Credentialing, Privileging & Provider Enrollment
Expert Credentialing Services for Independent Physicians
Our credentialing specialists understand the challenges providers face when navigating complex insurance enrollment processes. Through proven systems, experienced staff, and modern credentialing technology, we help physicians maintain independence while ensuring administrative requirements are handled efficiently and compliantly.
- Provider Credentialing & Payer Enrollment
- Facility Credentialing & Privileging
- Ongoing Credentialing Management
Comprehensive Credentialing & Enrollment Services
Our team manages the full credentialing and verification process to ensure providers meet regulatory, payer, and facility requirements. We also handle facility credentialing and payer enrollment, including Medicare, Medicaid, and all major managed care payers, helping physicians gain approval quickly and maintain active privileges.
Primary source verification
License verification & monitoring
DEA & controlled substance verification & ongoing monitoring
Board certification verification
Education & training verification
Work history verification
Malpractice tracking & history review
National Practitioner Data Bank queries
OIG & SAM exclusion checks
CAQH profile creation & management
Availity attestation & management
PECOS management
Recredentialing/Reappointment management
Provider credentialing
Facility credentialing
Privilege tracking
Expiration alerts
Reporting dashboards
Additional custom consulting is also available
Credentialing Support Every Step of the Way
- Dedicated, US-based credentialing support staff
- Paperless intake through our cloud credentialing system
- Completion & submission of all credentialing applications
- Ongoing follow-up with insurance networks until the final insurance decision is received.
- Secure storage of executed contracts
- Communicate with your billing office for billing readiness
A Simple, Proven Credentialing Process
# 1
Provider Intake
Secure document collection through our cloud credentialing system.
# 2
Credentialing Preperation
Our specialists prepare and validate your enrollment documentation.
# 3
Payor Enrollment
Applications are submitted to selected insurance networks.
# 4
Follow-Up & Monitoring
We continuously follow up with payors to keep applications moving forward.
# 5
Contract Activation
We ensure contracts are loaded and your organization is ready to bill.
The National Association Medical Staff Services (NAMSS) is the recognized gold standard for credentialing professionals, and their data dictionary is a helpful tool. Learn More Here →
