Pricing Details Detailed Service Information Solo Dentist Regional Group National Group

Credentialing

Is your dental credentialing process becoming complex? Are you a dentist taking a practice soon but confused about credentialing? Do you invest most of your resources in training your staff on credentialing? Do you wish to overcome difficulties with manual data input that dental practices 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 that looks after incomplete information and ensures 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, allowing you to treat more patients.

We help you participate with a myriad of insurance companies and their different plans. From start to finish, we 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 that your application gets completed twice as fast.

We offer 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 and Scheduling

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

Brochure

Credentialing Brochure Download

e-Book

5 Pain Points e-Book Download

Case Study

Case Study Download

Presentation

CREDENTIALING.pptx Download

White Paper

White Paper – Credentialing Download

Solo Dentists – Grow your incubated practice to new heights

As a solo dentist, you are forced to wear multiple hats (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 be doing it in a timely manner, which will make you lose your patients. Our credentialing services by our dedicated, trained, highly qualified personnel 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 to grow aggressively. You may or may not have consolidated receivables management and accounting from the insurance companies across all your practices. These practices may be doing their own thing without providing any visibility into the services that the insurance companies are consistently underpaying. 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 the 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 their own thing without providing any visibility into the services that the insurance companies are consistently underpaying. 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

Network Research


 We do extensive research to make sure your practice or group has the most of the carried, popular, and effective In-network mix.
 Our team has extensive experience enrolling providers with Medicaid plans along with all commercial payors.
 We ensure to reach all payors as you suggested and get accurate timelines.

Application Filing


 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.

Application Follow-up


 Our team will follow up on the submitted application once every 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.

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 the new address, bank account.
 We also set up all ERA and EFT enrollment.
 We manage and maintain all your provider credentialing data on our credentialing portal, which is a very comprehensive, transparent, and HIPAA-compliant tool that we specifically designed to ensure your database is accurate.

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 to 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.

Contract Negotiation


 We do fee rate negotiations for you as we have an extensive database of all payors' latest fee schedules.
 We do extensive research on your competitors, and this data helps us make the 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.

Testimonials

Dr. Emily Johnson

Dr. Emily Johnson

Johnson Dental Care

"We used to dread calling insurance companies for verification. The long wait times and incomplete information were frustrating. However, with Todays Dental services in place, we can easily verify insurance benefits online within limited time. It has made our job much easier, allowing us to provide a higher level of service to our patients."

Dr. Mark Davis

Dr. Mark Davis

Healthy Smiles Dentistry

"Since implementing the automated insurance verification system, our front desk staff has been able to focus on patient care rather than spending hours on the phone with insurance representatives. It has made our workflow more efficient and our patients appreciate the quicker check-in process."

Dr. Sarah Collins

Dr. Sarah Collins

Smile Dental Center

"The digital platform for insurance verification has been a game-changer for our office. We now have access to comprehensive benefit breakdowns at our fingertips, saving us time and providing accurate information to our patients. It has greatly improved our administrative processes and allowed us to deliver better service."

FAQs (Frequently Asked Questions)

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.

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.

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.

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.

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.

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.

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.

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.

Credentialing FAQ