FAQs
| Aetna | Blue Coss BlueShield | Humana |
| Medicare HMOs | Kempton | Amerigroup |
| Champus | Great West | Medicaid HMOs |
| TriCare | HealthCare Highway | Cigna |
| Guardian | HealthSmart | United Healthcare |
| Community Care | Coventry | Medicare |
| OHCA | Preferred Community Choice | Triwest |
| Global | OSMA | Multiplan |
| Integris Health Partners |
Currently, we have chosen to specialize in provider enrollment and credentialing services. This allows us to provide highly skilled support for your practice. We work with a few experienced billing companies that we are very comfortable sharing with our clients.
Currently, we have chosen to specialize in provider enrollment and credentialing services. This allows us to provide highly skilled support for your practice. We work with a few experienced billing companies that we are very comfortable sharing with our clients.
The completion for provider enrollment depends on many factors, including:
- Are you a new provider and enrolling for the first time
- Are you an established provider adding a new Tax ID or location
- Have you set up a CAQH number and access yet?
- Do you have an NPI?
- Do you have a Medicare number?
- How many plans are you enrollng in?
The choice to see patients prior to completing the enrollment process is your choice. However, one important thing to keep in mind is that you will have to bill your patients as a non-participating provider. This means the patient is subject out of network benefits or they may be responsible for up to 100% of your fee. The practice has to weigh the risks and benefits of taking this on for three to four months in some cases.
Berkeley Associates is celebrating 25 years as a results-driven credentialing company. We use our decades of experience to responsibly manage compliance issues like yours—as they occur. And, because we understand urgency, our associates are standing by to provide you the support you need when you need it most.
Our Credentialing Specialists work as a team to manage your credentialing and contracts, and place the highest premium on responsiveness and clear communication. We provide up-to-date status reporting via our proprietary credentialing software while contracting so you are always current and confident in your compliance.