Medical Credentialing Services for Doctors and Medical Practices
Medicare, Medicaid, and commercial payer enrollment handled for you so you can start billing faster.
- HIPAA-Compliant
- U.S.-Based Experts
- Free Practice Audit
What Our Medical Credentialing Services Cover
Medicare and Medicaid Enrollment
We handle PECOS enrollment for Medicare and state-specific Medicaid enrollment for new providers and practices. This includes initial applications, revalidations, and updates when your practice information changes.
Commercial Insurance Credentialing Services
Getting paneled with commercial payers like Aetna, Cigna, UnitedHealth, Blue Cross Blue Shield, and others requires separate applications for each payer. We manage the full process across all the payers that matter most to your practice and patient base.
CAQH ProView Profile Setup and Maintenance
Most commercial payers use CAQH ProView to verify provider credentials. We set up your CAQH profile, keep it updated, and make sure your attestation stays current so payer applications go through without delays.
NPI Registration and Updates
We handle NPI Type 1 registration for individual providers and NPI Type 2 for group practices, as well as updates when your address, specialty, or group affiliation changes.
Re-credentialing and Ongoing Maintenance
Credentialing is not a one-time task. Most payers require re-credentialing every two to three years and many require ongoing updates to your profile. We track your re-credentialing deadlines and handle renewals before they become a problem.
New Provider Enrollment
Adding a new provider to your practice? We handle their full enrollment across all your existing payer contracts so they can start billing as quickly as possible.
How Our Medical Billing Credentialing Process Works
We streamline the process, but standard payer timelines still apply. Start early!
Document Collection
1-2 Weeks
We send you a checklist of everything we need: licenses, malpractice certificates, DEA registration, board certifications, work history, and more. Most providers can gather everything within one to two weeks.
Application Preparation
Accuracy First
We complete all applications accurately and thoroughly. The most common reason for credentialing delays is incomplete or incorrect applications. We review everything before submission to make sure nothing is missing.
Submission and Follow Up
30-90 Days
We submit to all requested payers and then follow up consistently throughout the review period. Payer timelines typically run 30 to 90 days. We stay on top of every application so nothing sits forgotten in a queue.
Approval and Confirmation
Success
Once your enrollment is approved we confirm your effective date, provider ID numbers, and contract details so your billing team has everything needed to start submitting claims immediately.
Frequently Asked Questions About Medical Credentialing Services
The timeline depends on the payer. Medicare typically takes 30 to 60 days. Commercial payers generally run 60 to 90 days, and some can take up to 120 days for complex applications. Starting the process early is the most important thing you can do to minimize delays.
Yes. We work with new practices regularly. Beyond just credentialing, we help make sure your NPI, tax ID, and CAQH profile are all set up correctly before we begin the payer enrollment process.
Credentialing is the process of verifying your qualifications and enrolling you as a provider with a payer. Contracting is negotiating the fee schedule, the rates the payer will reimburse you for services. We handle both.
Pricing depends on the number of providers and payers involved. We offer flat-fee credentialing packages so you know the cost upfront with no surprises. Contact us for a quote based on your specific situation.
A lapsed re-credentialing can result in being removed from the payer's network, which means you cannot bill for services rendered to patients covered by that payer. We track your renewal dates and initiate the process well in advance to make sure this never happens.
Yes. We credential providers across all medical specialties including primary care, cardiology, mental health, physical therapy, dentistry, and more.
Start Your Enrollment Today
Don't let paperwork hold up your practice. Let our experts handle the complexities.