How Long Does Dental Credentialing Take?
Dental credentialing is a very important part of practice for any dentist desiring to work in any association with an insurance provider. It simply helps a person verify a doctor's educational background, experience, and licensing. Thus, ensuring the medical care a patient will get when attending that dentist satisfies their chosen insurance company. What exactly does it take for dental credentialing and what factors influence this process?
This begins with collecting documents, mostly proof of licensure, malpractice insurance, and all the certificates. Submitting them to provider credentialing services will take about one to two weeks in paperwork.
Review and Verification
Once submitted, the documents go through verification checks by the team of the insurer. In most cases, it takes the insurer 30 days up to 90 days after submission, which depends on the complexity of the dentist's background. While waiting, insurance companies keep checking and verifying for possible discrepancies in the information. Working with provider credentialing services might help ease the procedures since all details required can be verified accurately and duly before submission.
Final Approval
The insurance company will make a final decision upon reviewing and verifying it. On average, dental credentialing takes anywhere from 60 to 120 days from the beginning to the end. Depending upon how prompt the dentist is as well as the insurance provider, the period differs. If everything goes right, you should be certified in two months; but if there is an unwarranted delay, that could push you four months before you are fully certified.
Speed it Up
To expedite the process of dental credentialing, all necessary documents must be provided at once, and prompt attention should be given to requests made by the insurance company. Mistakes and delays in credentialing can also be avoided by engaging professional provider credentialing services.
In conclusion, the process of credentialing can take a few months, but a proactive and exhaustive approach can be sure to ensure that it is done efficiently.
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