Checklist to Avoid the Top 9 Payor Enrollment Mistakes

#9: Double-check that you’re using the correct form for your provider type. A lot of the forms contain the same acronyms and numbers. Your enrollment request will not be accepted if you do not have the correct form, and you will have to start the process over.

 #8: Go over your provider type form and double-check that all required fields are filled in and that the information is correct. On a provider type form, not every field is essential. It’s difficult to know which ones to complete. If you don’t fill out your provider type form completely, your admittance into the network may be delayed. Take the time to double-check whether a field is essential if you are unsure.

#7: Double-check for grammar and spelling. The folks who are going over your application are not going to give you the benefit of the doubt. Typos, difficult-to-read copies, and sloppy calligraphy might delay your plan acceptance and force you to resubmit your Payroll Enrollment paperwork.

 #6: Make sure all of your supporting documentation are up to date. This is a simple error to avoid and a very common one. Ensure that the accompanying documents are up to date and have not expired. Using outdated documents will cause extra delays and frustration.

#5: Always use legal names in their entirety. Make sure you use the full legal name for your medical practice and the full and complete legal name for the authorized agents and/or signatories when filling out your provider form and submitting supporting documentation. Always keep in mind that you want to make it as simple as possible for the reviewer to check and confirm your information.

#4: Take an active role in the process and respond quickly. Applying for a mortgage loan or refinancing your house is comparable to the Payroll Enrollment process. More paperwork or clarification information will be requested. Make sure you react to their requests as soon as possible. Your request will be refused if you do not respond within the specified deadline. During the review process, you may also run the risk of supporting papers expiring.

#3: Make sure you sign the form and that it is signed by the correct person. This may appear to be a stupid mistake, but it is one of the most common. You don’t want to put in all that effort only to have your acceptance stalled due to a missing signature. Before submitting, double-check all signature pages.

 #2: Confirm realistic processing timescales. It’s critical to confirm deadlines with payors and communicate them to your provider, from contracts through credentialing. It’s critical to set realistic and accurate expectations. Once a carrier receives the application, it typically takes 90-120 days to process it.

#1: Make sure your CAQH account is up to date before beginning the credentialing procedure. A change in status will cause your insurance request to be delayed or rejected. After you’ve created or updated your CAQH account, you should start the payor enrollment process.

The Payor Enrollment procedure at WWS is designed to be as simple and straightforward as feasible for our providers.