InteCare’s New Credentialing and Enrollment Program

Have you ever felt overwhelmed by the seemingly endless task of keeping yourself or your staff up to date with various payor panels? Insurance Companies, Managed Care Companies and healthcare related federal and state Provider requirements have become increasingly more complex. These constant changes greatly impact the medical and behavioral provider community creating a notable increase in administrative time, effort, and overall costs. The consistent question and subsequent request that InteCare has received from our Provider Network is “why can’t there be a centralized place to collect, maintain and distribute all of this information to these payors? I don’t have time for all of this!”

In October of 2014, InteCare did just this, and introduced a new program that provides comprehensive enrollment and credentialing services for organizations. By serving as a “virtual” department of the provider organization, InteCare serves to provide all necessary credentialing and enrollment documentation on behalf of the respective organization to all payor panels that the organization works with. The backbone of this program is InteCare’s BHOLTĀ® Database, which already warehouses comprehensive information on thousands of providers across Indiana and the bordering States as well as the experience and dedication of the InteCare Credentialing team.

The benefits of economy of scale are obvious, but it is also the goal of the program to improve participating organizations prior authorization and claims payment success rates, not to mention to alleviate from clinical staff these administrative burdens that take away from their productivity.

InteCare limited the first group of participants to five Community Mental Health Centers and one FQHC during the initial program roll-out, and plans to add a handful of small groups in the first quarter of 2015 before adding a very large customer in early Spring of this year.

A key feature of the program is to systematically reduce the cost of participating in the program to participants, and once the program generates sufficient revenue to cover the infrastructure cost to InteCare, any excess revenues the program generates going forward will be shared with participants in the form of discounted fees going forward, hopefully beginning the in Spring of 2015. InteCare remains on target in achieving this goal.

While the program is at capacity at present, if you or your organization are interested in participating beginning in the second quarter of 2015, please contact Geoff Buck, CEO, at 317-237-5770 or at GBuck@InteCare.org.