MEDELECT, INC. works hard to simplify the credentialing process for you. It's a very important to do it right and timely so it doesn't negatively impact your revenue.
Credentialing is an ever increasing part of healthcare and it takes up a lot of valuable time. We know you don't have time to wait on hold with insurance companies and we know you have to stay on top of them to process your application correctly. We can do it for you so you can get back to what is most important to you, your patients. We work with all payers. Contact us now for more information.
We also work with hospital and ambulatory surgery centers, medical groups, IPAs and health plans as a credentialing verification organization to obtain, verify and assess your requirements for a practitioner to provide care or services in or for a health organization.
Q: Who do we provide credentialing service for?
A: MEDELECT, INC. offers credentialing service for all medical provider types, in all specialties, in all states.
Q: What types of credentialing service do you provide?
A: MEDELECT, INC. provides credentialing services for providers wherever they practice: private practice, group practice, hospital, ambulatory centers, rural health centers, emergency physician groups, alternative birth centers, etc. We also provide Credentialing Verification Services to hospitals, ambulatory centers, IPAs and health plans to verify and assess your requirements for a practitioner to provide care or services in or for a health organization.
Q: Who can help me with this process?
A: MEDELECT, INC. employs full time Credentialing Specialists. Their job is to make sure each physician stays on course to complete their credentialing paperwork as quickly as possible. For more information call us at 877-543-2824.
Q: What will the credentialing process require?
A: We will send you a Provider Information Packet which is list of all documents and paperwork we will need. This includes but is not limited to (dependent on entity type, state you render services in) a copy of your state driver’s license, medical diploma, internship and residency diplomas, a passport-sized photo, a current CV, your medical license from all states in which you have worked, your Controlled Substance Permit for the state you are rendering services in, your federal DEA permit, your board certificate, your ACLS, ATLS, and PALS or BLS certificates and your NPI number and confirmation letter, tax identification letter and Articles of Incorporation, etc. Your Credentialing Coordinator will send this checklist to you with your applications.
Q: How long will my credentialing take?
A: The credentialing process can be a long one. Many organizations require extensive proof of work history, references, hospital affiliations and medical schools to ensure the quality of their doctors. Typically the industry standard is six to nine months.
Once you have your state license credentialing can take up to 9 months. However, your state license may take as long as six months to acquire, and some hospitals require you to have your state license to even be considered for a position. Please be patient and thorough with your paperwork to expedite the process.
Q: What can I expect in the process?
A: Once your Credentialing Specialist receives your file, you will be sent a Provider Information Form used to collect data necessary to start the credentialing process with most insurance plans and or facilities. You need to return your packet within two weeks to stay on track for your credentialing process to proceed smoothly.
When we receive the packet back in our office, we will review it for accuracy and completeness and forward it on to the appropriate entities. You may require further vetting from an organization which will include back ground checks, verifications for your education, previous work history, past and current hospital affiliations, and peer references.
Please note that each entities credentialing process is different, and more documentation or less work may be required of you depending on the type of credentialing you have selected.
In addition to the provider packet, you will be asked for financial credentialing for billing purposes so we will need any and all provider identification numbers for all states and offices you have worked for or under. The billing office will submit the paperwork necessary to assign Medicare, Medicaid and Blue Cross Blue Shield numbers that will be needed to bill patients and receive reimbursements, as well as specific insurances you indicate.
Q: What is the difference between work history and hospital affiliation?
A: Work history refers to the group that employed you, while hospital affiliation is the facility at which you practiced.