Thriveworks Provider Enrollment and Medical Credentialing Service You don't have to worry about the paperwork, confusion, and hassle of getting on insurance panels. Our credentialing experts do the entire credentialing process for you. At Thriveworks, We
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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!
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).
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.
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.**