Medical Credentialing Services for Healthcare Providers
Our dedicated credentialing specialists are aware of payer-specific guidelines for all the major and minor insurances in your area. We take care of both credentialing and recredentialing and make sure to get you the best reimbursement rates possible.
Medical Credentialing With Competitive Reimbursement Rates
Credentialing is a hectic process. It may take weeks, and sometimes even months, to get credentialed with the payor who offers the best reimbursement rates. However, it is crucial for every provider in order to increase their patient base. And the problem is not just time. It is the continuous back and forth with the insurance provider and the documentation hassles that make it a hurdle in the way of patient care.
That’s where MediClaim Pro Billing makes a difference. Our credentialing specialists handle the documentation, communication, and negotiation with the insurance providers, so you don’t have to worry about any of these. We also keep tabs on all your insurances, so whenever the contract is about to end, we make sure to get you recredentialed beforehand.
Our Services
Expert Medical Credentialing Services We Offer
Medical Credentialing That Comes With HIPAA Compliance
We’ve been in the field for a long time, and we know the regulatory compliance of HIPAA and other governmental and non-governmental bodies. We enable your practice to stay compliant with all these regulatory frameworks while getting credentialed with new insurers.
Top Medical Credentialing Services for Every Medical Specialty
MediClaim Pro Billing stands out with its specialty-specific provider enrollment and credentialing services. We offer professional, specialty-specific options for 50+ specialties all over the US. Here are some of the common specialties we usually serve:
- Primary Care Provider
- Cardiology
- Internal Medicine
- Mental Health
- Rheumatology
- Rehab Medicine
- Radiology
- Pulmonary
- Psychiatry
- Family Practice
- Podiatry
- Urgent Care
- Emergency Care
- Chiropractic
- General Surgery
Why Healthcare Providers Choose MediClaim Pro Billing
We have fast coordination and communication support for you and insurers as well. Our team stays in touch and monitors the application status to ensure no unnecessary pause happens.
We assign you a medical credentialing specialist with professional negotiation skills. Our aim is to get you credentialed with the right payers at the most competitive reimbursement rate.
We assign a specific and dedicated credentialing expert to your specialty who oversees everything. We don’t have the same expert for different medical practices.
Our medical billing credentialing services are flexible. Anytime you want to extend your payer list, just let us know. Our team is always available to help you take your practice to the next level.
Our medical credentialing services Are Available Across the US
In every state, at every step, our medical credentialing specialist deliver secure and compliant services personalized according to your needs. With nationwide coverage, we ensure accuracy, faster approvals, and complete peace of mind for our healthcare providers across all 50 states.
Find Your EHR/EMR
Here’s How We Welcome You!
Consultation Call
Start by scheduling a free consultation call with us to discuss your existing challenges, environment, and requirements.
Meet the Specialist
We introduce you to our credentialing specialists. You may ask any questions or share your concerns. The goal is to give you the best possible advice for your current situation.
Onboarding
Once you are confident about the process, we will sign a simple contract, and you will get a dedicated medical credentialing specialist without any delay.
Increase Your Patient Base By Getting Credentialed With The Right Payers
We know it’s hectic. That’s why we are here. Our team handles all your medical credentialing worries so you get to focus more on your patients.
Frequently Asked Questions
Medical credentialing is the process of verifying a healthcare provider’s education, licenses, certifications, and work history so they can participate in insurance networks and bill payers legally.
Credentialing timelines vary by payer, but most applications take 60 to 120 days. Government payers such as Medicare and Medicaid may take longer, depending on completeness and follow-up requirements.
Yes. Credentialing in medical billing is mandatory. Claims submitted before a provider is fully credentialed are often denied or rejected by insurance companies.
Yes. We manage initial credentialing, re-credentialing, and ongoing updates. It ensures providers remain active and compliant with payer requirements.
Absolutely. Our provider credentialing services support solo providers, group practices, and multi-location organizations across multiple specialties.
Typically, credentialing requires licenses, board certifications, malpractice insurance, NPIs, work history, and CAQH details. Our team can guide you through the documentation step by step.