Provider credentialing and payer enrollment for healthcare practices nationwide. We submit applications within 48 hours, follow up with payers weekly, and keep you updated until approval. Most providers reach in-network status in 90 days or less.
Filing applications is the easy part. Getting them approved fast takes accuracy, payer relationships, and a team that actually picks up the phone.
No black box. You always know which payer is at what stage and what is happening next week.
You share provider info, target payers, and current CAQH status. We send a clear quote and document checklist before any work begins.
A dedicated specialist updates CAQH, prepares each payer application, and submits to all target payers at once. No bouncebacks, no restarts.
We call payers weekly, escalate stuck files, and push for committee review dates. You get progress updates instead of silence.
Once approved, we deliver effective dates, PIN numbers, and contracts. Your provider is ready to bill the day enrollment is confirmed.
One flat fee covers the full enrollment lifecycle, whether you are credentialing a new hire, renewing an existing panel, or expanding to a new state.
Complete applications to commercial insurers, Medicare, and Medicaid. Accurate from day one, so nothing bounces back and the clock never resets.
Type 1 and Type 2 NPI registration linked to your tax ID and locations. Plus contract negotiation to protect your reimbursement rates.
Payers require re-credentialing every two to three years. Miss the window and your provider gets dropped. We track every deadline so a lapsed credential never blindsides you.
Credentialing files contain SSNs, license numbers, and personal history. We treat every document with the same security protocols used for protected health information, under a signed Business Associate Agreement.
“We had a new psychiatrist waiting three months to see patients because of credentialing. MedBillingTech took over and had her approved with four major payers within 60 days. The difference in revenue was immediate.”
“I did not realize a lapsed credential had triggered $40,000 in denials until MedBillingTech audited our panel status. They caught it, fixed it, and set up monitoring so it never happens again.”
“Our previous vendor sat on a Cigna application for four months without a single follow-up. MedBillingTech took it over and had us approved in six weeks. The weekly status updates were the difference.”
“We expanded telehealth into three new states and the credentialing requirements were a nightmare. MedBillingTech handled every state board, every payer, and got us live on schedule. Worth every dollar.”
“Flat $150 per application meant no surprise invoices. I knew exactly what credentialing four new providers was going to cost before we started. Honest pricing is rare in this space.”
Everything practices need to know about credentialing and payer enrollment, from CAQH setup to in-network approval, in one place.
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Read articleGet a free consultation today. We will map a clear credentialing plan and have applications ready to file within 48 hours.