Best Provider Enrollment and Credentialing Services

Our provider enrollment and credentialing services are designed to optimize your practice’s revenue cycle while ensuring compliance with payer requirements. Our dedication to excellence and personalized services makes us the preferred choice for all your provider credentialing needs.

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    Well Experienced Credentialing Specialists

    Fast Credentialing (60-90 Days)

    99% Provider Enrollment Success Rate

    Services We Provide

    Medicare and Medicaid Provider Enrollment

    We understand the importance of enrolling with Medicare and Medicaid to expand your patient base. Our expert team ensures a seamless enrollment process, allowing you to offer services to eligible beneficiaries under these government programs.

    Commercial Insurances' Credentialing

    Our team guides healthcare providers through the intricate credentialing process with commercial insurance companies. We streamline the application and verification procedures, ensuring participation in insurance networks and maximizing reimbursement for your services.

    NPI Registration (Type I and Type II)

    We handle the registration process for National Provider Identifier (NPI) numbers. Whether you are an individual provider (Type I) or an organization (Type II), we simplify the essential identification requirements for billing and claims, saving you valuable time and effort.

    CAQH Registration and Maintenance

    We ensure hassle-free registration and ongoing maintenance of your Council for Affordable Quality Healthcare (CAQH) profile. By streamlining the provider data collection process for participating health plans, we help you stay responsive to payer requirements.

    MCR DMEPOS Enrollment

    If you offer durable medical equipment, prosthetics, orthotics, or supplies (DMEPOS), our services guide you through the enrollment process required to serve Medicare beneficiaries. We ensure compliance and facilitate the provision of specialized products and services.

    Hospital Privileges

    Expand your scope of practice and patient care capabilities by obtaining hospital privileges. Our team assists healthcare providers in navigating the administrative aspects of the privileging process, ensuring they can admit and treat patients at affiliated hospitals.

    Contract Negotiation

    Our expert support in contract negotiation with insurance payers helps you secure favorable terms and conditions for your services. We advocate for maximizing reimbursement rates and minimizing administrative burdens.

    Revalidation & Re-credentialing

    We facilitate revalidation and re-credentialing, ensuring your continued compliance with regulatory requirements and active status with payers. Our team provides a seamless transition, saving you time and effort.

    Reimbursement Issues Audit

    We conduct thorough audits of reimbursement processes to identify and resolve issues that may impact your revenue cycle. Through our expertise, we optimize reimbursement and reduce potential revenue losses, ensuring your financial success.

    Provider State License

    Our services include assisting healthcare providers in obtaining and renewing state licenses. We ensure compliance with the regulatory framework for practicing medicine or providing healthcare services in specific jurisdictions.

    DEA Certificate & Renewal

    We handle the application and renewal processes for Drug Enforcement Administration (DEA) certificates. Ensuring compliance enables healthcare providers to prescribe and handle controlled substances as required for their specialty.

    CLIA Registration

    We guide healthcare providers through the Clinical Laboratory Improvement Amendments (CLIA) registration process. Our support ensures compliance with federal quality standards for laboratory testing, enabling you to offer reliable diagnostic services to patients.

    Credentialing Services for Providers: Our Comprehensive Offerings

    Enhance your patient reach and expand your practice effortlessly with our comprehensive physician credentialing and contracting services. Our dedicated team of experts specializes in streamlining the enrollment process for healthcare providers, saving you valuable time and eliminating unnecessary hassles while maximizing your revenue potential. Choose our expert provider credentialing services to simplify and expedite the enrollment process, allowing you to focus on what matters most—delivering exceptional healthcare to your patients.

    Streamlined Enrollment Process

    Our team consists of dedicated professionals who meticulously complete all required medical credentialing information, ensuring comprehensive and accurate submission to commercial and government payers upon request from healthcare physicians.

    Proactive Contracting Issue Resolution and Data Integrity

    Our team diligently identifies and resolves any contracting challenges that may arise so you can focus on delivering quality care. Additionally, we perform regular audits to maintain data integrity and ensure accurate representation of your practice.

    Seamless Follow-Up Procedures

    As a reputable provider of medical credentialing services, we prioritize proper follow-up procedures to facilitate a smooth and uninterrupted enrollment process. Our team handles all necessary communications and documentation, leaving you free to concentrate on patient care.

    Compliance with NCQA Standards

    Adherence to the National Committee for Quality Assurance (NCQA) standards is paramount at our organization. We maintain strict compliance through our meticulous provider credentialing services, ensuring your practice meets the highest quality benchmarks in the industry.

