Credential a dentist with insurance plans
License, NPI and plan applications sorted, so claims are paid from the first patient.
- Collect the state license, DEA and NPI numbers
- Get proof of malpractice cover
- Update and attest the CAQH profile
- 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
- Chase each plan every two weeks and log the reply
- Review the signed participation agreements (Practice owner signs off)
- Load the approved plans and fee schedules in the practice software
- Tell the front desk which plans the dentist can see from which date (Office manager signs off)