… what is it?
As health systems grow larger, increasing numbers of providers are being credentialed with insurance carriers under what is known as Delegated Credentialing. This is a process whereby a credible and proven organization is given authorization by a specific insurance carrier to perform in-house credentialing. Camden Healthcare Network has earned this Approval for Delegation for all major Payers in its service area. And we are the only physician-owned IPA group in our area who can provide this service. This authorization includes an Agreement by the carrier to accept all claims as in-network from any in-house credentialed provider (Member). Once approved for membership, your enrollment into our Payer Contracts begin automatically.
... why is it important?
Credentialing can be complicated and takes time and experience to get it right the first time. CHN provides payer credentialing services to assist you in getting established quickly and correctly. And it allows you to spend more quality time with your patients while getting paid for your efforts. More specifically, it ...
- Reduces turnaround time for network participation (enrollment)
- Helps manage significant volume of providers
- Allows more timely reimbursement from payers
- Reduces resources for provider enrollment
- Increases staff, budget, and time efficiencies
- Provides contracting leverage
- Accommodates network growth
- Increases practitioner and patient satisfaction
... what is the Revenue Effect?
Delegated credentialing substantively impacts the processing time required to credential a provider for work in a private practice. Lapses in network participation can be avoided allowing payments to commence sooner.
