Administration
Tasks vary depending on the client's needs and requests but most often include obtaining patient eligibility and benefits, provider credentialing, and contracting the provider with requested insurance companies.
Eligibility and Patient Benefits
ANO-RCM uses multiple platforms to retrieve patient benefit information on behalf of your practice. Eligibility and benefits are delivered daily according to each client's contract terms, ensuring your team has accurate coverage information before each patient encounter.
Provider Credentialing
ANO-RCM manages both individual and group credentialing. Our services include initial credentialing, re-credentialing maintenance, and quarterly CAQH attestation updates.
Supported insurance companies include:
- Medicare
- Medicaid
- Blue Cross Blue Shield
- United Healthcare
- Humana
- Aetna
Insurance Company Contracting
Following credentialing, ANO-RCM handles the establishment of contracts with insurance companies, including rate negotiation and ongoing renewal monitoring to ensure your agreements remain current and competitive.