I am the Owner/Administrator of a BHRF in Arizona. We’re not able to apply for an AHCCCS provider number, the States public healthcare plan, because of a moratorium on new providers. This has greatly hampered our efforts to fully open and accept residents into our facility. The only option we have is to target cash payers. How can applying in CAQH database help us in finding billable residents/clients to prevent closing of the business? Does our BHP need to be in the CAQH database for insurance companies to refer residents to our facility?
Hi there and thank you for watching. I’m sorry to hear of the struggles you’re experiencing. CAQH is used by insurance companies when getting providers credentialed. Not all companies use it. To be referred by an insurance company to your business, you first need to be contracted as an organization with each insurance company and then they will put your providers and group in their online directory under your specialty and address. For other referrals from colleagues, you would need to market yourself to other groups in your area so they know about you and your services. Good luck!
Hi, your videos have been incredibly helpful. Thank you! I recently started using CAQH and I’m trying to figure out how I can delete the COI that has expired. Again, I can’t thank you enough for all your help.
I wish I could help you because I know that I have done it before, or at least marked it in active, but it’s been a while since I have been in there and without being able to see it it makes it difficult for me. As long as it’s expired or marked in active and you put a new one in there, it should be fine, thanks for watching!
Hi, I came across your channel on TH-cam and you share some vital information, thank you! I own an independent Ultrasound facility and I am interested in getting my office credentialed with insurance companies in the area(Maryland). I do have a medical director that oversees my office and I guess my question is that is it all his info that I need to put in when creating CAQH? Thank you
Does the Medical Director read the results and do you bill for the readings? If so, then yes he would need to be credentialed with all the insurances you will be billing. To become credentialed, the provider would need a CAQH profile created and/or updated for this purpose. Your company needs to be registered with each insurance as a group and a contract. Then once the Med Director is credentialed and approved with each payer, you need to associate them with the group and contract. Good luck!
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I am the Owner/Administrator of a BHRF in Arizona. We’re not able to apply for an AHCCCS provider number, the States public healthcare plan, because of a moratorium on new providers. This has greatly hampered our efforts to fully open and accept residents into our facility. The only option we have is to target cash payers. How can applying in CAQH database help us in finding billable residents/clients to prevent closing of the business? Does our BHP need to be in the CAQH database for insurance companies to refer residents to our facility?
Hi there and thank you for watching. I’m sorry to hear of the struggles you’re experiencing. CAQH is used by insurance companies when getting providers credentialed. Not all companies use it. To be referred by an insurance company to your business, you first need to be contracted as an organization with each insurance company and then they will put your providers and group in their online directory under your specialty and address. For other referrals from colleagues, you would need to market yourself to other groups in your area so they know about you and your services. Good luck!
Hi, your videos have been incredibly helpful. Thank you! I recently started using CAQH and I’m trying to figure out how I can delete the COI that has expired. Again, I can’t thank you enough for all your help.
I wish I could help you because I know that I have done it before, or at least marked it in active, but it’s been a while since I have been in there and without being able to see it it makes it difficult for me. As long as it’s expired or marked in active and you put a new one in there, it should be fine, thanks for watching!
Hi, I came across your channel on TH-cam and you share some vital information, thank you!
I own an independent Ultrasound facility and I am interested in getting my office credentialed with insurance companies in the area(Maryland). I do have a medical director that oversees my office and I guess my question is that is it all his info that I need to put in when creating CAQH?
Thank you
Does the Medical Director read the results and do you bill for the readings? If so, then yes he would need to be credentialed with all the insurances you will be billing. To become credentialed, the provider would need a CAQH profile created and/or updated for this purpose. Your company needs to be registered with each insurance as a group and a contract. Then once the Med Director is credentialed and approved with each payer, you need to associate them with the group and contract. Good luck!