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30 Days Avg.
Credentialing

Provider credentialing and payer enrollment to get your practice contracted faster. We manage the entire process from start to finish.

Service highlight

30 Days Avg.

Built for accuracy, speed, and clean reimbursement.

Average Enrollment Time

30 Days

Providers Credentialed

1000+

Overview

What you get

Getting your practice set up to receive payments from insurance companies is a critical, yet often complex and time-consuming, administrative hurdle. Our Credentialing and Payer Enrollment service is designed to clear that path for you. We manage the entire verification and enrollment process from start to finish, working directly with insurance carriers, hospitals, and other healthcare entities. Our systematic approach ensures that your providers are credentialed accurately and as quickly as possible, allowing you to start seeing patients and receiving reimbursements without unnecessary delay.

Key Features

Built to prevent denials and speed up payments

Every feature is designed to reduce rework, improve compliance, and give you clear financial visibility.

Initial Provider Credentialing

We handle the complete process for new providers, including completing and submitting all necessary applications to private and public payers (like Medicare and Medicaid), and ensuring all supporting documentation is accurate and included.

Re-Credentialing & Payer Maintenance

Credentialing is not a one-time event. We manage the ongoing process of re-credentialing every 3-5 years and keep all your provider information updated with payers to prevent any interruptions in your reimbursement.

Primary Source Verification

We conduct thorough primary source verification of each provider's education, training, residency, board certifications, work history, and license status to ensure complete compliance with payer and regulatory standards.

Contracting & Fee Schedule Negotiation

Beyond just enrollment, we can assist with understanding and negotiating your payer contracts and fee schedules to help ensure you are being fairly reimbursed for the services you provide.

CAQH Management

We manage and maintain your providers' CAQH (Council for Affordable Quality Healthcare) profiles, ensuring the information is always up-to-date and readily available for payers, which is a critical step in the credentialing process for many commercial insurers.

Process

How implementation works

A structured workflow that keeps your billing clean while minimizing disruption for your team.

1

Information Gathering

We collect all necessary provider information, including licenses, DEA certificates, board certifications, education, and work history.

2

Application Completion & Submission

Our team accurately completes and submits all credentialing and enrollment applications to your target payers.

3

Primary Source Verification

We work with the primary sources to verify all credentials submitted, a mandatory step for payer approval.

4

Follow-Up & Expediting

We proactively follow up with payers to track the status of your applications, address any queries, and keep the process moving forward.

5

Contract & Fee Schedule Review

Upon approval, we help you review the proposed contract and fee schedule.

6

Ongoing Maintenance

We manage ongoing re-credentialing cycles and profile updates to ensure continuous, uninterrupted network participation.

Benefits

What improves after onboarding

Clear operational wins that show up in performance, cash flow, and team workload.

Faster provider enrollment and network participation

Reduced administrative burden on your office staff

Minimized delays in insurance reimbursements

Improved compliance with complex payer and regulatory requirements

Increased provider and practice revenue by capturing all billable services

FAQ

Frequently Asked Questions

Got questions? We've got answers

Revenue cycle partners you can trust

Ready to transform your revenue cycle?

Join 500+ healthcare providers who've optimized collections, reduced denials, and gained predictable cash flow with MIMedCare. Get a free consultation and a tailored roadmap for your practice.

  • Dedicated account specialists for every specialty
  • Transparent KPIs with monthly performance reviews
  • HIPAA-ready workflows and secure reporting
Get Started TodaySchedule a Call
info@mimedcarellc.com(279) 207-3379

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