Credentialing and Enrollment - Alliance Behavioral Healthcare 2025

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Timing: Provider credentialing is typically done before a healthcare provider is allowed to participate in an insurance network, while provider enrollment is done after a healthcare provider has been approved to participate in an insurance network.
While credentialing is the process to certify a providers qualifications to practice medicine, payer enrollment is the process of requesting participation in a health plan network, including commercial payers such as Humana and Aetna and government programs such as Medicare and Medicaid.
Alliance Health provides Medicaid beneficiaries with behavioral health, intellectual/developmental disability (I/DD) and traumatic brain injury (TBI) services to meet their needs.
Authorize Services Rendered: Provider enrollment confirms insurance companies or payers agree to the scope of services rendered by a particular healthcare provider. Credentialing verifies the provider has the education and experience to render these services.
Types of credentialing Personal Credentialing. Political Credentialing. Paperless Credentialing.

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Alliance Health Life Insurance Co operates as an insurance company. The Company provides health insurance services. Alliance Health Life Insurance serves customers in the United States.

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