Medical Credentialing Services
Get rid of your credentialing woes and get enrolled with great efficiency
SmartBilling. is a credential service provider and emerges to aid physicians in avoiding delayed submission of healthcare claims, crossing filing limits, wastage of time, and loss of revenue in the credentialing process. Our experienced team manages the credentialing process, which helps you navigate the provider enrollment and MD credentialing process.
Our Medical Credentialing Services Include:
Credentialing & Re-credentialing
Patients’ insurance eligibility verification is the first step that precedes scheduling their visit, which leads to zero insurance denials.
Dedicated Team
A team that completes the credentialing details and submits it to commercial Insurances, Medicare and Medicaid, as requested by healthcare physicians.
Compliance
Smartbilling’s Physician Credentialing Services ensure compliance with the National Committee for Quality Assurance (NCQA) and the Department of Health and Family Services (DHFS.
Crucial Follow Ups
As a credential service provider, we ensure that all follow-ups are performed properly for a smooth enrollment.
Portal Registrations
Create and update CAQH & PECOS credentialing portals
Contracting Issues & Data Integrity
We resolve contracting issues and maintain data integrity through audits
Credentialing: Did you know?
Explore SmartBilling Plans and Pricing
Medical Billing and Credentialing Services
Why Choose SmartBilling Company for Medical Credentialing Services
FAQS
Certainly, physicians can do this themselves – but a professional credential service provider would remove all the hassles from the equation. You can easily spend more time doing something you love while a professional credentialing service for physicians like smartbillings do all the hard work for you. We have helped many healthcare professionals with our unrivalled medical billing and credentialing services and we are ready to help you too.
The credentialing process takes around 90-120 days and sometimes the process completes quicker if the documents are complete and there are no objections.
To speed up the credentialing process you must proactively gather the required documents, hire a credential service provider and ensure accuracy of the information provided.
The good thing about Medicare is that the day they receive the application, providers can bill from that date. Medicare takes 60 – 90 days to complete the credentialing process and sometimes the turnaround time is just 15 days.
The insurance companies take 60 – 90 days to verify the provider’s educational documents, qualifications, and past work experience and check the criminal record.
Credentialing is needed to get physicians enrolled with the insurance company. Without credentialing, providers cannot claim insurance companies for reimbursements? Credentialing determines the eligibility of the providers.
Payors usually review provider agreement every 3 years to ensure and most of the organization requires complying with the re-credentialing to ensure provider network quality.
The credentialing process can take up to 3 months to complete. Every organization has a different process to vet the sign-up application and usually, an in-house committee scrutinizes the application form every angle.
The provider credentialing is a process of authenticating the accuracy of provider’s educational documents, career record, malpractice history, licenses, diplomas, certifications, and professional references upon hiring. Providers must be credentialed with the payors and insurance companies to get paid and the process includes NPI and CAQH ProView.