Credentialing and Contracting
Credentialing for Insurance in the US
Referring to the process of onboarding healthcare services providers with U.S. insurance companies, the phrases credentialing, re-credentialing, and contracting are frequently used interchangeably in the U.S. healthcare system.
Why Is Credentialing Important?
The first stage in starting a healthcare facility in the US, such as a hospital, private practice, clinic, or medical specialty center, is successfully obtaining credentials with US insurance providers. Because it requires careful attention to every little detail, a lot of physicians, clinic owners, private practices, and specialized practitioners frequently contract with U.S.-based professional medical billing and coding companies to handle the procedure.
The Reasons for Selecting AYS Services for Credentialing Services
One of the top insurance credentialing firms in the US, AYS Medical Billing provides smooth credentialing and contracting services to healthcare professionals, bridging the gap between the insurance network and healthcare professionals. Medical insurance credentialing,
re-credentialing, and contracting for clinics and healthcare facilities are the areas of expertise for AYS. Our qualified credentialing professionals negotiate contracts, maintain current contacts with insurance payors, and guarantee smooth enrollment in insurer networks, all of which increase patient reach and revenue for your practice.
Join the Leading US Insurance Companies.
Our credentialing staff helps doctors and practices enroll with a number of respectable insurance providers in the United States with ease. By streamlining the procedure, we guarantee that providers may join networks like UnitedHealthcare, Blue Cross Blue Shield, and Aetna with speed and efficiency. This makes it possible to continue receiving network perks and reimbursement opportunities. You can rely on AYS to manage your credentialing requirements with skill and accuracy.
Establishing Relationships
Growing your facility to the level you want requires effective contract negotiation, which is why AYS uses strong negotiating strategies and leverages our five years of relationships to benefit our clients. If contracts are not negotiated well, it can result in financial losses, so it’s important to trust this important task to experts like us.
The AYS EDI team has developed relationships with numerous network managers in insurance companies, and we use strategic approaches, such as taking into account patient volumes in specific areas, to secure the best rates for each physician. We provide comprehensive credentialing services to individual providers and hospitals, and we specialize in enrolling physicians in both government and private insurance networks, ensuring they have easy access to reimbursement.
For hospitals and individual providers, AYS provides full credentialing services. Our area of expertise is enrolling doctors in government and private insurance networks, guaranteeing that they may easily access network benefits and compensation options.
