Yes, credentialing services often include re-credentialing, license renewals, and updates to your file to keep you in good standing with insurance networks and facilities.
Medical Credentialing
Services
Optimize your practice with Medical Billing Assistance.
Your premier partner for comprehensive healthcare
credentialing and provider enrollment services.
Simplify Your Credentialing and Insurance Enrollment Process
Our credentialing team manages every step of the process — from CAQH setup and NPI registration to payer follow-ups and re-credentialing deadlines. We ensure accurate documentation, complete application packets, and timely submissions to reduce errors and rejections. For new providers or expanding practices, credentialing is often the first revenue roadblock we remove it entirely. We work closely with your medical billing, practice management, and coding workflows to ensure seamless payer integration post-enrollment.
Accelerate Revenue
treamline your claims processing for faster reimbursements. Boost cash flow and fuel your practice’s growth with our efficient credentialing services.
Save Time
Let us handle tedious tasks and eliminate administrative delays. Focus on patient care while we handle the credentialing details efficiently.
Reduce Stress
Let our experts manage the intricate details of credentialing so you can relax. Enjoy peace of mind with a streamlined, worry-free enrollment process.
Accelerate Credentialing for Your Practice
Say goodbye to delays and administrative overload. Our proven approach expedites the entire credentialing process, from physician enrollment in Medicare & Medicaid to commercial insurance verification, helping your practice secure faster reimbursements and improved operational efficiency.
Our Services
Our credentialing team manages every step of the process — from CAQH setup and NPI registration to payer follow-ups and re-credentialing deadlines. We ensure accurate documentation, complete application packets, and timely submissions to reduce errors and rejections. For new providers or expanding practices, credentialing is often the first revenue roadblock — we remove it entirely.
We work closely with your medical billing, practice management, and coding workflows to ensure seamless payer integration post-enrollment.
Services We Provide
Initial Provider Enrollment
Credential new individual and group providers with Medicare, Medicaid, and commercial payers.CAQH Registration & Maintenance
Set up and manage profiles, attestations, and documentation updates.Contracting & Payer Negotiation
Assist with fee schedules, participation agreements, and network status clarification.Re-Credentialing & Renewals
Prevent gaps in participation with timely renewal tracking and submission.
NPI, Taxonomy, and License Verification
Ensure accurate provider identification and cross-matching with payer databases.Medicare PECOS & Medicaid Enrollment
Specialized services for public payers and compliance-heavy environments.Specialty-Specific Credentialing Guidance
Tailored credentialing for high-risk fields like oncology, vascular surgery, pediatrics, and sleep medicine.Credentialing Follow-Up & Audit Support
Liaise with payers, track applications, and resolve delays — while protecting compliance.
Our Comprehensive Credentialing Solutions
Government Program Enrollment
- Medicare & Medicaid Enrollment: Seamlessly register to serve eligible beneficiaries under essential government programs.
- DMEPOS Enrollment: Specialized support for providers offering durable medical equipment, prosthetics, and orthotics.
Essential Registrations
- NPI Registration: We handle both individual and organizational registrations to ensure you meet industry standards.
- CAQH Profile Management: Keep your profile current for hassle-free data exchange with health plans.
- PECOS Administration: Streamline your Medicare Provider Enrollment for ongoing compliance.
Licensing and Certification
- State Licensure Applications & Renewals: Navigate complex state-specific licensing processes with confidence.
- DEA Certificate Processing: Ensure prompt processing and renewal of your DEA credentials.
- CLIA Registration: Achieve compliance with federal quality standards for laboratory testing.
The Medical Billing Assistance Advantage
Dedicated Expert
Our specialists manage every detail, from paperwork to follow-ups ensuring accuracy and timely submissions.
Comprehensive Support
We oversee the entire credentialing journey, providing a seamless experience for provider verification and compliance.
Personalized Attention
Enjoy one-on-one guidance with a dedicated project manager tailored to your practice's unique needs.
Time-Effcient
Reduce credentialing time dramatically, letting you focus on patient care.
24/7 Access
Monitor your application status and credentialing progress anytime.
Growth Catalyst
Expand your network and revenue with our specialized credentialing solutions.
Our Clients Trust Our Credentialing Solutions
“Medical Billing Assistance revolutionized our credentialing process. Their efficient system and dedicated support enabled us to overcome administrative hurdles, allowing us to concentrate on delivering exceptional patient care.”
— Alex Johnson, Practice Manager, Evergreen Health Clinic
FAQs
What is credentialing in healthcare?
Credentialing is the process of verifying a healthcare provider’s qualifications, licenses, education, and experience to ensure they meet the standards of hospitals, insurance companies, and regulatory bodies.
Why is credentialing important for medical professionals?
Credentialing ensures you’re eligible to treat patients, bill insurance providers, and work within healthcare networks. It protects both patients and providers by confirming competence and compliance.
How long does the credentialing process take?
It typically takes 60 to 120 days, depending on the completeness of your documentation and the response time from licensing boards, past employers, and insurers.
What documents are required for credentialing?
You’ll need your medical license, DEA registration, board certifications, malpractice insurance, work history, education credentials, and references.
Can a credentialing service handle re-credentialing or updates?