Streamline your insurance credentialing process worry-free, hassle-free, services to the provider on the go.
Grow Your Business, Without the Complications.
Health care providers that desire to accept patients with insurance are required to enroll in a process called insurance credentialing. Unfortunately, the process can be a long and complicated procedure but essential if you desire to service a diverse population. We at HLCGA Services understand the frustration that comes with this process, and thus help provide you with the best insurance credentialing services that assist you along the way. There are currently more employees that have health insurance than ever before, once you become credentialed you will be a part of this growing network.
HLCGA Services is a division of Healthy Life Choices, GA which offers full-service counseling. One of the barriers faced when starting Healthy Life Choices, GA was a limited amount of companies offering an all-inclusive service to the provider in need of being credentialed. Unfortunately, when companies were located, they would speak in a condescending tone, which further alienated one from the process. The method was needlessly difficult because of the lack of communication and the many inaccuracies that were experienced doing the application process, not to mention little to any post-follow-up. We made a commitment to never treat anyone the way we were treated which is why we stand behind our pledge to provide hassle-free, worry-free services not only with credentialing but our many other services.
Services We Offer
LMSW/LCSW Study Group
Focused on Efficiency
The time-frame for a single application’s acceptance can be between 90-180 business days, often appealing for a closed panel or additional information can lengthen the time-frame. A single application can take up to 8 hours. Fortunately, we have established helpful processes to ensure that your behavioral health credentialing and contracting happens in the most efficient and timely fashion. Our staff members are trained specifically in how to help therapists and counselors get credentialed, and will handle the entire process from start to execution of your contract.
We help build your business network with many of the major health insurance companies such as Aetna, Allwell, Ambetter, Amerigroup, Anthem Blue Cross, Caresource, Cigna, Espyr, Fei, Humana, Magellan, Medicare, Medicaid, Optum Eap, Peachstate, United Health, Wellcare, and more.
Specialized and Modernized
Complete all application forms, materials, and submissions for the insurance company.
Handle all communication and correspondence with insurance representatives and network management teams.
Setting up EFT, EDI/ERA enrollments (if applicable).
Conduct rate negotiations.
Submit network appeals in the event of network participation denials.
You have questions? We have answers.
Frequently Asked Questions
Simply put, it is how you become eligible to accept insurance.
Becoming credentialed minimizes the cost for your patients in addition to your practice benefiting from the referrals.
- A practice location, that you are not planning on changing during the credentialing process.
- Tax ID Number (EIN).
- State License or Certification that allows credentialing (check with local governing body).
- Malpractice Insurance minimum limits $1 million/$3 million.
- National Provider Number (NPI).
Aetna, Allwell, Ambetter, Amerigroup, Anthem Blue Cross, Caresource, Cigna, Espyr, Fei, Humana, Magellan, Medicare, Medicaid, Optum Eap, Peachstate, United Health, Wellcare, and more.
Our credentialing service fee varies according to the scope and complexity of each situation. There are many factors to consider here, including the degree of difficulty involved for your state and provider type, and the carriers you have selected.