Medical Credentialing Services

Medbill Partner's Provider Credentialing Services

We Enroll Providers In Premium Payer Networks In Record Time!

Credentialing, also known as insurance credentialing or doctor credentialing, is a process that verifies the qualifications, skills, and legitimacy of a healthcare providers. This process ensures that the provider has necessary licenses, certifications, and education to provide healthcare services to patients.

Only a credentialing provider is eligible to receive payments from the payer and work in compliance with the state and federal regulations. Medical credentialing authorizes physicians to practices in a specific facility and be included in insurance networks like CMS/Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield.

As a provider, you want fast credentialing so as to start practicing and billing (legally and ethically). But credentialing is a complex process that involves a lot of documentation and verification at different stages by the insurance network. This means a single mistake can result in denials and wastage of resources such as time and money.

MedBill Partner's medical billing company offers the best healthcare credentialing solutions. Our professionals handle all the tasks for you, from primary source verification to enrollment in premium payer networks. We do all of this in minimal time and budget.

Our Medical Credentialing Process

A Walkthrough of Our Specialist-Vetted Provider Credentialing Process

Medbill Partner's provider credentialing process is not just a routine procedure, but a validated and certified process that ensures the highest standards of compliance. We have achieved up to 98% success rate of getting providers approved in premium payer networks with maximum privileges in their specific specialties. The process typically includes the following steps:

Surveying the provider

Our credentialing process begins with an in-depth survey conducted by our credentialing specialists. This process involves comprehensive interviews with providers, gathering essential data such as license numbers, educational history, demographics, and professional background.

Choosing the insurance company

Our medical credentialing services guide providers in strategically choosing insurance partners aligned with their practice goals and license type, while also finalizing insurance panels based on practice location.

CAQH Enrollment and Management

We take care of CAQH application submissions, manage ProView accounts, and keep credentials current for smooth primary source verification. We also assist with payer credentialing submissions, ensuring quick insurance panel integration and accurate profiles that enhance network engagement and the quality of patient care.

Ensure Fast Credentialing Approval

Although the typical timeline is 60-120 days, our provider credentialing experts take proactive steps to accelerate the process. Our team engages in weekly interactions with payers, advocating for the rapid processing and endorsement of your credentialing applications.