Grow your network, Grow your revenue
Whether you’re a private practice or larger healthcare facility, insurance credentialing is the first and most important step in implementing your new revenue cycle. Yet, even when you know which insurance companies you want to participate with, getting credentialled is a time-consuming and often frustrating process. That’s why many healthcare organizations outsource this crucial step.
Bikham Healthcare wants to be your Practice Management Concierge service. We handle insurance credentialing for physicians, hospitals and a wide variety of other healthcare institutions. From start to finish, we will walk you through each step of getting approved with an insurance payor. Learn why countless healthcare professionals and organizations entrust us for medical insurance credentialing services.
In today’s healthcare marketplace, the ability to accept potential patients’ insurance plans is essential for your practice's success. Health insurance credentialing, also called provider insurance credentialing, is a process that medical insurance companies use so that you can apply for inclusion in their provider panels. If you wish to bill an insurance company as an in-network provider, you must undergo the credentialing process.
First, the insurance company you’re applying to will verify that you meet their internal requirements so that you can serve as an in-network provider on their panel. This could include your level of education, training and professional experience.
Once your practice or organization is credentialed with an insurance company, you can bill the payor directly. Also, many insurance companies offer providers other incentives, such as:
With Bikham Healthcare, we help you get your applications completed twice as fast for Medicare, Medicaid, Aetna, Cigna, UnitedHealthcare, TRICARE and almost any other provider. Below are just a few functions we perform on your behalf throughout the credentialing process.
Check out the most popular payors in your State. Compare with your patient inflow and see which ones you need to be contracted with.
Don’t turn your patients away just because you don’t have a specific contract.
We can get it for you in the fastest TAT and the best contract rate.
When considering which insurance companies you should be credentialed with, you must look at the major national plans, such as:
However, you also need to know which local insurance companies may be valuable. To determine this, consider asking a peer or another practice in your area which local health insurance companies best meet the needs of your patient base.
When you work with Bikham Healthcare, we do extensive network research to ensure your practice or group includes the most varied, popular and effective insurance providers. We consider a variety of factors, including the top payors and your budget. We then follow up with you on this list until you give us the green light to go ahead.
Those establishing a private practice are often confused about insurance credentialing and procedures for billing third-party networks for their services.
The first step in setting up your revenue cycle is applying for credentialing and obtaining participating provider contracts with your chosen insurance companies. While this can be complicated, Bikham Healthcare takes on this cumbersome process on your behalf. We provide you with guidance and industry know-how so that you can set up the revenue cycle for your new practice with ease.
Provider enrollment and insurance credentialing for government health programs such as Medicare, Medicaid and Tricare are a bit different. These programs have standardized forms that must be accurately filled out. They must then go to the appropriate intermediary who handles the administrative duties for the program in your jurisdiction.
Bikham Healthcare understands these strict enrollment standards. We will take on this very detailed enrollment process so that your application has less risk of denial.
If you want to know how to get credentialed with insurance companies, please be aware that this process may take several months, and many insurance companies may not be accepting new providers on their panels. That’s why it pays to outsource this involved process. We provide professionals and organizations with extensive research and expertise to ensure we follow each payor’s guidelines, including:
Many insurance companies split their credentialing process into two parts — credentialing and contracting.
We will help you submit a participating request to your chosen health plans using their specified credentialing application process. Once the health insurance company receives your credentialing application, employees perform a thorough verification process. Your file will then go to the company's credentialing committee for approval. This process can take upwards of 90 days.
While this phase may feel drawn out, your dedicated Bikham Healthcare account manager will provide you with weekly or even daily real-time application updates.
The second phase of the credentialing process is called contracting. This is when your practice or organization’s application has been approved, and you’re extended a contract for participation. Many insurance networks separate the contracting phase from the credentialing step.
We help you through credentialing and also assist you with contracting negotiations before you sign your agreement, including:
Once you sign your agreement, you will get an effective date and provider number. Then, you can start billing the plan and receiving your in-network reimbursements.
Since 2005, Bikham Healthcare has worked with healthcare practices and organizations across the U.S., providing impeccable credentialing and enrollment services. If you need assistance completing the credentialing process with insurance companies in a timely manner, we ensure your credentialing and contracting goes as seamlessly as possible.
Countless organizations in every facet of the healthcare industry turn to Bikham Healthcare because we customize our medical billing services to fit our clients' needs. From consulting to taking action on your behalf, learn more about our services when you contact us online. Or, give us a call at 833-424-5426.
Over 232,000 applications successfully filed and contracts received.
18 Years of Provider / Hospital Credentialing and Enrollment experience
Extensive experience in all 50 states / State regulations / Rules and Compliance
Laboratory credentialing and payor Enrollment is a whole different animal. With Bikham's decade long experience in Laboratory RCM, we pioneer the Lab payor Enrollment space. We work very closely with your management groups and ordering facilities to make sure we map out the effective areas your Lab is getting maximum business from or the areas where you might get prospective business from. Multi state payor Enrollment is essential for any laboratory's growth and we make sure your Lab has the most extensive in network contract directory so you don’t have to turn away business.
See how in just 14 weeks Bikham’s Enrollment team assisted a Urology group in getting credentialed and enabled them to submit over 3.5 million in backlogged billing successfully.
Besides focusing on the problem areas, Bikham's Enrollment team passed some testing challenges. With their scalable approach, they achieved their goals and continue to work with the client since then.Read the Case Study
We always love to share advice, tips and knowledge about the Insurance Credentialing process, helping to make it easier for you. This part of our website helps you explore various topics.
Find the article of your interest from the list below:
We outsourced our practice’s credentialing to Bikham in November 2018. Their team not only got us 8 major insurance contracts by January 2019 but also helped in re-negotiating our BCBS contract to get us a 30% reduction rate as opposed to the 50% reduction that we had initially
It was a major challenge to get through Medical for our Chiropractic practice. We had applied and had received a rejection letter. Bikham’s cred team appealed and followed this up right to the point that we got the contract within 3 months
As a mid sized lab doing over 4000 tox tests per month, we were unable to submit at least 25% of our claims due to credentialing issues. We contracted with Bikham in early 2019 and by July at least 70% of our required contracts were in and that improved our revenue tremendously.
My Medicare Enrollment application had been rejected twice. BCBS said their panel is closed. That’s when I contacted Bikham, and they found out the errors on my Medicare application and got that approved in exactly 78 days, and they appealed and got me in network with BCBS FL as well. Kudos to their team !
Bikham’s credentialing team has great experience and they’re doing a great job. I have my major 5 private payor contracts (BCBS, Aetna, Cigna, UHC and Humana) in under 90 days, which is a great TAT.
Transparency is key. Our comprehensive online tool is an effective platform that provides complete transparency of the work flow, the application status, extensive reports, secure and HIPAA compliant document storage and gives other important information about your payor network. By offering accurate, real-time information to everyone involved in the credentialing continuum, we have helped many leading medical providers to achieve new levels of transparency and ease of achieving fast and accurate payor Enrollment work flow.
Provider engagement is not only met with the right information at the right time, but expectations are also exceeded with answers to questions and estimates regarding credentialing costs.