Medical Practice Solutions:

Credentialing & Quality Improvement

Dover-Insurance is your Complete Credentialing Solution

 

What is Medical Credentialing and Why is it Important?

Medical Credentialing is the process of becoming affiliated with insurance companies so that your patients or clients can use their insurance to pay for your services, and so you—the healthcare provider—can accept third party reimbursement. In today’s medical marketplace, being able to accept potential patients’ insurance plans is crucial for the success of healthcare practices big and small. Put simply, if potential patients can’t use their insurance plans at your practice—be it a family medical clinic, a counseling office, chiropractic, dental, an optometrist’s office, etc.—patients are likely to “vote with their feet” and find a competing provider who will. Unfortunately, medical credentialing can be an unwelcome distraction from providing quality care to patients–but it doesn’t need to be. Dover Insurance also offers Expert Medical Credentialing for Nurses, Doctors and Physicians. Find out more about Nurse Credentialing and Doctor/Physician Credentialing.

How long does the credentialing process take?

 

The credentialing process generally takes between 90-120 days. When you sign up for credentialing with us, we waste no time getting your applications completed and submitted to insurance companies. We then follow up regularly with insurance companies to make sure that your credentialing applications are processed and approved as soon as possible.

 

What services do you offer for medical practice solutions?

 

Our staff are equipped to handle full cycle credentialing and data management. Clinical staff and quality experts are on staff for quality improvement and quality analytics projects or requests.

MEDICAL PROVIDER CREDENTIALING:

Initial Credentialing/Recredentialing, Provider Application Registration, Provider Credentialing,  Expirables Management

PROVIDER DATA PROJECTS:

Data Management, Data Reporting,   Provider Data Reporting Projects

QUALITY IMPROVEMENT PROJECTS:

 

Quality Analytics,  Healthcare Quality Improvement, Onsite/Offsite Clinical & HEDIS Experts

NATIONWIDE SOLUTIONS - USA

 

© 2012 Dover Insurance & Financial Services, Inc.