FAQ for Network Participation
Q. How do we request participation in WRHN?
A. Request a pre-application package via our web site “contact us” form or submit a letter on clinic letterhead to: WRHN, P.O. Box 27677, Salt Lake City, UT 84127, or fax the same to 801-942-5955 atten: WRHN.
Q. How long does it take to complete the credentialing process and be placed on payer panels?
A. Credentialing is initiated upon the receipt of a signed network contract and completed credentialing application from each provider and takes approximately 45 days.
Q. Can you retro the effective date to cover patients we are currently seeing.
A. No. The effective date of participation will be the first of the month following the completion of the credentialing process.
Q. How do you determine the need for additional providers in any geographic area.
A. WRHN uses a Geo-Access program to determine the need for additional providers based upon specialty or geographic need.
Q. What happens if you do not need additional providers in my area at this time?
A. Requests for participation are placed on a waiting list in chronological order of receipt. We review all areas periodically and if it is determined we have a need for an additional provider, the invitation to participate is sent to the provider next in line.
Q. Why do you charge dues and credentialing fees?
A. WRHN is an independent therapy network and our providers maintain the costs of operating the network and providing administrative overhead for our network operations.
Q. Do you require participation in all payer contracts?
A. No, our clinics have the ability to “opt in or out” of any payer contract negotiated by the network on their behalf.
Q. Do we have to submit our claims to the network?
A. No. Our clinics submit their claims directly to our contracted payer claim administrators.
Q. Do you charge a per claim or date of service administrative fee?
A. No. Our members pay annual dues and credentialing fees only.
Q. How do I find out what the dues and credentialing fees are?
A. Submit a request for pre-application and the dues and credentialing fees will be included in our reply.
Q. Who do I speak with regarding claims being paid incorrectly if I participate in the network?
A. Please contact our office with specific claims data for review.
Q. Where do I find the fee schedules for each WRHN payer.
A. Login to the website’s secure Provider Portal and open the fee schedules under each payer.
Q. Who is Precision Credentialing Services?
A. Precision Credentialing Services is our in-house Credentials Verification Organization.
Q. What types of providers participate in WRHN?
A. Physical Therapy, Occupational Therapy and Speech Therapy.