Frequently Asked Questions

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.

How long does it take to become credentialed provider?

If you are using WCH credentialing application the process can be completed within 3 month after submitting your application to the insurance.

Can I begin seeing patients without completing credentialing process with insurance company?

Yes and No, Depending on the patients insurance plan and benefits. Each patient has a unique health plan coverage which 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 majority insurance prefer to pay to contracted providers.

What does credentialing process entails?

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.

What happens when the insurance returns the application back?

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

For how long the credentialing contract exits between insurance and doctor?

Once the credentialing application is approved the doctor is considered a participating provider. Every 3-4 years insurance company will send recredentaling documents to the provider office to update the current information they have on file.  The process takes between 30 to 60 days. Its important not to miss your credentialing deadline, otherwise your contract with insurance could be cancelled. If you are using our credentialing services we will inform you of your upcoming re-credentialing dates.

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

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

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.