Credentialing & EnrollmentServices
CAQH attestation, NPI registration, and payer-specific credentialing to prevent delays. Expert credentialing and enrollment services to get you up and running quickly.
Provider credentialing is a complex, time-consuming process that directly impacts when you can start billing insurance. Delays in credentialing mean delayed revenue — sometimes for months. MedSure's credentialing specialists manage the entire enrollment process with every major payer, tracking applications from submission through approval so your providers can bill from day one.
Credentialing & Enrollment Solutions
Specialized credentialing & enrollment services designed to streamline your workflow.
Key Features
- CAQH attestation and maintenance
- NPI registration and updates
- Payer-specific credentialing
- Provider enrollment with insurance companies
- Credentialing renewal management
- Status tracking and updates
Benefits
- 98% success rate for credentialing
- Average 30-day turnaround time
- Reduced delays in provider enrollment
- Comprehensive credentialing management
- Compliance with all credentialing requirements
- 24/7 support and monitoring
How It Works
Our proven process delivers results for your practice.
Application Preparation
We collect and verify all required provider information: NPI numbers, DEA certificate, state licenses, malpractice coverage, education and training history, and work history. We prepare CAQH profiles and primary source verification for each provider.
Payer Enrollment Submission
Applications are submitted to all requested payers simultaneously — Medicare, Medicaid, and commercial insurers. We complete payer-specific forms, attach supporting documentation, and submit via paper, portal, or electronic enrollment as each payer requires.
Application Tracking
We track every application in our credentialing management system and follow up with payers proactively. We respond to payer requests for additional information within 24 hours to prevent processing delays.
Approval & Ongoing Maintenance
Once approved, we update your practice management system with effective dates and payer IDs. We also manage ongoing re-credentialing, license renewals, and CAQH attestation updates to prevent lapsed credentials that interrupt billing.
Frequently Asked Questions
Get answers about our Credentialing & Enrollment services.
How long does credentialing typically take?
Credentialing timelines vary by payer. Medicare Part B enrollment typically takes 30-60 days. Commercial payers like Blue Cross, Aetna, and United typically take 60-120 days. Medicaid can vary significantly by state. We submit all applications simultaneously to minimize overall wait time.
Can providers bill during the credentialing period?
Some payers allow backdating of claims to a provider's application date once approved. Others require a hold on billing until the effective date. We'll advise you on each payer's policy so you know exactly when billing can begin and whether backdating is possible.
What if a payer is closing its panel?
We monitor payer panel status and advise on alternatives. For closed panels, we can assist with formal requests and exceptions, or help identify in-network referral arrangements while pursuing enrollment.
Do you handle re-credentialing and ongoing maintenance?
Yes. MedSure tracks expiration dates for all credentials, licenses, and CAQH attestations. We initiate re-credentialing proactively — typically 90-120 days before expiration — to ensure continuous enrollment without billing interruptions.
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