Credentialing

Credentialing, the crucial part of RCM that enables provider to be eligible for getting paid for the services rendered and also aids patient to utilize the insurance coverage. It is important for each physician to be enrolled and credentialed with maximum payers that will eventually increase the number of patients visit them.

The process of credentialing involves more paper works like form filling, submitting the necessary documents along with persistent follow up with payer.  Aura works seamlessly to get this done right the first time with its vast experience

• Adding a brand new practice in payer records.
• Enrolling a practice/provider from out of network to in-network
• Affiliating a new physician to a existing group practice
• Changing a sole owner practice into a group practice
• Updating the group practice specialty from single to multispecialty.
• Change of TAX id / NPI or Practice Location
• Addition of new location
• Yearly maintenance of credentialing

Enrollment

Thanks to the advancement of Technology, almost every single payer is accepting 837 files now and delivering 835 ERAs. This almost makes the RCM, a paperless process. EDI and ERA enrollment not only saves time and money, but also helps for error free transactions with least manual work.

Aura has successfully done EDI and ERA enrollments for 1000+ practices with 15000 payer – provider combinations for its clients.