Insurance Credentialing

  • Insurance Credentialing

    Posted by Matthew Koontz on May 30, 2023 at 6:23 pm

    I have a new private practice and I’ve been trying to get contracted with insurance companies. The process has been confusing so I’m hoping I can get some advice from you all.

    1. Do you need contracts with each insurance company in order to submit a claim to that company? If not, how can you tell which insurance companies you can submit to?

    2. What is the situation with blue cross, blue shield, and blue cross blue shield being associated with multiple insurance companies while also being a separate insurance company on its own? It seems like taking Premera blue cross does not mean I’m in network with other BC, BS, BCBS companies like Regence blue shield.

    3. Do you all list the insurance you take on your website or simply have prospective patients submit their insurance information for verification?

    4. Is there an easier way to check a patients nutrition benefits other than calling (Availity does not seem to show nutrition specific information so I’ve called each time).

    Matthew G. Koontz MS, RD
    Dietitian Consultant & Clinical Herbalist
    Matthew Koontz replied 1 year ago 1 Member · 0 Replies
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