For healthcare providers across the country, getting credentialed with insurance companies can be a daunting and arduous process. However, facility credentialing makes individual provider credentialing look like child’s play. (However, Thriveworks can help! Call us at 1-855-4-THRIVE (1-855-484-7483) What is Facility Credentialing? Facility credentialing is the process by which a health plan (insurance company) evaluates [...]
posted on February 25, 2013 by
Practitioner Credentialing Challenges
Practitioner Credentialing – What Are the Biggest Challenges Facing Practitioner Self-Credentialing? The number one challenge that has always been and always will be is time. Attempting to manage your practice and jump through all the loops those insurance panels put you through can and will be a nightmare if you try to do it on [...]
posted on January 3, 2013 by
Medical Credentialing: Missing Information and Disciplinary Action
Missing information on Medical Credentialing Applications? A counselor submits an application to an insurance company, and a month later (yes, a month!) the insurance company gets back to him and lets him know that he is missing information. The counselor swears that he had all of the information needed, but what happened? How is that [...]
posted on August 30, 2012 by
Largest EAPs in the United States
Here is a brief list of the largest EAPs (Employee Assistance Programs) in the United States. The numbers to the right represent the number of persons (sometimes called “lives”) covered by these various EAP plans. 1 ComPsych Corp. 27,300,000 2 Magellan Health Services Inc. 14,200,000 3 OptumHealth Behavioral Solutions1 14,141,343 4 CIGNA Behavioral Health 9,000,000 5 Harris, [...]
posted on May 4, 2012 by
Why Insurance Credentialing Software is Unhelpful for Most Providers
Insurance credentialing (the act of necessity to get on a list of insurance panels) is a disputable process for most of health providers. This issue made several medical credentialing software companies to promise that their software will simplify the process. But the question is: “Really?” This article is an overview of how insurance credentialing software [...]
