Insurance Credentialing Services

Stop Leaving Money on the Table

Get Credentialed the Right Way with MedicalBillingg

Insurance credentialing can feel like a black hole. You send off applications, wait forever, follow up endlessly, and still get hit with rejections or delays. Throughout this process, you invest time and money also. And if you’re a busy provider or managing a practice, it’s become difficult for you to manage credentialing processes with patient care.  At MedicalBillingg, we get it. Credentialing isn’t optional, but it’s absolutely essential to your bottom line. That’s why we’ve taken the responsibility of this complex process and turned it into something way smoother, faster, and frankly, less of a nightmare. Our goal is to get you in-network faster so you can start billing sooner and keep your revenue flowing.

Credentialing That’s Actually Built for Speed and Simplicity

Most providers don’t have the option of waiting 3 to 6 months to get on an insurance panel. Every day you’re out-of-network is a day you’re either losing patients, working for free, or stuck chasing cash-pay clients. At MedicalBillingg, we understand it. That’s why we fast-track your credentialing by knowing exactly what payers want and what makes them delay. We don’t cut corners, but we cut the confusion because, as an experienced medical billing company, we’ve done this hundreds of times before. We are your behind-the-scenes staff, making things happen from ensuring your applications are flawless to following up.

What’s Included in

Insurance Credentialing Services

We don’t believe in a one-size-fits-all approach. Whether you’re a solo provider, part of a large group, or offering virtual visits from across the country, we tailor our credentialing service to meet your specific needs.

Payer App Preparation and Submission

Each insurance payer has its own application and its own rules, and even the smallest error can result in months of delay. Our credentialing pros carefully and thoroughly collect all your information, double-check for accuracy, and make sure your applications are submitted the first time.

CAQH Profile Creation and Maintenance

If you're dealing with private insurance, your CAQH ProView profile is your lifeline. But keeping it up-to-date is easier said than done. We professionally and efficiently handle your CAQH setup, attestation, and updates so that insurers can verify your credentials without a hitch. It’s one less thing you need to worry about.

Medicare and Medicaid Enrollment

Government payers come with strict rules and plenty of paperwork. Our team understands the complexities of CMS regulations and state-specific Medicaid requirements. We’ll walk you through PECOS registration, track progress, and follow up relentlessly to keep the process moving.

Commercial Payer Enrollment Services

Do you want to work with the big-name insurers? We’ll get you on the panel. We’ve built strong relationships with payers like Aetna and Cigna, which means faster responses and fewer holdups. From filling out their application packets to managing portal registrations, we’ve got you covered.

NPI Registration and Updates

Whether you need a Type 1 NPI for yourself as a provider or a Type 2 NPI for your practice or group, we help you register and maintain it correctly through the National Plan and Provider Enumeration System (NPPES). And if any changes come up, we’ll make sure your info stays current.

Contract Negotiation

Credentialing isn’t just about getting in-network—it’s about getting paid fairly. Our team helps negotiate payer contracts and fee schedules so you’re not leaving money on the table. We make sure your reimbursement rates are competitive and your contract terms are crystal clear.

Re-Credentialing Services

Credentialing isn’t a one-and-done thing. Most payers require you to re-credential every 2-3 years, and it’s easy to lose track. At MedicalBillingg, we stay ahead of deadlines and handle all renewals and updates so your participation status stays active and your revenue stays protected.

Follow-Ups and Appeal Handle

Did a payer lose your records? Is your credentialing status suddenly stuck? We don’t just file and forget—we chase down responses, follow up with payers, and handle appeals if you’ve been denied or delayed. We know who to call, what to say, and how to escalate when needed.

Who We Help:

Credentialing for All Practice Types

No two providers are exactly alike, and we don’t treat you that way. Whether you’re a recent graduate starting out or a seasoned professional running a multispecialty group, we have credentialing solutions that fit your setup.

Solo Physicians and Private Practices

Running your own practice? We help independent doctors get credentialed without the admin chaos. Whether you’re opening a new office or switching payers, we’ll handle everything while you build your patient base.

Multi-Specialty Clinics

Credentialing gets messy when multiple providers, specialties, and locations are involved. Our system handles large-scale enrollments and ongoing maintenance for complex groups, keeping your entire team in good standing.

Nurse Practitioners and PAs

NPs and PAs often face longer credentialing wait times, especially when working under multiple supervising physicians. We make sure everything is aligned licenses, so you can start treating patients faster.

Behavioral Health Providers

Mental health professionals like therapists, psychologists, and counselors have unique credentialing needs—especially with Medicaid and EAP plans. We handle the details so you can focus on helping your clients heal.

Telehealth and Virtual Care Practices

Although virtual care is growing, it can be difficult to get credentialed across multiple states. We specialize in multi-state licensure support and telehealth credentialing, making sure you’re cleared to operate across regions and platforms.

First Credentialing Journey

Just finished training and ready to get in-network? We’ll guide you from step one—NPI registration, CAQH, state licensure, all the way to payer approvals. Starting your career doesn’t have to mean starting with headaches.

Why Choose Us

Why Choose MedicalBillingg for Insurance Credentialing?

Deep Payer Expertise

Every insurer has its own credentialing timeline. Some take 30 days. Others take 120. We know what to expect and how to speed things up. Our knowledge and experience, your advantage.

Dedicated Credentialing Specialists

You won’t be passed around from one generic “account manager” to another. You’ll work with a credentialing specialist who knows your practice, your providers, and your payers.

Transparent Communication

We don’t leave you wondering what’s going on. You’ll get regular updates, direct contact with your credentialing rep, and a clear picture of where things. Our staff will keep you in touch.

Faster Enrollment

The longer you wait for approval, the longer you go without pay. We streamline your enrollment so you can start billing—and getting paid—as soon as possible.

Major Insurance Networks

No matter where you practice or which payers you’re targeting, we’ve got it covered. From Alaska to Florida and every state in between—we’re credentialing nationwide.

Full Integrated RCM Solution

Already using MedicalBillingg for your RCM? Perfect. Our credentialing services plug right in, keeping your RCM ecosystem seamless from patient intake to payment collection.

Add-On Services

Make Your Credentialing Even Smoother

MedicalBillingg billing company offers optional add-ons that make life easier for busy providers:

The MedicalBillingg Difference:

It’s Credentialing, Done Right

We aren’t here to shuffle papers and call it a day. We’re here to help you:

That’s the MedicalBillingg difference.

Billing and Payments

Frequently Asked Question