Background

Expert Provider Credentialing & Enrollment Services

Streamline your provider onboarding and ensure maximum reimbursement with our comprehensive credentialing solutions.

Get Free Consultation

Accelerate Your Provider Enrollment Process

Provider credentialing and enrollment represent critical foundational elements for any successful medical practice. The complex, time-consuming process requires meticulous attention to detail and extensive knowledge of varying payer requirements. Our specialized credentialing services eliminate the administrative burden, ensuring your providers become fully credentialed and ready to bill without unnecessary delays.

We navigate the intricate web of insurance panels, government programs, and healthcare networks so you can focus on patient care. Our systematic approach minimizes credentialing delays that can cost practices thousands in lost revenue each month a provider isn't fully enrolled.

98%

First-Time Approval Rate

30-45

Days Faster Enrollment

200+

Payers Managed

Credentialing Process Visualization

Common Credentialing Challenges We Solve

Navigating the complexities of provider enrollment requires specialized expertise

Lengthy Processing Times

Payer credentialing often takes 90-150 days, delaying provider start dates and revenue generation.

Complex Application Requirements

Each payer has unique forms, documentation requirements, and submission processes.

Application Errors & Omissions

Incomplete or incorrect applications cause significant delays and require resubmission.

Recredentialing Oversight

Missing recredentialing deadlines can result in terminated contracts and disrupted revenue.

Hospital Privileging Coordination

Aligning facility privileges with payer enrollments requires careful synchronization.

Multi-State Licensing

Managing various state requirements for telehealth and multi-location practices.

Our Comprehensive Credentialing Process

A meticulous approach to ensure error-free enrollment and faster approvals

Initial Assessment & Planning

We begin with a detailed analysis of your providers' needs, creating a customized enrollment strategy based on practice specialty, geographic location, and target payers.

Application Preparation

Our team meticulously completes all required forms, gathering and organizing supporting documentation including licenses, certifications, malpractice insurance, and CVs.

Submission & Follow-up

We submit applications through appropriate channels and implement a systematic follow-up process to ensure timely processing and address any requests for additional information.

Verification & Validation

We verify all information with primary sources, confirming education, training, work history, and references to prevent delays from inaccurate data.

Status Monitoring

Our team continuously tracks application progress through online portals and direct communication with payer representatives to identify and resolve bottlenecks.

Credentialing Database Management

We maintain a comprehensive database tracking expiration dates for all credentials, licenses, and certifications, providing timely reminders for renewals.

Proven Credentialing Results

Our systematic approach delivers measurable outcomes for healthcare practices

30-45

Days reduced from average credentialing timeline

98%

First-time application acceptance rate

100%

Recredentialing compliance before deadlines

$65K+

Average revenue protected per provider annually

Our Credentialing Services

Comprehensive solutions for all your provider enrollment needs

Initial Provider Enrollment

Complete handling of new provider applications for Medicare, Medicaid, and commercial payers, including CAQH registration and maintenance.

Recredentialing Services

Proactive management of all recredentialing requirements, ensuring continuous participation without lapses in coverage.

Practice Expansion Support

Enrollment for new locations, additional tax IDs, and additional provider types to support practice growth and service expansion.

Hospital Privileging

Coordination of facility privileging paperwork and alignment with payer enrollment requirements for hospital-based providers.

Multi-State Licensing

Assistance with obtaining and maintaining state licenses, DEA registrations, and other requirements for multi-state practices.

Credentialing Audit

Comprehensive review of existing credentialing files to identify gaps, expirations, and compliance issues before they cause problems.

Frequently Asked Questions

Get answers to common questions about our credentialing services

While payer timelines vary, Medicare typically takes 45-60 days, Medicaid 60-90 days, and commercial payers 90-120 days. Our systematic approach can reduce these timelines by 30-45 days through meticulous application preparation and proactive follow-up.

We require copies of medical licenses, DEA certificate, malpractice insurance, board certification, CV, professional references, and personal information. We provide a detailed checklist and help gather all necessary documentation.

Absolutely. We complete initial CAQH applications, respond to reattestation requests, and keep profiles updated with any changes to ensure uninterrupted participation with CAQH-dependent payers.

We use a proprietary tracking system that monitors each application through online portals, regular follow-up with payer representatives, and detailed status reporting. Clients receive monthly updates on all pending applications.

We offer both per-provider pricing for one-time projects and monthly retainers for ongoing credentialing management. Contact us for a customized quote based on your specific needs and provider count.

Ready to Streamline Your Credentialing Process?

Our credentialing experts are ready to accelerate your provider enrollment and ensure maximum reimbursement.

Get Started Today

Medical Billing Assistant

Hello! I'm your medical billing assistant. How can I help you today?
I can answer questions about:
• Medical coding CPT, ICD-10
• Claim submission
• Denial management
• Revenue cycle optimization
• AccuMed BPO services