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Dental Credentialing Company
Trusted by 200+ Practices
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Dental Insurance Credentialing Services We Offer
Expand your patient base, maximize your earnings, and polish your reputation by becoming an in-network provider for the most esteemed and sought-after health insurance payers. Our comprehensive credentialing services for dental providers ensure end-to-end support, where we collect and compile your credentials, submit the packet, handle additional requests for information, track the progress of your application, and negotiate the contract terms and fee schedules so you can enjoy the best compensation for your services.
At MediBillMD, our dental credentialing specialists understand that you need tailored assistance, especially to navigate the intricate eligibility criteria and application requirements. Therefore, we take on the task of first-time credentialing, re-credentialing, CAQH profile maintenance, and clearinghouse enrollments.
Provider Credentialing
Are you ready to take the first steps that are necessary to ensure that you are services are covered by your patients’ insurance payers? Then, let us be your trusted guides on this dental credentialing journey. We will streamline the process for you and make it a breeze.
Re-Credentialing
Re-credentialing is typically required every 3 years. Why? Payers want to ensure that you are continuing to render quality care. But you don’t have to drop everything and divert your focus to this tedious process. We will handle your re-application and re-approvals on your behalf.
CAQH Review & Maintenance
Even after 25 years since its launch, 20% of U.S. physicians don’t have an updated Coalition for Affordable Quality Healthcare (CAQH) profile. We understand that payers want access to a complete and up-to-date CAQH profile for data collection. So, our dental credentialing services include CAQH review and maintenance.
Clearinghouse Enrollments
Want the ease of submitting electronic claims and receiving reimbursements online? Then, we can help you with clearinghouse enrollments. We will set up the necessary electronic connections, such as EDI, EFT, and ERA enrollments, so that you can leave the hassle of paper-based work in the 1990s.
Common Credentialing Challenges for Dental Practices
Verification
Delays
When it comes to credentialing for dental providers, the step that takes the most time is verification of the applicant’s credentials. Payers cross-check every submitted information and documentation against authentic sources, such as the ADA Masterfile and dental boards, to ensure that qualified applicants are enrolled in the network.
Lengthy
Processing Times
Under ideal circumstances, insurers will approve your dental credentialing requests within 45 days. However, in real life, the process takes 90-120 days on average. These long processing times mean that you cannot provide dental care to insured patients for 4, and sometimes even 6 months, bringing your revenue cycle to a standstill.
Incomplete or
Outdated Information
It is estimated that nearly 85% of credentialing requests are rejected because of missing or outdated information and expired DDS/DMD licenses. Moreover, dental providers often don’t maintain their CAQH profiles. So, when insurers access their profiles and see that the information is incomplete, they reject the application.
Varying Credentialing
Requirements
The reason why insurance credentialing for dental providers often turns into a maze is that credentialing rules and requirements vary across payers, and even when it is the same payer, the criteria may differ from state to state. This confuses dental providers, and customizing each application turns into a hassle.
Why Partner with MediBillMD for Dental Credentialing?
If you have recently started your dental practice or changed states, we can understand why you, too, are dreading the dental credentialing process. This elaborate and time-consuming task truly takes a toll on providers, affecting their personal and professional lives. However, all that changes when you opt for our dental credentialing services.
With our experience and expertise, we fast-track your applications and ensure seamless communication by assigning you a dedicated account manager. From compiling accurate paperwork to chasing payer approvals, we handle everything with utmost professionalism. So, it is no wonder that over 200 dental practices entrusted us with their insurance credentialing applications, and as a sign of gratitude, we delivered success!
Often, payer requirements for insurance credentialing for dental providers are not the same as those for physicians and mental health providers. Required documents, forms, application submission methods, and portals may all be different. We are aware of these variations. Hence, our dental credentialing services are designed to be specific.
We believe in personalized service, transparency, and effective communication. Each dental provider is assigned an account manager who is responsible for overseeing the entire dental credentialing process, from data collection to contract signing. Moreover, they act as a bridge between the dental provider and the insurance payer, relaying timely information.
With our credentialing services for dental providers, you will never be in the dark. Plus, we do the chasing for you. We are well aware that delays in credentialing mean that your earnings come to a halt. Therefore, every two weeks, we take an update from the payer on the status of your credentialing application, prepare a report, and share it with you.
Be it 2 AM, the weekend, or a holiday, you will always find us accessible. How? We create and give you login details to your provider portal, where all essential data is stored, managed, and regularly updated for your perusal. You can retrieve your documents, track the status of your application, or see notifications on our online system.
Having worked with countless providers and assisted them on their dental credentialing journeys, we now know why delays and rejections occur. We submit foolproof applications the first time around, so that every mentioned credential and information is complete, accurate, and up-to-date, leaving no room for errors.
Do you want someone to address the root of your credentialing and contracting pains? Then consider joining hands with MediBillMD for stress-free dental credentialing and provider enrollment. Our credentialing services for dental providers are available in all states of the USA. Each application is carefully crafted for compliance with state and payer requirements.
Get In Touch with a Dental Credentialing Specialist
Want guidance, insights, and solutions? Connect with our dental credentialing team today to simplify the process and secure your enrollments. They will help you find the best solution from our dental credentialing services suite, so you can gain visibility faster.
FAQs
When it comes to dental credentialing, having a head start will work in your favor. We recommend starting your dental insurance credentialing process 3 months before you plan on rendering care to the insurer’s beneficiaries. Therefore, your entire credentialing application packet must be ready for submission 90 days before your practice’s start date.
Whether you are credentialing as a solo practitioner or as a group practice, you must submit the following to begin your dental credentialing process:
- Complete and accurate credentialing information
- Access to your updated CAQH profile
- Supporting documentation (CVs, certificates, and licenses)
- A list of IPAs and MSOs' affiliations
- A list of insurance payers you want to get credentialed with
Yes. As part of our credentialing services for dental providers, we can help you create a new CAQH profile. We can also update and audit your existing CAQH profile to ensure that all the essential information is viewable.
Typically, credentialing for dental providers takes around 45 days. However, the process may extend beyond 120 days if your application gets stuck in the payer’s credentialing backlog.
Once you submit your dental credentialing application, the payer reviews it and thoroughly assesses your CAQH profile for the vital information. Next, the payer checks if there is a need for your specialty and location on its network panel. All the submitted information and supporting documents are verified against the provided references to ensure that your credentials are accurate and authentic. This can typically take between 30 and 45 days.
When you opt for MediBillMD’s insurance credentialing services for dental providers, you don't have to worry about keeping a tab on the status of your credentialing application. We do the chasing, monitoring, and follow-up for you. The account manager assigned to you will track your application and provide bi-weekly updates to let you know the progress of your application.
Delays in dental credentialing are multifactorial. Your application may get stuck because the insurance payer is getting credentialing requests from a high number of dental providers or because it is taking them longer than the standard to verify your submitted information and credentials. Sometimes, the approval gets delayed because your references, like an ex-employer, take a long time to verify your employment duration and status.
