Services

Credentialing for New Medical Practices as well as medical practices looking to expand.

Medical Credentialing Services

It’s time for you to get free from the hassle of sifting through printed material, worrying about legitimacy, and suffering the perplexity at the hands of nifty insurance agencies. Premier Medical Credentialing offers trusted medical and healthcare provider credentialing services that can go above and beyond to take up the troublesome and painstaking process of provider credentialing.

Our insurance credentialing services can help you get credentialed for systems like Medicaid and Medicare. We can help you get vetted ASAP to start receiving payments for the services you provide.

Our arrangements can fit any organization that pays heed to its specialty and size, from provider enrolment services to payer enrolment services. If you’re a part of a medical group or an individual, Premier Medical Credentialing can efficiently update you.

Medical credentialing is vital as it enables the patients to have confidence in their chosen physicians. We will vet the physicians’ degrees, education, behavior, work history, and other legalities through our healthcare provider credentialing services before they join your payer network. Similarly, before a medical provider joins an organization, surgery center, or hospital, we verify their degrees and other credentials.

Areas of Practice

Credentialing is provided for all healthcare providers from MD,DO, Behavioral Health, allied health professionals. 

Initial Credentialing with Commercial Payers.

Maintaining annual recredentialing with Commercial Payers.

Complete Group NPI Registration

Maintaining CAQH provider and group profiles.

Maintaining and tracking expirables such as Licenses and DEAs.

Corresponding with the billing department regarding any claims issues that may involve credentialing.

Prepare for audits from commercial payers as well as Medicare and Medicaid. 

EFT/ERA Enrollment

Terminating providers from payers from the group.

Completing Medical and Behavioral health licenses applications in all 50 states

Medical, Behavioral, and Nursing License applications completed

Hospital Affiliation applications completed