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Credentialing Application
WELCOME TO PROVIDER CREDENTIALING APPLICATION.

WCH Service Bureau - credentialing application eliminates the need for the healthcare provider to complete multiple insurance credentialing applications. From our years of experience in the healthcare industry we know that the importance of provider credentialing lies in the correct submission of a credentialing application, necessary paperwork and tracking provider credentialing applications along with the enrollment process of the insurance credentialing department side. The process of insurance credentialing requires a lot of patience and is time consuming, in which many practitioners may always be available. Our credentialing application is the most efficient and is qualified to handle your credentialing process.

OUR SIMPLIFIED APPROACH – “FILL OUT ONCE - USE ALWAYS AND EVERYWHERE”
  • The application enables to enter your provider credentialing information online.
  • User completes one application/profile rather than multiple insurance credentialing applications.
  • Maintenance of profile is accessed by user id and password.
  • Questions asked on the profile are customized in accordance with the section on the insurance credentialing application.
  • User can jump back and forth between pages.
  • Answer only those questions that correspond to your practice and provider type.
  • Online profile tracks expiration dates of your professional certificates and sends out alerts of upcoming expirations.
  • WCH verifies credentialing application profile and gets in touch with the user for any additional information.
  • Complete profile, select insurances for your practice and let WCH credit you on your behalf.
CAPABILITIES OF THE APPLICATION:

Complete online
Complete online
Modify and preview data on your certificates
Modify and preview data on your certificates
Request paper/HTML/PDF version of your applications submitted application
Request paper/HTML/PDF version of your applications submitted application
Request credentialing application to be added to database
Request credentialing application to be added to database
Print eligibility info directly from the site
Print eligibility info directly from the site
Monitor track dates of your certificates
Monitor track dates of your certificates
Get most up to date insurance credentialing applications
Get most up to date insurance credentialing applications
Track progress of each submitted application
Track progress of each submitted application

Note. If you don't see the required insurance below please contact us.

  1. 1199 Member Choice-Provider Credentialing Application
  2. Allied Health  Professional
  3. Amerigroup
  4. AppOne-Universal Application (Aperture)
  5. Devon Health Services
  6. FidelisCareNY
  7. GHI  Medical Provider Application
  8. Health Plus Physician
  9. HealthProviders
  10. Magnacare
  11. Medicaid Dentist
  12. Medicare Physician NEW
  13. Medicare Reassignment
  14. Medicare-Provider_Supplier Enrollment Application
  15. MetroPlusInc
  16. MultiPlan
  17. New Jersey Medicaid Indiv.
  18. New York Neighborhood
  19. New York Elderplan
  20. New York  Medicaid Group
  21. New York Medicaid Podiatry
  22. New York Medicaid Psychologist
  23. New York Medicaid Therapist
  24. Preferred Individual Practitioner Application
  25. QualCare-Application For Physician Participation
  26. Standard Physician Application Form
  27. Standart Physician Application
  28. The First Health Network
  29. Tricare Provider File Application
FREQUENTLY ASKED QUESTIONS
1. Is it difficult to use the credentialing application software?

Not at all! Our credentialing software is user friendly and is designed with you in mind. Instead of spending days completing insurance applications, our credentialing software allows you within twenty minutes to generate multiple applications. WCH cares and wants to give you time back to concentrate on what you love to do best: care for your patients.

2. How long does it take to become a credentialed provider?

If you are using the WCH credentialing application, the process can be completed within a three month frame after submitting your application 
to the insurance.

3. Can I begin seeing patients without completing the credentialing process with an insurance company?

This depends on the patients’ insurance plan and benefits. Each patient has a specific health plan coverage that delegates the reimbursement and eligibility requirements. Nevertheless, the doctor is financially responsible for seeing the patient prior to checking patient benefits and insurance credentialing requirements. From our experience, we can say that the majority of insurance companies prefer to pay contracted providers.

4. What does the credentialing process entail?

The credentialing process involves gathering of documents, completing correctly applications, mailing the package, numerous phone call for follow up status, site visit and all other additional hassles that comes with insurance credentialing compliance process: which can take normally from 3 months and with delays up to 8 months. It becomes vital to choose the right company for the job.

5. What happens if the insurance company returns the application back?

Insurance companies return the applications back to providers for different reasons, mainly due to missing documents, incomplete application or the inability to adequately verify the information specified by the doctor. Upon receiving the returned application, the provider is required to provide the insurance company with the necessary documentation within a given time frame. In many cases, the provider is required to complete a new application and resubmit it for process.  Having an experienced company like WCH completing the credentialing process on your behalf will reduce the unnecessary work, saving time and money for you.

6. How long does the credentialing contract exist between the insurance companies and doctor?

Once the credentialing application is approved, the doctor is considered a participating provider. Every three to four years, the insurance company will resend the credentialing documents to the office of the provider to update the current information that they have on file. The process takes between 30 to 60 days. It’s important not to miss your credentialing deadline; otherwise your contract with the insurance company could be cancelled. If you are using our credentialing services, we will inform you of your upcoming re-credentialing dates.

7.  Are insurance applications listed on this site standard for all states?

No, not every insurance company provides the same applications for all states. It is important to contact insurance companies in your state to request the appropriate application. By choosing the Package III billing plan, we will gather the necessary applications for your practice location and submit them 
directly to you.

8. Can an application submitted guarantee acceptance into the insurance network?

No, submitting application to the insurance does not provide guarantee that insurance will accept provider into the network. Before submitting the application it is important to find out if the panel is open for the provider specialty. Once the confirmation has been received the provider can submit application. If you are just starting out your practice or just need assistance with contacting the insurances, feel free to choose Package III – V.


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Need Help
Medical Billing Assistance
Phone: (718)312-8068
QR Codes of our services
qr_wchsb
qr_credentialing
qr_insurance
Shabbat Time
Shabbat is the seventh day of the Jewish week and a day of rest in Judaism.