Insurance Credentialling Services
Get Out of The Maze of Credentialing
Why try to figure out each payer’s credentialing process when you already have enough to deal with? We can guide your organization through the entire credentialing process without you ever breaking a sweat.
With experience and pre-existing payer relationships, our US-based team can credential your organization and providers in the most efficient way possible. Regardless of the size or scope of your organization, we have a package for you.
Why We Are #1 Rated Credentialing Firm
Not Just Your Average Credentialing Company
While payer enrollment is a complex, time-consuming process, with the proper team getting started is a breeze. We were the very first nationwide credentialing and enrollment company. All our team members are certified coders, credentialing specialists, telemedicine experts, and former practice managers. Working with us will ensure that you avoid even slight mistakes, saving you time and money.
Thousands of providers rely on us each year, and we would love to serve you as well. We offer credentialing services and enrollment technology catered to every organization, including hospitals, multi-specialty groups, and solo practitioners. We don’t take a one-size-fits-all approach because we understand that every practice faces its own set of challenges. We are led by former executives who have extensive experience in managing and growing medical facilities, so you can trust us to get the job done right the first time around.
Who We Help With Start-Ups & Credentialing
Urgent Care Facilities
Behavioral Health Providers
Physical, Occupational & Speech Therapists
Labs, ASCs & Imaging Facilities
FQHCs & Rural Health Clinicscilities
Hospitals & Universities
Who We Help Get Credentialing
Frequently Asked Questions
We prioritize human interactions. Every client will be assigned to a dedicated account manager. We never pass assignments to bots, so you can feel safe knowing that your data is secure in the hands of a real-life, experienced professional.
Credentialing is not something that can be easily outsourced. It requires expertise and industry knowledge. Any slight mess-up could cost thousands of dollars, delayed payments, and a slower start. Many credentialing companies outsource their work overseas and supply you with a point person here in the US, we never do that. We are the most trusted and long-lasting credentialling service in the nation, and always provide US-based expertise Don’t trust anyone else with your practice but us.
5000+ Happy Clients
Don’t just take our word for it, our clients always end their agreements with us happy and credentialed. Most of our new contracts are from client referrals, and we never let them down.
Price Match Guarantee
We offer a price match guarantee for any reputable credentialing firm based and operated in the US.
We keep our clients happy by consistently focusing our attention for over 13-years on things that matter. We never waste time chasing down forms or making mistakes, because we know insurance payers’ requirements and how to meet them efficiently.
What is Physician Credentialing?
When we say physician credentialing, we’re talking about the process that practitioners go through in order to accept patients who are covered by different health plans and insurance networks. This process is also referred to as provider enrollment or insurance credentialing. The insurance payer must confirm that the provider has completed the necessary training. After that, a contract between payer and provider that specifies how the provider or organization will be compensated for its services will be formed. Credentialing also usually involves primary source verification. This is done to ensure provider compliance with requirements set by the employer or insurance firm.
We are prepared to assist your organization with the challenges of insurance enrollment and credentialing, regardless of your requirements. Every year, we enroll thousands of providers in insurance networks across the country. Our team has decades of experience and will ensure your practice receives the care and attention it requires, whether it is CAQH, Medicare, Medicaid, commercial insurance plans, HMOs, and more. As the first national enrollment and insurance contracting organization, our team of professionals has the knowledge and experience required to do the task correctly the first time
Should You Outsource Your Credentialing and Provider Enrollment Services?
Generally speaking, you certainly should! However, there are always outliers. When it comes to credentialing and contracting, each practice has its own set of requirements. While some are relatively simple, others are highly complex.
To ensure that the payer processes your information without delay, the credentialing process necessitates diligence and consistent follow-up. Outsourcing your provider credentialing department saves time for the physician, provider, and administrator while also ensuring a smooth provider enrollment process.
When to Call Us
Exactly What We Needed
We’ve been working with this team since 2017 and I can’t do anything but express my gratitude for their service and expertise. We have grown by over 15 providers in the past couple of years and wouldn’t have been able to do it without them. Our revenue depends on an efficient credentialing process and we haven’t been disappointed in the slightest.
Tyler Pace | CEO & Arizona State Senator / Century Care Inc & Triton Medical Group