Guide to Payer Enrollment Success for Provider Organizations

When enrolling providers in CMS and private insurance companies (i.e., payers/health plans), much is out of your control. In fact, at times you might feel like an opponent rather than a team member in helping to provide adequate and competent care for patients. 

Aside from enduring lengthy application processing times and striving to walk a fine line between application status checks and stalking payers, frustration can also stem from receiving a denial from payers when applying for network participation on behalf of providers. However, there are steps you can take to turn that denial around.

In this eBook, you’ll learn:

• What changes are occurring in the healthcare insurance world, and how they affect enrollment

• How enrollment relates to a healthcare organization’s overall revenue/fiscal health  

• Examples of data about the patient population(s) a provider serves, to increase the likelihood of acceptance on a payer panel

• Creative ways, beyond providing additional provider information, that can foster communication between your provider organization and a payer, to decrease denials