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Credentialing and credentialing management are critical components to the success of your practice. Don’t risk practicing unknowingly without a license or having insurance payments delayed due to expired credentials, or incomplete or outdated information.

Many people are confused about what credentialing means. Credentialing is the process of communicating a provider’s qualifications to provide care or services to patients. Basically, you prove to an insurance company that you are a legitimate business and licensed provider.

Many of our competitors will “credential” a provider by just submitting a W9, a letter, and a copy of the provider’s license; our services go beyond this basic concept! We call our all-inclusive superior service…PEPI (Provider Enrollment and Practice Information) validation.

Did you know that each state and each payor has its own set of requirements?  We credential to the most restrictive state.  As other states implement more restrictions you are less likely to have claims disruption since we have created a workflow that accounts for many of those future restrictions.

Our credentialing services are for medical and dental providers.  We offer:

  • Out-of-network provider registration
  • In-network contracting for commercial and government programs
  • Medicare DME
  • Medicare Part B
  • Tricare

What We Do

In addition to credentialing and enrolling providers with insurance companies, we help providers keep their credentials up-to-date. You will never need to wonder if you or your office manager remembered to do your renewals.

  • Improve provider data integrity
  • Update conflicting information with payers
  • Eliminate repetitive work
  • Eliminate payers holding payment due to expired credentials

Who We Work With

  • All Commercial Payers
  • Medicare Part B and DME
  • Tricare
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Credentialing Management Packages

Credentialing management allows me to focus on my patients, not expiration dates.

Don’t risk practicing without a license! Sign up for Credentialing Management Services and never worry about your license, malpractice or re-certifications falling through the cracks.

Contact us

Looking for more information? View our Credentialing FAQ’s to learn more.

View FAQ's