Credentialing
Is your dental credentialing process becoming complex ? Are you a dentist taking a practise soon but confused of credentialing? Do you invest most of your resources on training your staff on credentialing? Do you wish to overcome difficulties with manual data input that dental practises have, particularly when you record credentialing information?
Training is expensive. Let us do credentialing for you which can help you focus on your service. Insurance credentialing is the first and foremost important step in implementing your new revenue cycle. We offer a team who are engaged in looking after incomplete information, & ensure you are up to date with credentialing information. Our experts follow up on the credentialing status and keep you informed. We help you in adding new plans as it will help you treat more patients
We help you to participate with a myriad of insurance companies and their different plans. From start to finish we will ensure that you get approved by the insurance payor.
We ensure you reach a point where you have enrolled with all the available payors with ease We ensure you that your application gets completed twice as fast
We offer you an application where you can know the status of your application in real-time As real-time alerts for expiring documents are done, you are always ahead in renewal. We’ll watch out that you don’t have to pay extra on staff training. We assure you that you will keep a few dollars secure.
Pricing
| Service | Price |
|---|---|
| One Time Setup | $30 |
| New Credentialing | $60 |
| Re-Credentialing | $30 |
| Change in Original Credentialing | $30 |
| Follow ups only | $17 |
| Initial Status Check | $2 |
| EFT Setup | $15 |
| Fee Schedule Request | $2 |
Schedule a Meeting with our Credentialing Team
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Solo Dentists – Grow your incubated practice to new heights
As an owner dentist you are forced to wear multiple hats as a (strategist, HR Manager, Finance Manager, Operations Manager, Marketer, IT Manager, Web developer, SEO Expert, Accountant, Procurement Manager, etc;) in addition to being a dentist. Usually the job of credentialing is given to your office manager, who may or may not being doing it in a timely manner will make you lose your patient. Our credentialing services by our dedicated, trained, highly qualified person and significantly low cost resources will save the day.
Regional Group – Improve consistency across your group practices
As a regional group practice you are trying grow aggressively. You may or may not have consolidated the receivables management and accounting from the Insurance companies across all your practices.
These practices may be doing in their own fashion without providing any visibility into the services that the insurance companies are consistently under paying.
Our dedicated team of professionals trained, highly qualified (Accountants in India) and significantly low cost resources will ensure consistency and accuracy of the payment posting in addition to providing management reports that will help you identify the problems and fix them at a fraction of your current cost structure.
National Group – Get intelligence to monitor and streamline calls across Nation
Your rapid growth may have caused islands of methods and procedures …… We will provide reports using AI to identify problem areas and increase revenue recovery.
These practices may be doing in their own fashion without providing any visibility into the services that the insurance companies are consistently under paying.
Our dedicated team of professionals trained, highly qualified (Accountants in India) and significantly low cost resources will ensure consistency and accuracy of the payment posting in addition to providing management reports that will help you identify the problems and fix them at a fraction of your current cost structure.
Services Offered by Todays Dental Partners
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Network Research We do extensive research to make sure your practice or group has most of the carried, popular and effective Innetwork mix. Our team has extensive experience on enrolling providers with medicaid plans along with all commercial payors. We ensure to reach all payors as you suggested and get accurate timelines . |
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Application Filling As we get all the information and documents that are required to file the application our team will go ahead and submit the application. Our expert team makes sure it’s a flawless submission in the first go. This ensures the shortest turnaround time in getting the contract. |
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Application Follow up Our team will follow up the submitted application once in 12 days to ensure that the application we submitted has been received. We ensure that the application is smooth without any additional information. A regular follow up until the contract reaches the provider |
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Annual Credentialing Maintenance We help with all basic and complex demographic changes such as updating a new TAX ID with all payors in your payor mix and updating new address, bank account. We also set up all ERA and EFT enrollment. We also manage and maintain all your provider credentialing data on our credentialing portal which is a very comprehensive, transparent and HIPPA compliant tool that we specifically designed to make sure your database is accurate. |
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PECOS and CAQH set up and maintenance Keeping up to date PECOS and CAQH profiles is of utmost necessity in today’s healthcare environment. The biggest payors are all turning the CAQH route to credential and enroll medical providers. We maintain and upkeep your CAQH and PECOS profiles, making sure all your information is accurately profiled and compliant. |
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Contract Negotiation We do fee rate negotiations for you as we extensive database of all payors latest fee schedules. We do extensive research on your competitors and this date helps us making best possible rates for your procedures. We revisit your older contract and try to get better rates as per availability from the payors at the current time. |
Our Timeline
Day 1
Get the information of providers and do network research of payors of whom to be credentialed.
