Medicaid Insurance Credentialing Services

Medicaid Credentialing

For many providers, a common hurdle is getting paid for medical services rendered by becoming credentialed with insurance carriers. A range of private and public healthcare professionals provide Medicaid services. The federal and the state governments partner through Medicaid to share the costs of the program.

Becoming credentialed can be a lengthy process for many healthcare providers and may come as quite a surprise to new physicians. This is why it is crucial to work with a trusted partner like Bikham Healthcare to make the process of completing a Medicaid credentialing application a faster, simpler process.

Covid Update: Many payers have re-opened their previously closed panels, and we’re seeing faster processing of applications during this time.

Contact Bikham Healthcare

Insurance Credentialing Services for Medicaid

Network Research

We make sure your Practice or Group has the most varied, popular and effective in-network payor Mix.

Application Filing

We send you a complete checklist of all the information & documents that are required to file the applications.

Application Follow Up

Our team follows up on the submitted application fortnightly, to ensure that the submitted application has been received.

Appeals for Closed Panels

Payors like UHC, Aetna, and BCBS sometimes have closed panels for labs in specific areas. We ensure a thorough review to address this.

Out of Network Enrollments

This applies to all providers who choose to stay out of network with certain payors or are forced to do so due to closed panels.

Demographic Changes

We assist with both basic and complex demographic changes, such as updating a new TAX ID with all payors in your network.

Annual Credentialing Maintenance

For larger healthcare facilities with multiple providers, accurate database management is essential for smooth operations and compliance. We efficiently maintain provider records, ensuring accuracy, timely updates, and seamless coordination with payors.

PECOS and CAQH Set Up and Maintenance

Keeping PECOS and CAQH profiles current is crucial for smooth credentialing, compliance, and timely reimbursements. Regular updates help prevent delays, rejections, and disruptions in provider enrollment.

Contract Negotiations

We not only secure contracts for you but also handle fee negotiations to ensure optimal reimbursement. Our extensive database of the latest fee schedules from all payors allows us to maximize your revenue and keep you informed of industry-standard rates.

Benefits of Bikham Healthcare Helping You With Medicaid Credentialing and Enrollment

Why should you choose Bikham Healthcare to help you with Medicaid credentialing and enrollment? The following are the benefits of working with us at Bikham Healthcare:

Faster Completion of Your Application

With our quick turnaround time, we can ensure your application is completed twice as fast as an in-house team.

Fixed Price

We offer a transparent, fixed price for every application, ensuring there are no hidden costs or unexpected fees. Our straightforward pricing allows you to plan your expenses with confidence.

Full Assistance

We provide comprehensive support to your billing team, ensuring efficient claim processing, accurate reimbursements, and seamless coordination with payors to minimize errors and delays.

Real-Time Application Status

Stay informed about the status of your application in real time with our tracking system, ensuring transparency, timely updates, and quick resolution of any issues.

Account Manager

We assign a dedicated account manager to oversee your account, providing personalized support, prompt assistance, and seamless coordination to ensure all your needs are efficiently handled.

Document Alerts

If any of your documents are nearing expiration, you will receive real-time alerts, ensuring you stay informed and can take timely action to avoid any disruptions or compliance issues.

Higher First-Time Application Approval Rate

If this is your first time completing an application for Medicaid credentialing and enrollment, we can offer a higher approval rate than our competitors.

Experienced Staff

You will partner with our staff, who are highly experienced in Medicaid and Medicare enrollments.

Focus on Your Work

When you allow us to handle the paperwork for Medicaid credentialing and enrollment, you can spend your time focusing on patient care and important tasks needed to maintain your medical practice.

Contact Bikham Healthcare