Effortless Credentialing and Enrollment Services to Maximize Your Revenue and Efficiency
HBHS offers expert medical credentialing services. We streamline your provider enrollment with payers like Medicare, Medicaid, and commercial insurance, ensuring smooth billing and financial stability. Don’t let credentialing complexities slow you down. Let us handle the paperwork while you focus on what matters most. Our medical credentialing services eliminate the hassle, saving you weeks of repetitive work.
With our centralized approach and expert team, you can:
Medicare and Medicaid: We handle your enrollment, ensuring your practice serves patients under these essential government programs.
DMEPOS Enrollment: Expert support for providers offering durable medical equipment and supplies, ensuring compliance and smooth enrollment.
Outsource your provider enrollment and credentialing needs to HBH Solutions, and let us simplify the process while ensuring your practice stays financially healthy and compliant.
The documents needed for insurance credentialing depend on the insurance provider and the practitioner’s specialty. Some commonly required documents include:
Personal Documents:
Additional Documents:
Legal Entity Documents:
Typically, Medicare enrollment takes about 2 to 3 months for standard providers and allows for retroactive billing. Timeframes may differ by state. For DMEPOS suppliers, the process might take longer due to additional verification, including a site inspection.
A CP575 is an IRS notice confirming a business’s Employer Identification Number (EIN). It verifies that the tax ID application was approved and is often required for Medicare enrollment. If the original CP575 is unavailable, a 147C letter can be requested as a replacement. Only these two documents are accepted as EIN proof by Medicare.
The appropriate Medicare application form depends on the provider’s type. Here are the common forms:
You can find these forms on the CMS website. https://www.cms.gov/
Generally, yes, a service location is required to start credentialing for Medicare. A home address cannot be used as a clinic address. However, a home address can be used for billing and correspondence purposes, provided a physical business location is also listed, even if the clinic is still under construction. Many commercial carriers have similar requirements.
