Happy graduation! Many of you are wrapping up your internship, rocking your thesis, and studying for the RDN exam. Best of luck to all of you—it’s been a long journey! Once you have those RDN credentials behind your name, we’re here to support you in your venture into private practice.
Accepting Insurance at Your Private Practice
We wanted to walk you through basic steps today so that you know how to get set up as an in-network provider. Accepting insurance on behalf of your clients allows you to grow your client base and revenue, and also to see more patients who may otherwise not be able to afford your services.
Credentialing and Contracting
You’ll want to start the contracting and credentialing process for accepting insurance asap—you’ve likely heard that this two-part process can take a long time and here’s why! Several factors draw it out: there are numerous steps and most aren't automated, applications aren't viewed on a rolling basis by the companies, and unpredictable delays crop up along the way. Therefore, take our advice and get things moving in the right direction now.
Initiating credentialing means that you are announcing to the health insurance company or companies in question that you’re a valid, legitimate health care professional. They will proceed to do due diligence to make sure that you are indeed in possession of the credentials you claim to have. More here on the credentialing process.
Once you’re credentialed, the credentialing department will pass your application along to the contracting department. Contracting encompasses the process of setting up an agreement with a health insurance company that clearly defines the scope of responsibilities. This will likely take another 45 to 75 business days. The insurance company may let you know where they are in the process, or they may not. This is where Healthy Bytes steps in and stays on top of your provider status by being regularly in touch with our health insurance contacts.
Learn the Lingo
We’ve demystified insurance jargon for you in an earlier post – bookmark that page and refer back to it often! And be in touch with us here if you have questions, large or small, regarding getting set up with insurance. If you prefer not to go it alone, the Healthy Bytes team is here to help. We’re your insurance experts – let us focus on the paperwork so that you can focus on your clients!
Now while you’re awaiting your contracts to come through, go enjoy yourself and celebrate your accomplishments!
What questions do you have about accepting insurance on behalf of your clients? Please ask us below!