Search
Credentialing: When to DIY and When to Outsource
Credentialing is the beginning of the process when a provider of mental health services decides that they want to take insurance on an in-network basis. Credentialing at its most basic form is a due-diligence process where insurance companies fact check who a provider says they are so they can take clients and be paid for mental health services. This process varies from insurance to insurance and can take a very long time due to the byzantine nature of insurance and the size
What is a Provider Representative at an Insurance Company?
Also known as a Provider Consultant, a Provider Relations Representative, or a Provider Services representative, these representatives are available to you to provide a deeper relationship than the average call center representative (although they are extremely helpful in their own right!). Insurance companies are serving two different populations: the general consumer who purchases an insurance plan, and the health care providers who are supplying services to the general con
Eligibility and Benefit Pitfalls to Avoid
In the first part of the year there is a lot of activity around benefits and eligibility. During this part of the year kids are getting back in the swing of things and the holidays can be hard for some. Therefore, the need for therapy increases for a large portion of the population, but the problem that is presented is a lack of knowledge around how insurance works and getting accurate insurance information. This is also the time of the year that people are starting new jobs,
Common Frustrations With Insurance Companies and How to Cope
Even with the years of experience that our billers have, we still share some of the same frustrations with the insurance company that you most likely have. There are some widely recognized frustrations that we all seem to share, but we’ve learned some ways to cope with the hoops that insurance companies make us go through. In this article, we’ll talk about these frustrations, why the insurance company has implemented certain policies, and also how we’ve learned to cope. Infor
