Credentialing Applications & Agreements
Insurance credentialing is the process through which insurance companies review a dentist’s qualifications for the purpose of gaining in-network status as a participating provider. We offer our insurance application services for PPO dental insurance plans as well as Medicare for providers that perform medical services in a dental office. This includes Oral Surgery and the treatment of Obstructive Sleep Apnea.
Whether you’re a first-time applicant, updating provider or location information, or expanding in-network participation as a patient referral tool-we’ve got you covered. Our streamlined, systematic approach makes the credentialing process stress free for you and your office manager while eliminating lost hours of productivity.
From application to approval, we’ll take care of the credentialing process for you- accurately completing application forms, submitting them in accordance with all applicable regulations, tracking the status and providing updates along the way.
Fee Negotiations
The ever-changing world of insurance is complicated, easily confusing and difficult to navigate - especially these days, with the increasing popularity of “umbrella” contracts and third-party administrators (TPAs). With these changes most offices now have several options available to them when it comes to participation contracts and fee schedules.
This means that some insurance companies are paying the same provider different amounts for the exact same services.
Our experts know how to take advantage of these changes and will successfully negotiate your current fees with the dental insurance companies to receive maximum reimbursement rates for your practice increasing your profitability without increasing your workload.