Day 7
Provide you the report application filed.
Day 15
Provide you the report of follow up on status of application.
Day 30
Provide you regular updates on Demographic changes, enrollment status, termination date of any contract for recredentialing.
Testimonials
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| Dr.Lisa Anderson | Dr.Mark Robers | Dr. Sarah Thompson |
| Sparking Smiles Dental,California | Happy Teeth Family Dentistry | Perfect Smile Dental Clinic, New York |
| “Collaborating with Todays Dental Partners for our dental digital marketing services has been a game-changer for our practice. Their expertise and dedication have transformed our online presence and patient engagement. We are extremely satisfied with their prompt and professional support, which has significantly improved our marketing efforts. Highly recommended for dental practices looking to thrive in the digital landscape!” | “Todays Dental Partners has played a crucial role in managing our digital marketing setup, including website development and offline marketing services. Their expertise and attention to detail have resulted in a visually stunning and user-friendly website. Additionally, their offline marketing services, such as logo creation and collateral design, have elevated our brand image and made a lasting impact on our target audience. We highly recommend their digital marketing solutions to any dental practice ” | “Todays Dental Partners has been a crucial partner for our dental practice. Their digital marketing setup, including website development and offline marketing services, has elevated our brand and enhanced our online presence. Their expertise and dedication have truly made a lasting impact. Highly recommended!” |
FAQs (Frequently Asked Questions)
Q. What is dental credentialing?
Dental credentialing is the process of verifying and evaluating a dentist’s qualifications, education, training, licensure, and professional experience to ensure they meet the requirements and standards set by regulatory bodies, insurance companies, and healthcare organizations.
Q. Why is dental credentialing important?
Dental credentialing is crucial for maintaining transparency, ensuring patient safety, and establishing trust in the dental profession. It helps patients and insurance companies verify a dentist’s qualifications and eligibility to provide quality dental care.
Q. Who oversees dental credentialing?
Dental credentialing is typically overseen by various entities, including state dental boards, professional associations, insurance companies, and healthcare organizations. Each entity may have specific credentialing requirements and processes.
Q. What documents are typically required for dental credentialing?
The specific documents required for dental credentialing may vary, but commonly requested documents include dental school diplomas, state licensure certificates, proof of continuing education, malpractice insurance certificates, and professional references.
Q. How long does the dental credentialing process take?
The duration of the dental credentialing process can vary depending on several factors, such as the complexity of the dentist’s background, the efficiency of the credentialing organization, and the responsiveness of the dentist in providing the required documentation. It can range from a few weeks to a few months.
Q. Can dental credentialing be outsourced to a third-party service?
Yes, many dentists choose to outsource their credentialing process to specialized third-party credentialing services. These services are experienced in handling the intricate paperwork, verification procedures, and ongoing maintenance required for dental credentialing.
Q. What happens if a dentist fails to meet credentialing requirements?
If a dentist fails to meet the credentialing requirements set by a specific organization or insurance company, they may be denied participation or face limitations in accepting certain insurance plans. It’s important for dentists to maintain their credentials and promptly address any issues or deficiencies that arise.
Q. How often do dentists need to update their credentials?
The frequency of credential updates can vary depending on the requirements of the regulatory bodies, insurance companies, and healthcare organizations a dentist is affiliated with. Generally, dentists are required to update their credentials every few years or as per the specified guidelines.
It’s important to note that specific credentialing processes and requirements may vary depending on the country, state, or organization involved. Dentists should consult the appropriate regulatory bodies and credentialing entities for detailed and up-to-date information.
