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

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.

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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.

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

Onboarding

We will assist you in choosing the right insurance companies.

Application

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

Follow Up

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

Completion

We will keep you informed about all insurance approvals.

Customer Stories

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.