Credentialing and Contracting

//About Service

We simplify the credentialing and contracting process for healthcare providers

Our experts negotiate better contract terms, manage enrollment tracking, and ensure compliance with up-to-date documentation, optimizing your reimbursement process.

We streamline provider credentialing, ensuring hassle-free enrollment with insurance networks.

Get Paid Faster with
High-Performance Medical Billing

Fast and Hassle-Free Approvals

We’ve made our process smoother, so you don’t have to deal with unnecessary delays.

Higher Reimbursements

We work hard to get you the best contract terms, so you don’t have to.

Dedicated Follow-Ups

We stay on top of payers to ensure timely approvals.

Compliance & Accuracy

No application errors or missed deadlines.

What We Cover in Credentialing and Contracting

We take the stress out of credentialing and contracting by handling everything—from enrolling you with insurance networks to negotiating better rates and keeping your documents up to date. Our team ensures your approvals go smoothly, your contracts work in your favor, and you stay compliant without the hassle.

Types of Credentialing and Contracting

Hospital & Facility Credentialing

Ensuring healthcare facilities meet payer requirements.

Medicare & Medicaid Enrollment

Navigating government payer enrollments and compliance.

Group & Individual Credentialing

Credentialing for solo providers or entire practices.

Commercial Payer Contracting

We help you get set up with major insurance payers quickly and hassle-free.

Auto & Workers’ Comp Credentialing

Get credentialed with auto and workers’ comp insurance networks—fast and easy.

Our Credentialing and Contracting Services

Timely Submission and Proactive Follow-Up

Our Services

Direct payer communication
Application status tracking
Error resolution & resubmission if needed

Key Benefits

Timely approval process – We track and follow up with insurance payers to ensure faster approvals
Proactive communication – Our team communicates directly with payers to expedite approvals
Reduced delays – We resolve issues promptly to avoid unnecessary setbacks

Expert Application Completion

Our Services

Provider enrollment applications
NPI registration and updates
CAQH profile setup and maintenance
Medicare & Medicaid enrollment

Key Benefits

Accurate applications – Ensure all required documentation is submitted correctly to avoid delays
Complete setup – We handle the entire process, including NPI, CAQH, and Medicaid/Medicare enrollment
Efficient processing – Help avoid delays and expedite the credentialing process

Primary Source Verification (PSV)

Our Services

Verification of medical licenses & board certifications
Malpractice history & background checks
Work history & hospital privileges

Key Benefits

Regulatory compliance – Ensure all requirements are met for industry standards and payer regulations
Thorough verification – Conduct primary source verification (PSV) for accurate and compliant credentials
Risk mitigation – Reduce potential risks by verifying malpractice history and background checks

Contract Negotiation & Network Enrollment

Our Services

Reviewing contract terms
Negotiating reimbursement rates
Insurance network enrollments

Key Benefits

Higher reimbursements – Secure better reimbursement rates with improved contract terms
Better contract terms – Negotiate favorable terms with

Ongoing Maintenance & Re-Credentialing

Our Services

Periodic re-credentialing reminders
Documentation updates for compliance
Maintaining active enrollment status

Key Benefits

Continuous credentialing – Keep credentialing up to date without missing deadlines
Seamless compliance – Ensure all required documentation is always current and compliant
Uninterrupted payments – Avoid disruptions by maintaining active enrollment status with payers