Credentialing Services

Credentialing is the process of verifying a healthcare provider’s qualifications to participate in insurance networks. We make sure that providers meet payer standards for education, licensing, and experience—essential for reimbursement and patient trust.
🔧 Key Services Offered
* Initial Provider Enrollment Submitting applications to insurance companies (Medicare, Medicaid, commercial payers) to become an in-network provider.
* Re-Credentialing & Maintenance Managing periodic renewals, updates, and compliance checks to avoid disruptions in billing.
* CAQH Profile Setup & Management Handling the Council for Affordable Quality Healthcare (CAQH) database, a central repository used by most payers.
* Document Verification & Submission Collecting and submitting licenses, certifications, malpractice insurance, and other required documents.
* Payer Follow-Up & Appeals Tracking application status, resolving delays, and appealing denials to ensure timely approval.