Our Behavioral Health Credentialing Service Includes:

• • Accurate Patient Data Capture & Insurance Verification: We ensure accurate registration of patient data and verify insurance coverage, preventing delays or denials related to patient eligibility.

  • Pre-Authorization & Eligibility Verification: Our team ensures all necessary pre-authorization requirements are met and confirms insurance eligibility, minimizing the risk of claims being delayed or denied due to missing approvals.

  • Medical Coding & Documentation: We provide precise coding and thorough documentation to ensure that all services are correctly billed and compliant with payer requirements.

  • Charge Entry: We accurately enter all charges for services rendered, ensuring timely and correct billing to maintain smooth cash flow.

  • Claim Submission: We submit clean, well-prepared claims electronically to insurance payers for faster processing and minimal delays.

  • Payment Posting: Our team posts all insurance and patient payments promptly, ensuring your financial records are accurate and up to date.

  • Denial Management: We proactively manage denied claims, investigating the reasons for denials and appealing to recover any lost revenue.

  • Accounts Receivable (AR) Management: Our AR management ensures that outstanding balances from patients and payers are addressed quickly, minimizing the risk of aging receivables.

  • Patient Billing & Collections: We handle patient billing and collections with clear communication, offering flexible payment options to ensure timely payments.

  • Reporting & Analytics: We provide detailed performance reports, offering you insights into your revenue cycle and identifying areas for improvement.