Credentialing Denials Explained: How to Get Accepted

Credentialing providers is a lengthy and meticulous process to confirm that insurance acknowledges a medical professional as being qualified to offer services to their policyholders. There are various reasons a provider may be denied from joining a particular insurance company's panel, but often it is not due to their actions or qualifications, but rather due to circumstances beyond their control. This video examines some reasons for provider denial and provides tips on handling the disappointing news.
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Hi there! My name is Jennifer. Over the last 15 years, I've gained much experience working in the medical field in various roles. Through my experience, I've seen many medical practice owners make mistakes in running their businesses. That's why I created this channel - to help medical practice owners avoid these common pitfalls. I aim to promote growth and success within the private practice world of medicine. Healthcare has become too standardized, creating many unnecessary challenges and demands.
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[@raza745]

Nice

[@navigatingthebusinessofmed8251]

Thanks for watching!

[@Cheresify]

What if you’re credentialed with a payer through your employer, do you have to get re-credentialed for your personal practice?

[@navigatingthebusinessofmed8251]

@@Cheresify hi and thank you for watching. They most likely will honor each provider’s individual status, but all new companies/groups need a contract (enrollment) with each payer. Then all providers also need to be listed under that group contract as, enrolled and affiliated to work for that practice and claims paid as such. Thank you for watching!