InfiCare credentialing experts will complete each application in full and submit the application to the respective insurance companies. After submitting the application, we will follow-up with each insurance company for status information on a periodic basis. We will submit status reports on your application process to your office on a bi-weekly basis.

From application to approval, the credentialing process can average 60-180 days, depending on the insurance company.

• Enters ODI information and catalogs that require documents.
• Sets up files with the corresponding insurance companies listed.
• Contacts the insurance companies and completes the required paperwork to begin the credentialing process.
• Sets up a credentialing spreadsheet; tracking the progress of obtaining provider numbers and effective dates of contracts.
• Applies for NPI and CLIA numbers, applies for DME license if requested, registers for CAQH, queries the National Practitioner Data Bank.
• Has very good relations established with the carriers which impacts the timeliness of the progress of credentialing. There is a continuous follow-up with the insurance carriers until provider numbers are obtained.
• Tracks the progression of obtaining a copy of the executed contract once all is final. Reviews the contract reimbursement amount and notifies the billing department of this significant payment information.
• Sets up procedures for adding a physician.
• Sets up procedures to notify carriers if there is a change of a “Tax ID Number”, address and/or billing location.
• Sets up credentialing process for
  • Nurse Practitioners
  • Physician Assistants
  • Occupational and Physical Therapists
  • Nurse Midwifes