Credentialing & Enrollment
Faster Credentials,
Stronger Compliance
Credentialing and enrollment are key steps for healthcare providers. They are important for joining payer networks and getting paid for services. However, these steps can take a lot of time.
Our Credentialing & Enrollment Services help providers get the right credentials. They also ensure providers enroll with commercial and government payers. We do this on time, every time.
Why Credentialing & Enrollment Matter
Without proper credentialing and enrollment, providers risk:
Delayed reimbursements or unpaid claims
Compliance violations and legal exposure
Loss of network participation and patient access
When onboarding a new provider or handling re-credentialing, accuracy and timeliness are key. MedEquity ensures your practice meets every requirement, reducing delays and protecting your revenue.
What We Do
At MedEquity Solutions manages the entire credentialing and enrollment lifecycle for providers, groups, and facilities.
Initial Provider Credentialing
We gather and check provider documents to meet payer standards. This includes licensure, education, work history, malpractice, and more.
Payer Enrollment
We fill out and send applications to commercial and government insurers, like Medicare and Medicaid. This helps ensure accurate and timely enrollment in the networks we want.
Re-Credentialing & Maintenance
We track re-credentialing dates and update records. We also resubmit as needed, so you won't miss a renewal deadline.
CAQH Profile Management
We keep your CAQH profile up-to-date and complete. This way, payers get consistent and verified info for enrollment decisions.
Ongoing Compliance Monitoring
We keep an eye on licensure, sanctions, expirables, and regulatory changes. This helps you stay ready for audits and remain compliant.
Why MedEquity ?
What We Handle
Document Collection & Review
We gather and audit all required credentials and licenses.
Application Submission
We complete and send enrollment applications to targeted payers.
Status Tracking & Follow-Up
We track each submission. We follow up with payers. This helps us resolve any issues that might slow things down.
Confirmation & Reporting
After enrollment, we share updates and reports to keep your team informed
We help healthcare providers boost their earnings through advanced technology, efficient automation, and expert reimbursement strategies.
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