WCH Service Bureau WCH Service Bureau
  • Services Services
    • Medical Billing
    • Provider Credentialing
    • Medical Auditing
    • Real-Time Eligibility
    • MIPS Support
    • Webinars
    • Practice Analysis
  • Products Products
    • Credentialing Application ©
    • iSmart EHR ©
    • PMBOS ©
    • Time Management Program
  • WCH Franchise
  • Company
    • Contact Us
    • About
    • Our Offices
    • Careers
  • Media Media
    • WCH Insights
    • WCH Blog
    • Healthcare News
    • WCH News
  1. Home
  2. > Products
  3. > CredentialingApplication
Phone: 888-924-3973 Subscribe Pay Now iSmart Login Technical support

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. The process of insurance credentialing requires a lot of patience and is time-consuming, which many practitioners may not always have available. Our credentialing application is the most efficient and is qualified to handle your credentialing process.

WCH SErvice Bureau

Our simplified approach –

“fill out once - use always and everywhere”

WCH SErvice Bureau
  • +
    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
WCH Service Bureau Modify and preview data on your certificates
WCH Service Bureau Request paper/HTML/PDF version of your applications submitted application
WCH Service Bureau Complete online
WCH Service Bureau Monitor track dates of your certificates
WCH Service Bureau Get most up to date insurance credentialing applications
WCH Service Bureau Print eligibility info directly from the site
WCH Service Bureau Request credentialing application to be added to database
WCH Service Bureau Track progress of each submitted application
Available insurances
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
Question
  • plus minus
    Can you help with credentialing with closed panels?
    Complexities with closed panels are to be settled on a “case-by-case” basis. Over the years, we have learned to navigate difficult cases such as closed panels. It is true that with thousands of new medical professionals graduating every year, there is not enough space at insurance to credential everyone. Clients that hire WCH team to handle such case are assured that our credentialing specialists will use all available resources: contacts, evaluation of practice location region, database of participating providers in the area and apply our knowledge and expertise to help our clients get into closed panels.
  • plus minus
    How long does it take to complete the credentialing process?
    WCH can complete the credentialing process for new providers within 90 days, for established providers that are making any changes within 60 days, for facility enrollment up to 180 days.
  • plus minus
    Can I begin seeing patients without completing the credentialing process with an insurance company?
    It 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 provider is financially responsible for seeing the patient before checking patient benefits and insurance credentialing requirements. From our experience, we can say that the majority of insurance companies prefer to pay contracted providers. Talk to us before making your decision. We can help to create a timeline and structure that will give you a possibility to get payments for your work.
  • plus minus
    Will I work with a specific specialist in Credentialing Department of WCH?
    Yes, you will have assigned credentialing specialist that will be the primary person for communication between you and insurance company. You will be able to speak with the Credentialing Department Supervisor and Manager.
  • plus minus
    What happens if the insurance decides to reject application during the final review or reject an appeal?
    We do not stop even there is a rejection of an appeal or new enrollment. Our job is to get our client enrolled with insurance. Several steps that can be done to request reconsideration or second-level review. We have the experience to handle rejected cases in enrollment and second level appeals to help our clients to become accepted by the insurance.
  • plus minus
    Can a submitted application guarantee acceptance into the insurance network?
    No, submitting an application to the insurance does not provide a guarantee that insurance will accept provider into the network. Before submitting the application, it is crucial to find out if the panel is open for the provider specialty. Once the confirmation has been received, the provider can submit an application.
  • plus minus
    Do you recommend joining IPA or seek contracts directly?
    Our experience has shown that direct contracts are the best option for providers. However, considering the closure of plans for certain specialties, the amount of time it takes to complete one application to join insurance, IPA sometimes can work better for practice. However, we consult our clients always to go directly. IPA should be a last resort for healthcare providers.
  • plus minus
    If I have pending malpractice cases, should I disclose to the insurance?
    Yes, all pending cases or any type of open/closed case must be disclosed to the insurance company during the credentialing process. CAQH must also reflect your most updated information. Supporting documents for each must be attached to demonstrate the details.
ALREADY WITH US ?
CHECK YOUR CREDENTIALING STATUS ONLINE
go to credentialing login page

WCH News

September 15, 2023
Charting Your Path to a Successful Medical Practice: Guidance from WCH
For medical providers venturing into the world of private practice, the journey begins with crucial decisions that set the course for their business. One of the most pivotal choices is det...
September 15, 2023
Insurance Company Letters: The Importance of Professional Consulting
Receiving a letter from an insurance company can often be a daunting experience for healthcare providers. These letters can encompass a wide range of topics, from audit requests to clarifi...
September 08, 2023
Finding the Right Billing Company: Key Steps for Practice Growth
For many healthcare practitioners, the quest to find the ideal billing company is a critical step in ensuring practice growth and financial success. Doctors often wonder how to identify th...
September 01, 2023
The Power of a Second Opinion in Medical Billing
In the world of healthcare, seeking a second opinion is a common practice when it comes to our physical well-being. We rely on professionals to provide us with accurate evaluations and tre...

Healthcare News

September 15, 2023
Changes in Pharmacy Enrollment: Medicaid Compliance and Medicare Approval
Changes in pharmacy enrollment requirements have significant implications for providers, particularly in states like New York and potentially others. These changes necessitate a shift from...
September 08, 2023
Buying vs. Starting a Durable Medical Supply Company: A Strategic Perspective
For business entrepreneurs venturing into the world of durable medical supplies, a common dilemma arises: Should you buy an existing DME (Durable Medical Equipment) company or start a bran...
September 08, 2023
The Complexity of CCM and RPM Billing: Understanding Insurance Company Policies
Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) services have become essential components of patient care and revenue generation. However, the path to reimbursement for these...
September 01, 2023
Demystifying Medicare Enrollment: What Providers Need to Know
Medicare enrollment is a fundamental step for healthcare providers looking to serve the senior population effectively. However, the process can seem daunting, with numerous requirements and st...

