Credentialing

Credentialing can be a complicated process. Preparing credentialing applications for multiple entities is an increasingly time-consuming, costly, and duplicative process. Our experienced credentialing services team works with great efficiency to get our clients enrolled in various insurance companies. Our company understands the credentialing process, rules and regulations of different insurance organizations as well as the complex provider credentialing requirements. We are familiar with the industry and procedures, which allows us to navigate the provider credentialing process in order to achieve quick and positive results. Our clients are nationwide and include major hospital systems, large multi-specialty groups, single specialty groups, solo practitioners, nurse practitioners, physical therapists, behavioral health specialists and everyone in between.  We focus on getting you enrolled quickly to eliminate any delays in payment. Our goal is to simplify the process, produce accurate and timely submissions, and reduce costs & frustration associated with credentialing providers. As a result, we are able to save you time and money on what could otherwise be a lengthy credentialing process.

One Stop Medical Billing’s credentialing services include:

  • Enrollment in commercial insurance carriers of your choosing
  • Medicare enrollment (PECOS) and state specific Medicaid for all 50 states
  • CAQH registration and completions
  • Type 1 and 2 NPI applications
  • Customized reporting to keep you updated on application status
  • Follow up with all insurance carriers until application approval
  • Access to all provider numbers and effective dates
  • Ongoing maintenance of CAQH (every 120 days), Medicare re-validations, re-credentialing and tracking expiring credentials (medical license, Federal DEA etc.) right
  • Resolution of all credentialing related billing services