Closed Panels in Medical Credentialing: From big cities to small towns, we receive many calls from healthcare providers who have contacted insurance companies, only to hear that insurance panels in their area are closed. Is this a final dead end?
Not necessarily! In our experience, many insurance panels that position themselves as closed are simply more or less what we call “restricted.” What we mean by this is that providers can still get on with some persuasion. Sometimes this means writing a letter in appeal, or calling the insurance company representative a few more times to let them know how important getting paneled is to you (and their insured customers), or stressing areas of your medical practice that are of particular interest or value to the insurance company.
While our success at getting clients onto closed panels isn’t 100%, many of our providers are happily surprised when we’re able to get them credentialed with insurance companies their colleagues told them were “already closed.”