Can't Find A Specialist? Call Your Insurance Company
When you need to have some medical procedures performed, or you have to get a medical opinion, there are some things that you have to consider when choosing a medical professional for your treatment. If you aren't sure how you can find the best and right specialist to meet your needs, and where you should go when your primary care physician can't manage your issues, you can turn to your health insurance company for professional help. The insurance provider has a network of medical professionals they should be able to offer, and so consider the following before making a selection for your specialist of choice.
Check with Your Insurance Provider
One of the best things you can do when you want to find a good medical professional is call your insurance provider. You need to make sure that you only choose one that is in your network, so that you know that the visit will be covered by your carrier, and they will have ratings from previous patients. They also have a credentialing service that can help you make the best decision.
Insurance Credentialing Service
When you want to bill an insurance company because of a visit with a medical professional, they will have a credential verification process. If a doctor you want to go through currently isn't covered, they will have to go through the credentialing process. During this process the insurance company will check things like:
- Education and medical training
- Licensing and certifications
- Personal criminal records
- Years of experience
- Competency
This is a lot of information that you may not have the time to research, and you also may not have the resources needed to get all this information. The insurance company will then determine if the medical professional is quality, and if your appointments and medical services from this professional are covered. Check with companies like Pinnacle Medical Resource for more information about credentialing.
Consultations
Call the offices of the different professionals that you are considering using and ask if you can have an appointment to meet with the doctor in their office, not in a room throughout the day. This way you don't have to pay for an appointment and you can get to know the medical professional to make your choice.
You want to be sure that you feel confident with the person that will be treating you for the issues that you have, and that these medical issues you have are resolved. Start working with your insurance provider to find the best doctor for your situation.
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