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Professional Credentialing Services

Expand Your Insurance Network & Maximize Revenue

Our comprehensive credentialing solutions streamline the entire process, ensuring timely enrollment with major insurance payers while maintaining compliance and accelerating your practice growth.

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Healthcare Provider

Streamlined Credentialing Process

Our systematic approach ensures efficient credentialing with maximum insurance payers

01

Application Preparation

Comprehensive collection and preparation of all required documentation including licenses, certifications, and practice information.

  • Complete CAQH profile setup and maintenance
  • State license verification and collection
  • Board certification documentation
  • Malpractice insurance verification
02

Submission & Tracking

Strategic submission to targeted insurance networks with real-time tracking and follow-up.

  • Multi-payer application submission
  • Real-time application status tracking
  • Automated follow-up system
  • Direct communication with payer representatives
03

Verification & Committee Review

Thorough verification process and navigation through payer credentialing committees.

  • Primary source verification
  • Peer reference collection
  • Credentialing committee liaison
  • Issue resolution and clarification
04

Contracting & Implementation

Final contracting and seamless integration into payer networks with optimal fee schedules.

  • Contract negotiation support
  • Fee schedule analysis
  • Provider enrollment completion
  • Practice management system integration

Extensive Payer Network

We credential with all major insurance payers across the United States

Government Payers

Medicare
Medicaid
Tricare
VA Health Network

Commercial Payers

Blue Cross Blue Shield
Aetna
Cigna
UnitedHealthcare

Regional & Specialty Networks

Kaiser Permanente
Humana
Centene Corporation
Molina Healthcare
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Providers Credentialed

Benefits of Professional Credentialing

Maximize your practice's potential with our comprehensive credentialing services

Revenue Growth

Increased Reimbursement

Access to higher-paying insurance contracts

Expanded Patient Base

Attract more patients through broader network access

Time Savings

Save hundreds of staff hours on credentialing tasks

Compliance Assurance

Ensure all credentialing meets regulatory standards

Ongoing Maintenance

Continuous monitoring and re-credentialing support

Accelerated Credentialing

Our streamlined process and established relationships with payers significantly reduce credentialing timeframes, getting you paneled faster.

Strategic Payer Selection

We analyze your practice specialty and location to target the most profitable insurance networks for maximum revenue potential.

Dedicated Support

Each provider receives a dedicated credentialing specialist who manages the entire process from start to finish.

Complete Transparency

Real-time tracking portal allows you to monitor application status and receive regular progress updates.

Specialty-Specific Credentialing

Tailored credentialing solutions for every medical specialty

Cardiology

Specialized credentialing for interventional and non-invasive cardiology practices with appropriate facility certifications.

Cardiac Networks Medicare Heart Centers Specialty Cardiology Plans

Psychology

Comprehensive credentialing for psychology practices, including neuropsychological testing and diagnostic services credentials.

Neurology Networks Medicare Neuro Centers Epilepsy Centers

Orthopedics

Specialized credentialing for orthopedic surgeons including sports medicine, joint replacement, and spine surgery.

Ortho Networks Workers Comp Sports Medicine Plans

Pulmonology

Complete credentialing for pulmonary and critical care medicine including sleep medicine and bronchoscopy credentials.

Pulmonary Networks Sleep Centers Critical Care Plans

Gastroenterology

Specialized credentialing for GI practices including endoscopy center credentials and advanced procedure approvals.

GI Networks Endoscopy Centers Medicare GI Facilities

OBGYN & Infertility

Comprehensive credentialing for Infertility practices and specialized care networks.

Pediatric Networks CHIP Programs Early Intervention

Ready to Expand Your Insurance Network?

Schedule a free credentialing assessment with our experts to discover how we can maximize your insurance affiliations and practice revenue.