newsprompt.coLOCUM TENENS PHYSICIAN JOBS
Credentialing is the process of obtaining, verifying, and assessing the qualifications of a practitioner to provide care or services in or for a health care organization. Most health insurance companies require this process including CMS/Medicare, Medicaid, and Commercial plans, as well as hospitals and surgery centers. Every healthcare provider is required to enroll into an insurance credentialing process to accept patients with insurance. Without credentialing a healthcare practice simply cannot exist. It is a complicated long process that is extremely essential if you want to run a successful physician practice whether it is a clinic, or a surgery lab. The process is relatively simple, with the following steps –
1) Request a Quote
Contact the services to discuss the details of your organization and health plans for enrollment so that they may put together an accurate quote for you. After the proposal is finalized, one may sign the proposal to get started right away.
2) Provide your information
Each provider will credential with the service one time very thoroughly. After the credentialing profile is complete, the information is used for all future credentialing applications that are requested. Many services use online applications to provide information and upload documents to get started.
3) Monitor progress with the nCred Credentialing system
After completing your one’s profile, log into the platform to track the progress of credentialing applications.
Credentialing has become crucial for medical practices to survive in an increasingly volatile and competitive industry. Most American citizens today are covered by an insurance plan provided by some company or the other. If a budding practitioner fails to get credentialed with the insurance companies, then he will lose clients to his competitors. Hence, having the knowledge of the top insurance credentialing companies is essential in a practitioner being able to thrive in the industry.
Some of the top insurance companies are the biggest in terms of a client base. Their popularity can be due to the companies goodwill, lives covered, company revenue and acessibility.
1) United Health Group
Ranked 3rd on the 2019 fortune 500 lists. United Health Group is a for-profit healthcare company based in Minnesota. It is one of the largest healthcare insurance companies in the world with total revenue of $226 billion, along with 115 million customers. It is divided into four divisions that together provide health benefit plans and services for large national employers, to individuals age 50 and older, to serve state programs that care for the economically disadvantaged, and medically underserved.
2) Anthem
Anthem INC is also one of the largest providers of health insurance in the United States. As of 2019, the company has over 40 million customers under its belt. It is one of the largest for-profit healthcare companies in the Blue Cross Blue Shield Association. Today it operates as Empire blue cross blue shield in the state of New York and as Anthem Blue Cross Blue Shield in 10 other states.
3) Aetna
Aetna is recognized as one of the leading providers of health insurance in the United States. Aetna continues to grow stronger, with millions of users enjoying its medical plan. Hence many physicians and medical practitioners want to become participants in the Aetna healthcare network. The company’s extensive network includes over 22.1 million medical members, 12.7 million dental members, 13.1 million pharmacy benefits management members, 690,000 primary care doctors, 1,200,000 healthcare professionals, and 5700 hospitals.
4) Humana
Humana Inc is a health insurance company based in Kentucky, Louisiana. Over the years, it is responsible for amassing over 13 million Americans into its healthcare program. With revenue of $41.3 billion, Humana was ranked 56 on the Fortune 500 list. Now, Humana credentials and re-credentials all licensed independent practitioners including physicians, facilities and non-physicians who fall within its scope and authority.
5) Cigna
Cigna is a popular American health service organization based in suburban Bloomfield, Connecticut, and Philadelphia, Pennsylvania. Their insurance subsidiaries are major providers of mental, dental, accident, and life insurance to American citizens. It is known to provide Medicare and Medicaid programs to an individual in the US and some international markets. Hence many physicians and medical practitioners want to become participants in the Cigna healthcare network. To become a participant, however, healthcare services need to apply for Cigna Insurance Provider Credentialing.
