Provider Data Management

Guide to Payer Enrollment Success for Provider Organizations

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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.

You will learn

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

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