Medical credentialing isn’t something that can be achieved simply by filling out forms to gain legitimacy and meet payer or hospital standards. Instead, it is a complex and time-consuming process driven by constantly changing payer compliance requirements. Even a single documentation or date error can lead to months of delays for credentialing candidates.
Our medical credentialing and provider enrollment services handle the complete process of a physician’s insurance enrollment setup from start to finish. That’s why it beckons for attentive oversight and continuous monitoring, since payer rules and regulations shift often – and staying up to date with each one is important. Beyond that, there are several other factors that need to be taken into consideration, such as incorrect taxonomy codes, outdated CAQH profiles, and inconsistent enrollment information.
It’s true that credentialing and enrollment are delicate, detail-driven processes that demand accuracy and expertise. But the question is, who will ensure that everything runs smoothly and transforms these stressful errors or rejections into successful enrollments?
This is where Paymedics enters.
As a full-service medical billing and credentialing company, Paymedics brings a team of credentialing specialists who deeply understand every nuance of the medical credentialing and enrollment process.
Our trained provider enrollment specialists exhibit advanced proficiency in the insurance payer policies, it is what we do every day. We credential hundreds of doctors, which means we work with multiple payers, too, which gives us firsthand knowledge of their systems, documentation standards, and approval workflows. Whether it is verifying physician credentials, managing enrollments, or handling physician credentialing. Paymedics medical credentialing company does it all.
Physician credentialing services by Paymedics ensure every provider document is complete, accurate and consistently updated to payer standards. This reduces errors, avoids rejections, and helps physicians get enrolled with healthcare payers.
Did you know that nearly 46% of healthcare practices report losing revenue due to inefficient credentialing and enrollment workflows? The reason: delays in primary source verification, payer backlogs and incomplete documentation that often push credentialing timelines beyond 90 days. More months mean more losses, leaving providers unable to see in-network patients and bill insurance companies for the care they already deliver.
Even worse, over 50% of practices report a rise in application denials related to credentialing errors, directly affecting clinicians’ revenue.
With Paymedics, you don’t need to worry about anything because our certified medical credentialing experts make sure you don’t suffer from documentation errors or payer red tape.
Our credentialing specialists make sure that every application is filled out accurately, completely, and in line with payer requirements from day one.
We perform active follow-ups with payers, keep up-to-date CAQH profiles, and prepare payer-specific documentation to prevent rejections.
Due to our vast expertise and established payer relations, we simplify the entire enrollment process to secure faster approvals from insurance networks. So, doctors can start billing and receiving reimbursements without disruptions.
Having Paymedics as your medical credentialing partner – credentialing and enrollment are no longer a frustrating barrier, instead it becomes a smooth, reliable process that helps your clinic grow without interruptions.
Because Your Credentialing Success, Accuracy, and Speed Matter to Us.
Here, at Paymedics Medical Credentialing Company, “just okay” is never enough. We know that your practice’s success depends on the accuracy, speed, and compliance of the insurance credentialing process.
We go beyond simple application submission, our team of certified enrollment specialists dive deep down in each practice, understand its needs, and manage every inch of detail, from primary source verification and CAQH profile maintenance to payer-specific documentation and delegated credentialing support.
Here’s why Paymedics is your trusted medical credentialing partner:
We set up electronic systems so you can send claims to insurance companies online and get paid electronically without waiting for paper checks.
We assist healthcare practitioners in joining Independent Physician Associations (it is like a large group of doctors who join together to work with insurance companies), giving them access to larger patient networks and shared payer contracts.
After every few years, insurance companies check healthcare practitioners to make sure their licenses, certifications, and records are still valid. So, we manage ongoing payer re-credentialing and CMS revalidation to maintain compliance.
Our experts timely track and renew provider licenses, so they can work legally without any interruptions in practicing or billing.
We help both individuals (Type 1) and organizations (Type 2) in obtaining or updating their National Provider Identifier (NPI), which is essential for compliant billing.
Hospital privileges is basically a permit doctors get from hospitals to admit and treat patients. We help in coordinating applications so providers can gain hospital admitting privileges and increase their scope of practice.
We help healthcare organizations meet NCQA, URAC, and TJC standards to achieve and maintain recognized accreditation.
We credential providers with Medicare, Medicaid, and all major commercial payers, cutting timelines from six months down to 90 days.
We offer ongoing support to healthcare providers to renegotiate their existing payer contracts to help them secure better reimbursement rates and clearer terms.
We start off by gathering all the important details such as licensing, certifications, work history, NPI information, and malpractice coverage. And make sure that every inch of data collected is accurate before moving ahead.
Once everything is ready, we submit your application to Medicare, Medicaid, and top commercial payers, so you get paid better in every prospect.
We don’t stop once the application is submitted, instead, our #1 credentialing specialists consistently follow up with insurance companies to track your application progress. This means you will receive regular updates, keeping you aware of where things stand.
We confirm that your details are successfully being added to the payer system, making sure you are enrolled and ready to kick-start billing without interruptions.
Credentialing isn’t just a one-time process, it requires periodic updates, such as renewals, revalidations, and license tracking, to keep your status active and compliant. Paymedics manages every re-credentialing step, so you never risk an enrollment lapse or payment slowdowns
Are you looking for the best medical provider credentialing services company? If yes, we are here to help you with our top-rated medical credentialing specialists. Being recognized as one of the leading medical credentialing companies across the USA, we bring years of hands-on experience in charting the course of provider enrollment and compliance management across all specialties. We know the struggles providers face—whether it’s meeting NCQA, URAC, or TJC standards, managing CAQH attestations, or keeping up with Medicare and Medicaid revalidations.
We’ve structured our credentialing services to address every pain point. We start by weighing closely your practice needs, along with the rules of your state and the payers you want to work with. After that, we use our strong network and payer connections to gather and verify all necessary documents, certifications, licenses, insurance details, and more, to make sure everything matches each payer’s specific requirements.
Here’s what you gain with Paymedics:
Our comprehensive medical credentialing services are designed for every type of healthcare organization, from solo physicians and group practices to hospitals, clinics and multi-specialty networks.
We deliver uniform professionalism and attention to detail to every provider. Our goal is simple to expedite the credentialing process so you can start treating patients ASAP and receive complete payments from payers without further hold-ups.
We Serve:
Being a medical credentialing services company, we are well-versed in all the credentialing processes, ensuring a smooth and error-free process.
Our top medical credentialing consultants provide round-the-clock support to help physicians navigate payer requirements and maintain efficiency.
We reduce paperwork and burden on your care team, which helps speed up the provider enrollment process.
Our compliance-first approach keeps your clinical practice aligned with industry standards and payer requirements.
Our expedited medical credentialing process cut credentialing time from weeks to days.
We keep you informed at every stage of the credentialing process. With real-time updates, you will always stay informed of the exact status of your applications, enrollments, and renewals.
Get Enrolled with Payers That Bring You the Most In-Network Patients
