Getting Full and Closing!

Unfortunately, insurance panels (for providers) are becoming increasingly full — meaning the process of medical credentialing is becoming more difficult every day, as insurance companies close provider panels, and make the barrier for physicians, counselors, or any health professionals, higher and more difficult to climb. **That being said, some panels that claim to be “closed” are really just being selective about which providers they are adding. Knowing how to position one’s self and expertise can go a long way when it comes to getting into “closed” panels.**

Medical Credentialing Help!
This website will provide helpful articles and tips for getting credentialed with insurance companies. Alternately, if you’re looking for a medical credentialing service who can take the burden of credentialing off your plate, we can do that too. We’d love to talk with you about our full-service medical credentialing offer, that guarantees success. Please feel free to call us at 1-855-4-THRIVE (1-855-484-7483).

Your Friends at Thriveworks   —  Watch More Videos On Our Credentialing FAQ Page!