pF DENTAL CONSULTING
Professional
dental Credentialing Service
Dental practices must get credentialed in order to participate with a wide variety of insurance providers and their specific plans. Insurance providers include HMO, PPO, DMO, DHMO, Medicaid and within each type, there are several insurance providers. Not only that there are many different plans offered by insurance providers.
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- 830-481-7216
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About Us
Dental Credentialing?
Dental credentialing is vital when verifying a dentist’s professional record. This includes verification of the dentist’s career, education, training history, malpractice history, license verification and so on. Whenever a dentist applies for practice within a dental office, they are required to complete an application with important details that are asked for.
Services
The provider’s documents
required for verification are:
01.
SCHOOL INFORMATION
02.
BOARD CERTIFICATIONS
03.
MALPRACTICE
04.
LICENSE
05.
CURRICULUM VITAE
06.
COACHING
PROVIDER ENROLLMENT
Understanding the Credentialing and Contracting process is critical to the financial success of your practice.
GENERAL DENTAL
Provider Enrollment often more than three months to complete. Keep in mind that the plans don’t retroactively date to your enrollment. Claims filed prior to the contract effective date will be denied or paid at an out of network rate for the services provided.
GENERAL DENTAL
Most insurance companies require healthcare providers to be contracted. Out of network or non-contracted providers are usually denied payment. If you are paid it is typically at a rate of 50% of fee schedule, leaving your patients with substantially higher out of pocket costs.
GENERAL DENTAL
You will suffer significant costs by anticipating payments for professional services prior to the finalization of the Credentialing and Contracting process. Don’t wait – Get started now