Ready to start?

Contact Us
linkedin
⟶ let's start
WCH Service Bureau
Payment options
WCH Service Bureau WCH Service Bureau WCH Service Bureau WCH Service Bureau WCH Service Bureau
Pay Now
Services
  • Medical Billing
  • Provider Credentialing
  • Medical Auditing
  • Real-Time Eligibility
  • MIPS Support
  • Webinars
Products
  • Credentialing Software ©
  • iSmart EHR ©
  • PMBOS ©
  • Time Management Program
Company
  • About
  • Contact Us
  • Careers
News
  • WCH Insights
  • Healthcare News
  • WCH News
Support
  • Feedback
  • Technical Support
  • Privacy Policy
888-924-3973
3047 Avenue U, Brooklyn New York 11229
Fax: 347-371-9968
Follow us:
2023 WCH Service Bureau, Inc.® | Web Design and Programming by WCH Service Bureau, Inc.® | Privacy Notice
Can I help you?
Anna
Anna
Administrative Assistant
Hi, what service does your question relate to?
Medical Billing
Provider Credentialing
Medical Audit
Franchising
PMBOS
iSmartEHR
Eligibility
MIPS Service
Other
What are you interested in?
Let me help you.
Please, leave your contact details and we will answer your question.
Would you like to receive SMS text messages and Emails from us?
You can opt out at any time by replying
STOP to text message.
Message rates may apply.
Thank you for your request, we will respond as soon as possible.
Let us Help You

Dear Provider,
WCH can help your practice in your credentialing needs! Using a credentialing specialist with the knowledge, expertise and connections that can help position your practice ahead of time. Let us help you today! During credentialing process WCH becomes your external credentialing department for all communications, submissions, follow up and any other questions that will come up during the process.

WCH Specializes in:

  • All individual Medical specialties
  • Mobile IDTF
  • Single & Multispecialty Groups
  • Urgent Care, Labs, DME, Pharmacy
  • Article 28, 32, 31
  • Revalidation, Reinstatement &
  • Exclusion
We help Providers in All States! WCH provides Clarity, Comfort and Security in your Practice.
Would you like to receive SMS text messages and Emails from us?
You can opt out at any time by replying
STOP to text message.
Message rates may apply.
Let us Help You
Wch SErvice Bureau

Medical billing services offered by WCH Service Bureau go far beyond the usual understanding of billing.

 

What we offer is not just excellent professional billing and collection services. We also stand as guardians of your reimbursement and compliance with federal, state laws and regulations as well as private insurance policies and procedures.

 

Do it right! Do it with WCH!

Would you like to receive SMS text messages and Emails from us?
You can opt out at any time by replying
STOP to text message.
Message rates may apply.
Let us Help You
Wch SErvice Bureau

Periodic medical chart auditing is vital for any healthcare provider and medical practice. Let the professionals evaluate your coding, billing, and documentation practices! Our auditors are AAPC-qualified CPMAs (Certified Professional Auditors) and CPCs (Certified Professional Coders). We perform comprehensive Chart Auditing. We can do the following services for you:

  • Identify areas of risk leading to upcoding or downcoding and medical coding accuracy;
  • Ensure that coding practices are compliant with the regulations set forth by private and government payers;
  • Evaluate Incident to guidelines and services performed on collaborative premises;
  • Perform Analysis of Denials/Duplicate billing /Appeal process/Modifier usage;
  • Review Front Desk work including but not limited to: Eligibility verification/Benefit maximums verification/Excluded services verification/Authorization process/Patient responsibility (deductibles, copays, coinsurance)/Coordination of benefits;
  • Evaluate Insurance plans participation and consistency of contracted rates;

Do it right! Do it with WCH!

Would you like to receive SMS text messages and Emails from us?
You can opt out at any time by replying
STOP to text message.
Message rates may apply.
Try WCH PMBOS
Would you like to receive SMS text messages and Emails from us?
You can opt out at any time by replying
STOP to text message.
Message rates may apply.
Request information
Would you like to receive SMS text messages and Emails from us?
You can opt out at any time by replying
STOP to text message.
Message rates may apply.
Perfect! Please fill in the form

What service does your question relate to?

Would you like to receive SMS text messages and Emails from us?
You can opt out at any time by replying
STOP to text message.
Message rates may apply.
Let us Help You
Wch SErvice Bureau

Do it right! Do it with WCH!

Would you like to receive SMS text messages and Emails from us?
You can opt out at any time by replying
STOP to text message.
Message rates may apply.
REQUEST FREE DEMO
Planned number of Providers : *
Specialty : *
Job Role : *
Would you like to receive SMS text messages and Emails from us?
You can opt out at any time by replying
STOP to text message.
Message rates may apply.
Perfect! Please fill in the form
Perfect! Please fill in the form
Have any questions? Please contact us practiceanalysis@wchsb.com
Leave us a feedback
 
Thank you
for your feedback!
Wch SErvice Bureau

Thank you for your interest in our company!
Our team will process your request and will respond as soon as possible during regular working hours.

Subcribe
Subcribe Subcribe
 
Our site uses cookie.

This site uses cookies for analytics, personalization and advertising. By continuing to browse it, you agree that we use of cookies. To find out more or change your cookie settings click here.