Medical Credentialing Services
At BillingCare, we know that medical credentialing is the foundation of a provider’s ability to serve patients and receive payments from insurance companies. Without proper credentialing, providers face delays, denials, and lost revenue.
100+ Satisfied Providers
Serving More Than 50 Specialties
500+ Medical Billing and Coding Experts
Our Medical Credentialing Services
We offer end-to-end credentialing solutions tailored to physicians, group practices, clinics, and healthcare facilities
Provider Enrollment Services
1. Enrollment with commercial and government payers (Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, etc.)
2. Completion and submission of payer applications
3. Tracking and follow-up with payers until approval
CAQH Profile Setup & Maintenance
1. Complete setup and management of CAQH (Council for Affordable Quality Healthcare) profile
2. Regular updates to ensure accuracy and compliance
3. Attestation reminders and renewals
Primary Source Verification
1. Verification of provider credentials: education, training, licenses, DEA, board certifications
2. Ensuring all information is accurate and up to date
3. Eliminating risks of compliance issues
Re-Credentialing & Re-Validation
1. Timely management of re-credentialing requirements
2. Renewal of expiring licenses, certifications, and payer agreements
3. Preventing lapses that disrupt reimbursements
Group & Facility Credentialing
1. Credentialing for multi-provider practices, clinics, and facilities
2. Adding new providers to existing group contracts
3. Managing group enrollments with multiple payers
Credentialing Audit & Compliance Support
1. Internal audits to ensure provider files are complete and compliant
2. Support during payer or regulatory audits
3. Guidance on maintaining credentialing compliance
Ongoing Maintenance & Monitoring
1. Regular monitoring of provider credentials
2. Updates for address, location, or practice changes
3. Proactive alerts for expiring documents or licenses
Why Choose BillingCare for Credentialing?
Dedicated credentialing specialists with years of experience
Fast turnaround time with proactive follow-ups
Reduced denials and faster payer reimbursements
Customized solutions for solo providers, groups, and facilities
HIPAA-compliant, secure credentialing proces