Provider Credentialing Services
Get your providers in-network faster with our comprehensive credentialing and enrollment services. We handle the paperwork so you can start seeing patients and getting reimbursed sooner.
What is Provider Credentialing?
Provider credentialing is the process of verifying a healthcare provider's qualifications, education, training, licenses, and professional history to ensure they meet the standards required by insurance companies, hospitals, and healthcare organizations.
At Better Call Solutions, we manage the entire credentialing lifecycle, from initial applications through ongoing maintenance and re-credentialing, ensuring your providers can practice without delays and your practice receives timely in-network reimbursements.
Our Credentialing Process
A systematic 8-step approach to get your providers credentialed efficiently
Document Collection
Gather all required credentials, licenses, certifications, education records, and professional references.
Application Preparation
Complete CAQH, insurance applications, and hospital privileging forms with 100% accuracy.
Primary Source Verification
Verify all credentials directly with issuing institutions including medical schools and licensing boards.
Payer Submission
Submit applications to Medicare, Medicaid, and commercial insurance payers with required documentation.
Status Tracking
Monitor application progress daily and follow up proactively with payers to expedite processing.
Issue Resolution
Address any questions, requests for additional information, or discrepancies immediately.
Enrollment Confirmation
Obtain effective dates, provider IDs, and complete enrollment in payer systems.
Ongoing Maintenance
Monitor expiration dates and manage re-credentialing to prevent any gaps in coverage.
Comprehensive Credentialing Services
Complete credentialing management from start to finish
Initial Credentialing
- ✓New provider enrollment
- ✓Practice location credentialing
- ✓Multi-state licensing coordination
- ✓DEA and controlled substance registration
- ✓NPI application and management
Insurance Credentialing
- ✓Medicare enrollment
- ✓Medicaid enrollment
- ✓Commercial payer credentialing
- ✓Managed care organization enrollment
- ✓Workers' compensation registration
Hospital Privileging
- ✓Medical staff application
- ✓Clinical privilege requests
- ✓Peer reference coordination
- ✓Malpractice verification
- ✓Hospital committee liaison
Re-Credentialing
- ✓Expiration date monitoring
- ✓Proactive re-application
- ✓License renewal tracking
- ✓Certification maintenance
- ✓Updated documentation submission
CAQH Management
- ✓Profile creation and setup
- ✓Quarterly attestation
- ✓Document updates
- ✓Database monitoring
- ✓Authorization management
Ongoing Support
- ✓Provider database maintenance
- ✓Contract negotiation support
- ✓Roster management
- ✓Sanction screening
- ✓24/7 status updates
Credentialing Timeline
Understanding the credentialing process and expected timeframes
Preparation Phase
Document collection, CAQH profile setup, and application preparation
Submission Phase
Submit applications to Medicare, Medicaid, and commercial payers
Verification Phase
Primary source verification of education, training, licenses, and work history
Review Phase
Credentialing committee review and decision-making process
Enrollment Phase
Final enrollment, provider ID assignment, and system setup
Total Timeline
Complete credentialing from start to finish for most payers
Benefits of Professional Credentialing
Why outsourcing credentialing makes financial and operational sense
Faster Enrollment
Faster enrollment compared to self-managed credentialing through our expedited processes and payer relationships.
Higher Success Rate
Application approval rate on first submission through meticulous accuracy and completeness checks.
Time Savings
Hours saved per provider enrollment that can be redirected to patient care and revenue-generating activities.
Cost Reduction
Lower costs compared to hiring dedicated credentialing staff including salary, benefits, and software.
Zero Gaps
Coverage continuity through proactive re-credentialing management and expiration date monitoring.
Expert Guidance
Access to credentialing specialists who understand payer requirements and industry best practices.
Credentialing Challenges We Solve
Common obstacles that delay credentialing and how we overcome them
Challenge: Incomplete Applications
Our Solution: We use comprehensive checklists and quality control processes to ensure 100% completeness before submission, eliminating delays from missing information.
Challenge: Slow Payer Response
Our Solution: Our established relationships with payer credentialing departments and proactive follow-up systems expedite processing times.
Challenge: Documentation Gaps
Our Solution: We maintain organized provider files and work directly with medical schools, licensing boards, and previous employers to obtain required verifications.
Challenge: Missed Deadlines
Our Solution: Automated expiration tracking and 90-day advance re-credentialing initiation prevents any gaps in provider enrollment status.
Challenge: Multi-State Complexity
Our Solution: Expertise in state-specific requirements and simultaneous multi-state credentialing coordination streamlines the process.
Challenge: Hospital Privileging
Our Solution: Experience with hospital medical staff bylaws and peer reference coordination ensures smooth privileging applications.
Our Credentialing Track Record
Proven expertise in provider credentialing and enrollment
Start Your Credentialing Process Today
Contact Better Call Solutions to begin credentialing your providers and get them enrolled with payers faster. Our credentialing specialists are ready to help streamline your enrollment process.