Credentialing

Credentialing can be overwhelming and frustrating because the process can differ from payor to payor and state to state. Applications are very detailed and the slightest error can cause the application to be rejected causing delayed payment or loss of revenue. Processing of an application can take between 45 days and 6 months so every effort must be made to submit a correct and complete application and have the ability to follow up on the progress. This is a very time consuming task that can take staff away from patient care and can be easily neglected.

Credentialing is necessary when a new practice is opened or location changes, when a new provider is added to your practice, when you want to become a participating provider and when payors request an update in information. Ensuring that you and your practice are participating with the major payors that your patients use is vital to your revenue stream.

MedPro Services provides credentialing for practices at their request for payors, such as, but not limited to:

Medicare Part B
DMERC
Medicaid
BCBS
United Healthcare
Aetna
Tricare

MedPro Services will follow the entire process from beginning to end to ensure you are credentialed and your practice is reported as ‘In-Network’ in a timely manner. We pride ourselves on accuracy and quick turn-around- time on approvals.

MedPro Services also will provide, monitor and renew fee schedules to ensure you are being reimbursed appropriately. We will also make recommendations on your fee for service based on national and local averages.

MedPro Services has had clients in the following states: CA, WA, IA, IL, CO, MI, GA, FL, TN, KY, IN, NY, NJ, NC, SC, PA. However, due to our experience if your practice is not in one of these states rest assured we are able to get you credentialed in a timely manner.

Please contact us today for a fee chart for completion of credentialing.