Credentialing Services

MedRevenue Provider Credentialing Services.

 

Getting credentialed with insurance companies is one of the biggest challenges for healthcare providers. Our Credentialing Services make the process smooth, error-free, and faster, so you can start seeing patients and getting reimbursed without delays.

Credentialing is essential for providers who want to accept insurance and build trust with patients. Without it, claims may be denied, and revenue can be lost. With our dedicated team, you get

Our Credentialing Services Include

CAQH Credentialing & Maintenance Services

MedRevenue manages the creation, verification, and maintenance of your CAQH profiles.

Provider Enrollment & Credentialing

We work diligently with payers to finalize the enrollment and contracting process.

Medicare & Medicaid Enrollments

Serve as your advocate for Medicare and Medicaid enrollment, including both initial applications and renewals.

Re-Credentialing Services

Handle all re-credentialing services in accordance with insurance policies and requirements.

Contract Renegotiation

Allow us to handle negotiations on your behalf to ensure you receive the reimbursement you deserve.

EFT & ERA Enrollments

Get enrolled with payers that support electronic transactions, including EDI, ERA, and EFT.

Benefits of Choosing Our Credentialing Services

Getting credentialed is often time consuming and frustrating for providers, but with the right support, it does not have to be. Our credentialing experts simplify the process, minimize errors, and ensure faster approvals, so your practice can focus on delivering quality care while we handle the paperwork.

Save Time & Resources

Reduce the heavy administrative workload on your staff by letting us manage every step of credentialing.

Boost Revenue Cycle

Begin billing payers more quickly with active credentials that keep your cash flow moving.

Avoid Costly Delays

Eliminate denials and rejections caused by missing documents or incorrect applications.

Trusted US Experts

Work with experienced credentialing specialists who understand US insurance systems inside and out.

HIPAA-Compliant & Secure

Protect your practice with a fully secure, compliant process that safeguards sensitive data.

24/7 Dedicated Support

Get round-the-clock assistance from our credentialing team whenever you need guidance.

Call Now: 720-710-4921

Our Services

Virtual Medical Assistant

Enhance your practice with elite, highly skilled, and pre-trained virtual medical assistants.

Medical Billing Services

A cost-effective and adaptable billing solution with unmatched financial transparency.

Eligibility & Benefits Verification

Minimizing rejections and maximizing reimbursements

Account Receivable

Track A/R trends, generate custom reports and monitor denials to boost collections and efficiency

RCM Services

Discover how our comprehensive RCM services enhance efficiency and boost your revenue by increasing collections.

Credentialing Services

Commonly asked questions about billing software

Can't find the answer you're looking for? No worries. Chat with a live representative, and we'll help get your question answered.

The standard credentialing process typically takes 90-120 days, depending on the guidelines. However, it can be completed faster if all documents are in order and there are no issues.

Yes, we have experience credentialing providers nationwide, across a wide range of specialties and practice sizes!

Medicare usually processes enrollment applications within 60 to 90 days. One advantage of Medicare is that providers can begin billing from the day the application is received. While some applications are processed in as little as 15 days, others may take up to three months.

Re-credentialing for most commercial plans is required every two to three years. Staying on top of re-credentialing requirements for managed care plans is essential.

 

Let us handle the paperwork?

We handle credentialing applications for healthcare providers, ensuring they can bill health plans and receive in-network reimbursements without delays. Whether you're a solo practitioner or part of a large group practice, our extensive experience working with credentialing departments from various payers across the U.S. guarantees top-tier credentialing support and solutions for your organization. We manage the entire credentialing process from start to finish, taking on the responsibility that would typically fall on your facility. By outsourcing your medical provider credentialing to our team of experts, you minimize the risk of revenue loss and enhance your practice's reputation.

Have a Question? Let’s Talk.

If you have any queries or need more information about our services, feel free to reach out. Our team is here to help you with quick, clear, and reliable support.

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