The document outlines the physician credentialing process, which involves 6 steps: 1) auditing applications for accuracy and completeness, 2) developing a credentialing strategy by selecting top payers, 3) collecting required physician data, 4) submitting completed applications to insurance carriers, 5) following up with carriers to track application status, and 6) obtaining enrollment numbers from carriers to communicate to physicians.
2. Audit the application for accuracy &
completeness then file the
application
Develop an appropriate
credentialing strategy by selecting
the top payers to which the
physician practice sends claim
Collect all the required data from
physicians for filling the
credentialing applications.
Submit the filled-up
credentialing forms to the
insurance carriers either choose
by the physicians or
recommended by e-care.
Follow-up with the insurance
carriers on regular basis to track the
status of the application
Obtain the Enrollment number from
the insurance carriers and
communicate to the physicians.
Physician
Credentialing
Process
Physician Credentialing
Process
1
2
3
4
5
6
www.mgsionline.com
3. About US
MGSI is the leading Medical billing outsourcing
company in Florida, US. We offers medical billing and
collections services, Healthcare Revenue Cycle
Management, AR follow-ups, Denial Management,
Radiology Billing services, Cardiology Billing Services,
etc. We have experienced medical billing experts to
handle the physician billings!
www.mgsionline.com
4. Contact US
Do you have
any queries?
info@mgsionline.com
www.mgsionline.com
1-877-896-6474
www.mgsionline.com
