Medical Billing Forum

General Category => General Questions => : robhwood April 17, 2011, 11:49:48 AM

: Getting Credentialing Help
: robhwood April 17, 2011, 11:49:48 AM
Hi

I am a fully licensed Marriage and Family Therapist working for a state agency. I want to start doing some private practice on the side perhaps even move completely to private practed.

I not only need help getting my CAQH number but also getting in network with two key insurance companies- Tricare and United Healthcare.

I know you guys provide credentialing help with CAQH but do you also provide help with private insurance? I don't want this getting out locally until I actually start working part time in private practice because our agency administration has not exactly been pleased with previously licensed staff seeking credentialing in the past.

Thanks
: Re: Getting Credentialing Help
: QueenAlicia April 18, 2011, 06:16:58 PM
Have you called Tricare directly to find out what they may need?  Also there are different divisions of tricare.  I have tricare insurance and I know it is different from other insurances.
: Re: Getting Credentialing Help
: Michele April 19, 2011, 10:01:15 AM
We do have someone that can help you with CAQH and private insurances.  You can email her at pam-solutions@cnymail.com

: Re: Getting Credentialing Help
: ABSLLC April 19, 2011, 10:12:02 PM
One thing to remember with United Healthcare, in my area anyway, is that you need to be credentialed with United Behavioral Health, not UHC. 
: Re: Getting Credentialing Help
: rdmoore2003 April 20, 2011, 11:25:30 AM
with UBH, you must go to their website and input your information to find out if they are credentialling in your area.   I just had to do this!!!!   With Tricare, there are approx. 3 steps to getting final credentialling status.  It takes a little bit with Tricare, because they do complete and thorough background checks, (just did this too).

What state are you in?