    Efficient PECOS & CAQH Registrations

    We excel at creating and maintaining up-to-date CAQH and PECOS credentialing portals. Our experts efficiently and precisely handle the registration process, ensuring seamless integration with relevant databases.

    Facilitate Your Credentialing Journey in 4 Simple Steps

    provider Enrollment and credentialing Services

    Step 1: Onboarding

    Our expert team will guide you in selecting the insurance companies you desire to be networked with, offering valuable recommendations based on your needs. To begin the process, you will complete our comprehensive master survey and provide us with the required documentation.

    Step 2: Application

    Within five business days of receiving all necessary documentation from you, we obtain the most up-to-date insurance applications and handle the completion process on your behalf. By entrusting us with this task, you can rest assured that your applications will be accurately and efficiently submitted.

    Step 3: Follow Up

    We recognize the importance of a smooth and timely enrollment process. As part of our proactive approach, we diligently follow up with insurance companies to confirm the receipt of your applications. Our dedicated team ensures that the enrollment process moves forward effectively and without unnecessary delays, keeping you informed every step of the way.

    Step 4: Completion

    Upon receiving confirmation of insurance approvals, we promptly notify you and provide essential information regarding your newly acquired insurance panel. With this knowledge, you can confidently start scheduling client appointments and promptly bill for your valuable services.

    Advantages of Opting for Our Provider Credentialing Services

    credentialing services for providers

    Enhance Workflow Efficiency: Bid farewell to time-consuming manual tasks. Our provider credentialing services for healthcare professionals will save your team weeks of repetitive work, allowing them to concentrate on activities that make a more significant impact.

    Empower Your Staff: Our comprehensive services free your staff from tiresome paperwork and countless applications. They can engage in valuable tasks that propel your practice forward.

    Mitigate Risk, Maximize Revenue: Eliminate the hassle of insurance follow-ups and reduce the likelihood of revenue loss. Our expert credentialing solutions ensure you are always at the top of your game.

    Expand Patient Growth: Our efficient credentialing process boosts patient referrals and broadens your patient base, allowing your practice to thrive and attract more patients.

    Accelerate Payment Processing: Expedite payments and enhance cash flow. Our streamlined medical billing and credentialing services mean that you can begin receiving payments in a timelier manner.

    Comprehensive Support: Enjoy an end-to-end service encompassing every aspect, from gathering essential information to submission, follow-ups, and seamless communication via emails and faxes.

    Round-the-Clock Access: Stay informed at all times from any location. Our online platform provides unrestricted 24/7 access to your documents, ensuring real-time application updates.

    Personalized Attention: Experience the advantage of a dedicated project manager who will guide you. Our customer service, which has garnered numerous awards, ensures that you are in capable hands.

    provider credentialing services


    What our Clients Say

    Dr. Sophia Walker
    Dr. Sophia Walker

    MD, Pediatrician

    As a busy pediatrician, I simply don't have the time or resources to navigate the complexities of provider enrollment and credentialing. Urgent RCM has been an invaluable partner, handling all aspects of the process with professionalism.

    Dr. Ethan
    Dr. Ethan

    MD, Internal Medicine Physician

    I've worked with several medical credentialing companies over the years, but none have matched the level of service and expertise provided by Urgent RCM.

    Isabella Carter
    Isabella Carter

    Physician Assistant

    Urgent RCM has been instrumental in helping our practice maintain compliance with payer requirements and stay ahead of the curve when it comes to provider credentialing.

    Dr. Olivia Reynolds
    Dr. Olivia Reynolds

    Practice Manager

    As a healthcare administrator, I've seen firsthand the impact that efficient provider credentialing can have on a practice's bottom line. I highly recommend their services to any organization looking to optimize their revenue cycle.

    Dr. Liam Nguyen
    Dr. Liam Nguyen

    MD, Family Medicine Physician

    Their provider credentialing services have helped us onboard new providers seamlessly, ensuring compliance with payer requirements and timely reimbursements. The team's expertise and attention to detail are unparalleled.

    Eliminate credentialing bottlenecks and take your practice to the next level with our Provider Enrollment and Credentialing Services.

    Urgent RCM

    Get started with Urgent RCM today to streamline your practice needs

    200 N lllinois St, indianapolis, IN 46204 40 W 37th St, New York, NY 10018
    +1 (978)-709 1995
    8 am – 5 pm, Est