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Provider Enrollment services for

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Insurance Credentialing Services

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.


Credentialing With Insurance Networks


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:


  • Referrals.
  • Preferential reimbursement rates.
  • Inclusion in their web-based directories so consumers can locate you as a participating provider for your specific specialty.

  • 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.


    Our credentialing team has extensive experience in enrolling physicians with Medicare, all Medicaid’s, Managed Care plans along with all commercial payors. Our team reaches out to each shortlisted payor that you want to enrol with and gets accurate timelines and open panel availability.
    As soon as we have the details from you, our Enrollment team goes ahead and files the appropriate contract applications and makes sure it’s a flawless submission in the first go, owed to our extensive experience. As a result of our first-time correct application submissions, we proudly boast of the shortest turnaround time in getting the contract.
    and is in the payor’s system and that no additional information is being requested and everything is smooth. We follow-up regularly until the contract comes through and is delivered to your physical location.
    appeal outlining the key points of your service, including niche services and details on how you bring exceptional patient care in your area. All these details are comprised in your business plan and submitted to senior provider representatives at that payor. While it can be really difficult to overturn the closed panel decisions, we have had a 30% success rate there.
    out of network. Our team helps with out of network enrollments, NPI registrations on the payor’s website etc. so that your medical practice is in the payor's system to start receiving out of network payments.
    mix, updating a new address, bank account, etc. We also help set up all ERA and EFT enrollments.
    physicians’ credentials data on our credentialing portal. It’s a very comprehensive and transparent and HIPAA compliant tool that we specifically designed to make sure we upkeep your databank with the utmost efficiency.
    The biggest payors are all turning the CAQH route to credential and enrol medical providers. We maintain and upkeep your CAQH and PECOS profiles, making sure all your information is accurately profiled and compliant.
    We study your competition and this data helps us to make sure we get you the best possible rates for your procedures, thus solidifying optimum reimbursements for your medical practice. We revisit your older contracts and try and get better rates as per availability from the payor at the current time.
    Contact Us for Credentialing Services

    Do you think you have an optimum payor network?

    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.

    Which Insurance Companies Should I Credential With?


    When considering which insurance companies you should be credentialed with, you must look at the major national plans, such as:


  • Aetna.
  • Cigna.
  • Blue Cross Blue Shield.
  • UnitedHealthcare.
  • Humana.
  • Medicare.
  • Medicaid.
  • Tricare.
  • Anthem.
  • Highmark.
  • Carefirst.
  • Centene Corp.
  • Kaiser Permanente.
  • Molina Healthcare, Inc.
  • UPMC Health Plan.
  • The Hartford.
  • Wellcare.

  • 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.


    Private Practice and Insurance Credentialing


    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.


    Government Health Programs and Insurance Credentialing


    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.


    Insurance Credentialing Process


    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:


  • Documents required.
  • Application data needed based on your specialty type.
  • Whether applications must be done online or via physical submission.
  • Whether a letter of intent must be sent.
  • On-time follow up, which can result in denial if not handled properly.

  • Many insurance companies split their credentialing process into two parts — credentialing and contracting.


    Credentialing Phase


    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.


    Contracting Phase


    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:


  • Reviewing the language of your participating provider contract.
  • Explaining the responsibilities of participation.
  • Ensuring you get the best possible reimbursement rates.

  • 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.

    Why Bikham

    • Get Applications completed twice as fast as in-house teams Get Applications completed twice as fast as in-house teams
    • Fixed price per application - No hidden expenses Fixed price per application — No hidden expenses
    • Full assistance to your billing team Full assistance to your billing team
    • Know the status of applications in real time Know the status of applications in real time
    • Dedicated account manager for your account Dedicated account manager for your account
    • Real-time alerts for expiring documents Real-time alerts for expiring documents

    Contact Bikham Healthcare for Credentialing and Enrollment Services


    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.


    Success Stories

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    Pricing

    Pricing

    Simple and unmatched pricing creating a seamless experience for you.

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    Pricing

    We charge as per payor contracts

    • 0 - 4 contracts - $250 per contract ($0 discount)
    • 05 - 09 contracts - $220 per contract
      ($30 discount per contract)
    • 10 - 19 contracts - $200 per contract
      ($50 discount per contract)
    • 20 contracts and above - Custom Pricing

    Get to know your network and choose the contracts you would need.

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    Why Clients Trust Us

    232,000

    Over 232,000 applications successfully filed and contracts received.

    15 Years

    15 Years of Provider / Hospital Credentialing and Enrollment experience

    50 States

    Extensive experience in all 50 states / State regulations / Rules and Compliance

    Specialities we enroll for

    Laboratory
    Laboratory
    Durable Medical Equipment
    Durable Medical Equipment
    OBGYN
    OBGYN
    Urology
    Urology
    Physical Therapy
    Physical Therapy
    Cardiology
    Cardiology
    Orthopaedic
    Orthopaedic
    Sleep Medicine
    Sleep Medicine
    Chiropractic
    Chiropractic
    Internal Medicine
    Internal Medicine
    Radiology
    Radiology
    Behavioural Health
    Behavioural Health
    Anaesthesiology
    Anaesthesiology
    Surgery
    Surgery
    Rehab Billing
    Rehab Billing
    And Many More...
    Medical Laboratories

    Medical Laboratories

    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.



    Case Studies

    Case Studies

    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

    Premium Insurance Credentialing Services

    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:

    What Our Clients Say

    Real-time Updates and Transparency

    Real-time Updates and Transparency

    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.

    Associations and Accreditations

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