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Estimated in-house cost of credentialing is $30,000 annually however with outsourcing credentialing to NIHC Group your practice can save up to 76% which impacts the bottom-line
Saves you on average at least 2 months of process time
Makes you stress free from all the paperwork and endless applications and helps you focus on growing the practice
24/7 access to documents related to your credentialing application
Have the expertise to get contracts and applications setup right the first time!
Upload and manage documents needed for credentialing and privileging.
Maximize patient rs by ensuring our providers are reflected correctly in the Insurance Carrier's database
We make all the phone calls, follow-ups, and submit all applications, e-mails and faxes on your behalf
Timely notifications of when licenses/malpractice etc. are going to expire and much more
We start from the very beginning and follow through with monthly updates until the provider/practice has the executed contract
Maximum Exposure: (Wellmed, Workers Compensation, Tri-Care, VA, Medicare and Medicaid, etc.)
Higher Reimbursement Rates
Provider sends us all of the credentialing information and NIHC group completes and submits the paper work for all of the different health plan(s) selected. A provider can add or terminate plans at any time during our annual agreement.
We provide the office with a Plan Status Report detailing the plans and products you are in network with and the effective dates. The report also includes any plan specific ID Numbers such as record # and Medicare PTANs
We offer Credentialing/Re-credentialing services on a National basis to our Participating Providers
Credentialing Standards are becoming more regulated and audited due to legal actions taken against Practices and Providers
We offer Credentialing/Re-credentialing services on a National basis to our Participating Providers
Missing a re-credentialing request will result in removal from the Plan (often with a one year waiting period before you can re-apply)
NIHC Group services individual providers, groups, multi-disciplinary practices, practice management companies, billing centers, surgical centers, and hospitals. We have experience in over twenty five disciplines and specialties, with the knowledge to service our clients on a national basis.