The Key to Smooth Insurance Contracting: Organizational Charts & Provider Rosters

Having Everything Prepared Makes Contracting with Insurance Companies Easier

This blog post discusses two often-overlooked items that medical practices need to have readily available when contracting with insurance companies: business organizational charts and provider rosters.

What is a Business Organizational Chart?

A business organizational chart shows the structure of a business, including the roles and reporting relationships of different positions. When contracting with insurance companies, they may request a business organizational chart to understand how your practice is structured. This is especially important for Medicare, Medicaid, and some commercial insurances.

The chart does not need to be complex. It should include the names of the owner(s), providers, and any administrative staff. It should also show how these positions relate to each other. For example, the chart might show that a practice manager reports to the owner/provider.

What is a Provider Roster?

A provider roster is a list of all the providers who are associated with your group contract. This list should include the provider's full name, license number, specialty, and DEA registration number.

Why Are These Items Important?

Insurance companies need to know the business structure of a practice in order to ensure that it is compliant with state regulations. They also need to know the names and qualifications of all the providers who will be seeing patients under the contract.

By having these items readily available, you can avoid delays in the contracting process. You can also demonstrate to insurance companies that your practice is professional and well-organized.

Tips for Creating Business Organizational Charts and Provider Rosters

• Use a professional template or software program to create your charts and rosters.
• Include all of the relevant information, such as names, titles, and contact information.
• Keep your charts and rosters up-to-date.

Conclusion

By taking the time to create business organizational charts and provider rosters, you can make the insurance contracting process go much smoother. These documents will also be helpful for other purposes, such as onboarding new staff and complying with state regulations.

I hope this blog post has been helpful. If you have any questions, please leave a comment below.