One-Stop Solution For Revenue Cycle Management Services

Client Login

Credentialing Services Mobile

Medical Credentialing Services | Fast & Reliable Provider Setup

Medical Credentialing Services help healthcare providers get approved by insurance networks and hospitals quickly and efficiently. Our expert team manages the entire credentialing process, including applications, verifications, and renewals, ensuring accuracy and compliance. We work with physicians, nurses, and medical facilities to streamline approvals and reduce delays.

With our Medical Credentialing Services, you can focus on patient care while we handle the paperwork. We provide primary source verification, CAQH enrollment, payer contracting, and license renewals. Trust our experienced team for a hassle-free credentialing process. Contact us today for reliable Medical Credentialing Services tailored to your needs.

In network with all insurance panels

In network with all insurance panels

In network with all insurance panels

Credentialing directly impacts your bottom line. Whether you’re a startup provider or need assistance with CAQH attestation, re-credentialing, or Medicare revalidation, we handle the paperwork efficiently. Practolytics’ payor enrollment services streamline the process, ensuring faster approvals by understanding payor rules and requirements.

Outsourcing to our experts guarantees compliance without compromising quality. We provide bi-monthly credentialing progress reports with call reference numbers to track applications. Our team ensures timely CAQH attestations, preventing delays. With direct insurance contacts, we navigate the process swiftly in 95% of states, delivering faster results and seamless payor enrollment.

We help you streamline your credentialing process

We help you streamline your credentialing process

Below are the criteria involved with the services that we can definitely handle for you.

Adding and removing a provider.

Contract status research.

Insurance payer applications.

Medicare re-validations & Medicaid re-enrollments.

Hospital privileges and re-appointments.

Address and bank updates.

Healthcare credentialing maintenance.

We help you streamline your credentialing process
Features integrated with our services

Features integrated with our services

Features integrated with our services

Partner with Practolytics and below services will help you with healthcare credentialing solutions.

Onboarding applicants and evaluating their applications for exceptions.

Registering, setting up and maintaining provider profiles on CAQH.

Having a team of dedicated specialists, who are experts in Medicare/Medicaid, MCOs and all commercial plan enrollments.

Tracking and co-ordinating with the administrators for any upcoming expiry of medical licenses, registrations and certifications.

4 steps of Credentialing process

The below gist gives you an overview of the Credentialing process

Credentialing On boarding

Onboarding

We will assist you in choosing the right insurance companies.

Credentialing Application

Application

We will obtain all the necessary details and complete the application process for you.

Credentialing Follow-up

Follow Up

We will ensure that all applications are received through active follow-ups.

Credentialing Completion

Completion

We will keep you informed about all insurance approvals.

Customer Stories

Jeff Angeline
Dr. Scott Schlauder
Dr. Nicole Cupp

FAQs about Credentialing

What is the credentialing process for healthcare providers?

Credentialing is the process of obtaining, verifying, and assessing the qualifications of a medical practitioner to provide services for a healthcare organization. Credentials are essentially documented evidence of license, education, training and experience.

What are the steps that credentialing process consists of?

A typical credentialing process consists of four steps, namely; Onboarding, Application, Follow-up and Completion.

How does provider credentialing work?

It is the process by which a health insurer assesses a care provider’s qualifications and competencies through the submitted documents along with the CAQH profile.

What does a credentialing specialist do?

A Credentialing specialist is supposed to maintain active status of all providers by successfully completing initial and subsequent credentialing packages as required by care centers, commercial and federal payers.

How long does medical credentialing take?

Owing to its intensive verification processes, this may take 3-6 months based on the insurance companies.

Customer stories

Practolytics has been invaluable to our practice since October 2022. Their expertise in coding guidance and provider audits has given us more confidence in the way we operate. Their team is not only knowledgeable but also incredibly supportive providing clear and concise guidance tailored to our specific needs. Their compliance audits have been thorough and insightful, helping us to identify areas for improvement that could prevent financial losses while also providing opportunities for further provider training. I highly recommend their service to anyone looking to enhance their billing and coding practices.

Carol Raugust – Practice Manager Platinum Hospitalists

Customer Stories

I have been a very satisfied client with Practolytics for nearly 5 years now. As you would expect, they are collecting the money that we have worked so hard for. We like the fact that they share our passion for data. We both approach our common issue i.e., how to collect money from a data centric viewpoint, and this drives improvement. The team is always willing to listen to us and make changes if necessary. Through the years we have asked for help with various office activities from credentialing to prior authorizations to procurement of outside medical records. Yes, these were add on-services, but outsourcing these activities to their team has been a winning solution that has intertwined the billing team into the success of our practice. These add ons have been a good value for us too. Lastly, we have easy access to one of the principal partners on the billing team, and the response time has always been excellent. Thank you! Practolytics!

Guy Lerner – MD Specialist in Pain Care, Kentucky

Customer Stories

We have been working with Manik and the rest of his team since August 2015. At that time, we were a clinic in need of guidance, in terms of credentialing, understanding the claims process and optimizing the use of the technology and stabilizing cash-flow. The team as a whole spent many hours upfront working to get everything moving smoothly and also developing relationships with most insurance companies. Manik’s hard work & dedication paid off as our practice more than tripled in visits, and we no longer had to tell the patients that we aren’t in the network. This more than anything has allowed us great patient flow and continued steady growth.

Robert Gass – Owner Care Physical Therapy, New York

Customer stories

We are a solo orthopedic practice in North Carolina and our relationship with Practolytics started in June 2015. They have staff members who are always willing to help. They work very hard to make us happy and I appreciate all that they do on a daily basis. They take out the worry of getting payments and always follow up with insurance companies. I found the customer service to be unsurpassed. All phone calls are returned and our questions are answered in a thorough and timely manner. The monthly reports are easy to read and provide a quick assessment of the health of the practice, including the company’s account receivables. When I need advice or am unsure of something, it gives me comfort to know that they are just a phone call away. Switching to Practolytics was truly one of the best decisions that I have made for our practice. I truly look forward to a longtime relationship with the staff at Practolytics.

Rekha Parikh – Administrator Orthopedic Solutions & Sports Medicine Center, North Carolina

Customer Stories

I started a new practice approximately 5 years ago. I have used Practolytics for my billing services over this entire period. I have also used them for integration of collections, adding new providers and DME. They have been excellent and are also part of the reason why I am so successful. They are very knowledgeable about billing. I not only see patients in clinic but also at the hospital and nursing home and also do surgical procedures in and out of the office. I have been very impressed with their level of skill and knowledge. They also do very good on communication. I would highly recommend them for any of your billing needs.

Dr. Nicole Cupp – MD Advanced Podiatry of Bartlesville

Simplify Your Credentialing Process – Let’s Talk

    Resources

    Ready to Level Up? It Starts with Your Credentials
    Ready to Level Up? It Starts with Your Credentials

    Credentials unlock your healthcare potential. They validate expertise, open insurance networks, and secure reimbursements.

    Medical Credentialing Services for Hospitals: A Comprehensive Guide
    Medical Credentialing Services for Hospitals: A Comprehensive Guide

    In the fast-paced, strict healthcare industry, hospitals must credential their staff. This ensures they meet high care standards.

    Medical Credentialing Services: A Guide for Healthcare Providers
    Medical Credentialing Services: A Guide for Healthcare Providers

    In today’s competitive healthcare scene, providers must be credentialed. This is vital to join insurance networks and get paid for their services. Healthcare providers undergo rigorous vetting.

    Stay in the loop

    Sign up for our monthly newsletter

    By subscribing, I consent to the processing of the personal data that I provide Practolytics in accordance with and as described in the privacy policy.