What We Do:
At E Billing Providers, we offer comprehensive credentialing services for both national and privte payers. Our credentialing specialists are experts in managing the entire provider enrolment process, ensuring that your practice remains compliant and fully reimbursed. Here's how we handle credentialing for both types of payers:
- National Payers (Medicare, Medicaid, and other government programs):
- We assist in the initial Medicare and Medicaid applications, guiding you through every step of the process to ensure all documentation is accurate and submitted on time.
- Our team handles NPI registration (National Provider Identifier) to ensure your providers are listed in the national database, which is essential for billing and reimbursement.
- For Medicare and Medicaid revalidations, we monitor the deadlines and ensure that your credentials are kept current to avoid any disruption in payments.
- Private Payers (Commercial Insurances):
- We handle the private payer enrolments by coordinating with individual insurance companies (e.g., Aetna, Blue Cross, Cigna) to ensure that your providers are added to their networks.
- Our team supports contract negotiations with private insurers, ensuring that the terms and reimbursement rates align with your practice’s financial goals.
- We manage the CAQH profile maintenance, a critical step for being included in private payer networks. We ensure that the profile is updated and complete, so you can receive the highest reimbursement rates.
What Makes Us Different:
What truly sets E Billing Providers apart is our dedication to providing personalized service for every credentialing process. Unlike other billing firms that often outsource credentialing or provide generic support, we take a hands-on approach by assigning a dedicated credentialing manager to each client. This ensures the following:
- Faster Enrolment: Your credentialing manager works with you one-on-one to streamline the application process, ensuring it is submitted without delay. We focus on getting your providers credentialed as quickly as possible, so you can start seeing patients and receiving payments without unnecessary wait times.
- Fewer Delays: Our credentialing managers are experts in navigating the complex requirements of national and private payers. They stay up-to-date with each payer’s policies and regulatory changes, ensuring that your applications meet all requirements the first time. This reduces delays and eliminates the need for repeated resubmissions or additional documentation requests.
- Real-Time Updates: We provide real-time updates on the status of your credentialing applications. From initial submission to approval, our team follows up persistently with payers to ensure progress. If any additional steps are required, we communicate promptly with you to take immediate action.
- Payer-Specific Expertise: Our team is highly knowledgeable about payer-specific rules and requirements, both for national and private payers. This expertise allows us to efficiently handle your credentialing needs and minimize the risk of denied applications. We also make sure your credentials remain current, so you’re never caught off guard by expired certifications or missed revalidation deadlines.
- Proactive Denial Prevention: Credentialing mistakes can lead to delays in reimbursements or denials of claims. To reduce this risk, we proactively address potential issues during the credentialing process. Our team follows a meticulous process, ensuring that all forms are filled out correctly and thoroughly, in accordance with both payer and regulatory requirements.
By providing personalized, proactive, and expert credentialing services for both national and private payers, we help ensure that your practice can focus on delivering excellent patient care without the hassle of complex enrolment procedures. With E Billing Providers, credentialing becomes a smooth, hassle-free experience that benefits your bottom line.
EDI and EFT Setup for National and Private Payers
What We Do:
At E Billing Providers, we specialize in the seamless integration of Electronic Data Interchange (EDI) and Electronic Funds Transfer (EFT) systems for both national and private payers. These systems are critical for ensuring that claims are submitted efficiently and that payments are processed quickly and securely. Here’s how we manage the setup for both types of payers:
- EDI Setup:
- We work directly with clearinghouses and insurance payers to establish a reliable EDI system for your practice. This allows for the smooth transmission of claims and ensures that the data is sent in a standardized electronic format, reducing manual entry errors. Our team coordinates the setup with your Practice Management (PM) and Electronic Medical Records (EMR) systems to ensure that everything is perfectly aligned. Once the system is integrated, we run thorough testing to guarantee that claims are transmitted without errors.
- EFT Setup:
- We also handle the configuration of EFT systems to allow for secure and fast payments directly to your practice’s bank account. This process eliminates delays in paper checks and ensures you receive timely reimbursements from payers.
- By integrating EFT with your PM and EMR systems, we ensure that payments are automatically posted into your system, reducing the time spent manually entering payment information and improving cash flow.
What Makes Us Different:
What sets E Billing Providers apart is our hands-on, in-house approach to the EDI and EFT setup process. Many billing companies simply provide instructions or links to setup resources, leaving the responsibility to the practice. Here’s how we go the extra mile:
- End-to-End Management:
- Our in-house technical team manages the entire EDI and EFT setup process from start to finish. We handle everything, ensuring that your systems are fully integrated and that all technical details are taken care of. From the initial coordination with payers to the final testing and system configuration, we ensure a seamless experience for you.
- System Integration:
- We don’t just send you links or instructions to configure your system. We take responsibility for the full integration of EDI and EFT with your Practice Management (PM) and Electronic Medical Records (EMR) systems. Our goal is to ensure that claims are auto-processed and payments are auto-posted, making the process as efficient as possible. This reduces manual work and the chances of human error.
- Comprehensive Testing:
- We conduct comprehensive testing of both the EDI and EFT setup before it is fully operational. This testing phase ensures that your practice’s systems are properly communicating with the payers’ systems and that everything is functioning as expected. We don’t launch the system until it’s working perfectly, reducing the likelihood of errors that can lead to claim rejections or delayed payments.
- Reduced Manual Errors and Increased Efficiency:
- Reduced Manual Errors and Increased Efficiency:
- By fully automating the process, we significantly reduce the chance of errors that can arise from manual data entry. EDI ensures that claims are transmitted accurately, while EFT enables fast, reliable payments that are automatically posted into your systems. This leads to faster reimbursements, improved cash flow, and a reduction in administrative workload.
- Ongoing Support:
- Even after the initial setup, our team provides continuous support. We ensure that any updates or changes to the payer systems are quickly addressed, and we assist with troubleshooting if issues arise. You can always rely on us to maintain the smooth operation of your EDI and EFT processes.
At E Billing Providers, our goal is to make your billing process as smooth and efficient as possible. By handling the technical complexities of EDI and EFT setup, we enable your practice to focus on providing outstanding patient care while we take care of the administrative and financial processes.
