Medical Credentialing Services

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Medical Credentialing

Unfortunately, medical credentialing can be an unwelcome distraction from providing quality care to patients.

Speak with our experts and see why we are the best medical credentialing management platform.

Areas We Cover

Our Medical Credentialing Services include:

1. Credentialing specializing in all the states

2. Data Gathering & CAQH Enrollment

3. Application Submission & Payer Communication

4. Medicare Revalidations & Yearly Maintenance

5. Re-Credentialing and Demographic Updates


Credentialing entails verifying a provider’s qualification to ensure that they can provide care to patients. As the industry evolves, it becomes more and more important for medical service & healthcare providers to become in-network with the insurance companies

Put simply, if potential patients can’t use their insurance plans at your practice — whether it’s a family medical clinic, hospital, counseling office, chiropractic office, dental clinic, physical therapy clinic, occupational therapy clinic, optometrist’s office, or any other healthcare provider — they are likely to find a competing provider who accepts their insurance.

Frequently Asked Questions

Credentialing in medical billing is the method that all healthcare service providers perform to become registered with insurance companies. Only verified and trusted insurance companies include healthcare providers for serving their customers.

Medical Credentialing is an intensive process in which insurance companies conduct a background check on medical doctors. They verify all the necessary elements of healthcare providers like education, competencies, and legal authorization.

It depends on the package you select. For more information, get in touch with our support team.

There are multiple steps in the medical credentialing process: 

  • Identification of required documents
  • Prioritize insurers 
  • Checking for accurate information 
  • Completing CAQH
  • Wait for Verification 
  • Following up 
  • Recertification 

You can contact us to fix any sort of medical credentialing errors.

Software like Certifier or Modio health is used for medical credentialing services. Also, we can use any software that the client desires.

Ready To Get Started?


2125 Albany Post Rd Montrose, NY 10548, USA