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How Do Hospital Privileges Relate to Insurance Credentialing?

February 4, 2026 / admin /

Hospital privileges and insurance credentialing are separate but related processes. Hospital credentialing grants permission to admit and treat patients at that facility, while insurance credentialing allows billing that insurer for services. Many insurance companies require active hospital privileges as part of their credentialing criteria, viewing hospital affiliation as validation of clinical competence. Loss of hospital […]

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How Do You Handle Patients Who Cannot Pay Their Medical Bills?

February 4, 2026 / admin /

Managing patient collections requires balancing financial needs with patient relationships. Options include offering payment plans with manageable monthly installments, providing financial assistance programs for qualifying patients, negotiating reduced lump-sum settlements, or referring accounts to collection agencies as a last resort. Clear communication about financial responsibility before services, transparency about costs, and compassionate but persistent follow-up […]

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How Do You Handle Coordination of Benefits When Patients Have Multiple Insurance Policies?

February 4, 2026 / admin /

Coordination of benefits (COB) determines which insurance pays first (primary) and which pays second (secondary). The birthday rule typically determines order for dependent children, with the parent whose birthday falls earlier in the calendar year being primary. For spouses, each person’s own insurance is usually primary for themselves. Claims must be submitted to the primary […]

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What Insurers Have We Worked with in the Past?

July 25, 2017 / admin /

Medwave Billing & Credentialing and its educated team of experts have worked with multiple commercial and government insurances. We’ve worked with the following insurers: Aetna AARP Align Network Amerihealth Anthem BCBS Assurant Health CHIP Cigna Consumers Life Insurance Company Coventry One Freedom Blue Geisinger Health Plan Health America Health Net Highmark BCBS Horizon BCBS Humana […]

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  • Medical Billing Modifier Errors - Black Male Billing Expert

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  • CAQH Credentialing Expert at Machine, White Woman

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  • FAQ: Provider Credentialing Speed and Process

    FAQ: Provider Credentialing Speed and Process

  • MRI, Radiology Medical Billing, Credentialing

    Which CPT Codes are Used in Radiology Billing?

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Home Health
  • Urgent Care
  • Radiology
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Orthopedic & Rheumatology
  • Genetic Testing
  • Geriatric Medicine
  • Pharmacogenetic (PGx)
  • Fertility Preservation
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics & Specialty Drugs
  • Telestroke & Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Home Health
  • Urgent Care
  • Radiology
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Orthopedic & Rheumatology
  • Genetic Testing
  • Geriatric Medicine
  • Pharmacogenetic (PGx)
  • Fertility Preservation
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics & Specialty Drugs
  • Telestroke & Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • Modifier 25 in Medical Coding

    How to Use Modifier 25 Correctly

  • Payer Contract Analysis Female White Expert

    How Long Does Payer Contracting Take?

  • Medical Billing Modifier Errors - Black Male Billing Expert

    Are Modifier Errors Driving Up Claim Denials?

  • CAQH Credentialing Expert at Machine, White Woman

    CAQH Work History Mistakes: How to Handle Employment Gaps

  • FAQ: Provider Credentialing Speed and Process

    FAQ: Provider Credentialing Speed and Process

  • MRI, Radiology Medical Billing, Credentialing

    Which CPT Codes are Used in Radiology Billing?

  • CAQH Profile Current -- Two Doctors

    Common CAQH Application Mistakes

  • Telehealth Credentialing: Pretty, Black Female Credentialer

    Case Study: A Six-State Telehealth Credentialing Challenge

  • Doctors Adopting Value-Based Care

    How Value-Based Care Reimbursement Works for Clinics and Hospitals

  • White Male Medical Doctor Looking at Healthcare Regulatory Updates

    Regulatory Deep Dives: Managing Healthcare Policy Changes

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