Credential a dentist with insurance plans

License, NPI and plan applications sorted, so claims are paid from the first patient.

  1. Collect the state license, DEA and NPI numbers
  2. Get proof of malpractice cover
  3. Update and attest the CAQH profile
  4. Send an application to each dental plan you accept. Most people forget this: Credentialing can take 90 days or more, and claims seen before approval are often denied
  5. Chase each plan every two weeks and log the reply
  6. Review the signed participation agreements (Practice owner signs off)
  7. Load the approved plans and fee schedules in the practice software
  8. Tell the front desk which plans the dentist can see from which date (Office manager signs off)

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