Credentialing Experts

Hassle-Free Provider Credentialing & Payer Enrollment

Provider credentialing is one of the most critical — yet time-consuming — processes in healthcare administration. Without proper credentialing, providers cannot bill insurance companies, resulting in lost revenue and delayed patient access to care. At AllMed Solution, our dedicated credentialing specialists handle the entire process from start to finish, ensuring your providers are enrolled with all required payers quickly and accurately.

Our medical credentialing company has successfully credentialed thousands of providers across all specialties and all 50 states. We maintain deep relationships with major commercial payers, Medicare, Medicaid, and managed care organizations, which allows us to navigate the enrollment process more efficiently and resolve issues faster than most practices can on their own.

Whether you're a new provider just starting your practice, an established group adding new physicians, or a healthcare organization needing to manage ongoing re-credentialing for your entire roster, AllMed Solution has the expertise and systems to keep your credentialing current and compliant. We proactively track expiration dates for licenses, certifications, and payer contracts to ensure nothing falls through the cracks.

Our Services

Complete Credentialing Solutions

From initial applications to ongoing maintenance, we manage every aspect of provider credentialing.

Initial Credentialing

Complete end-to-end credentialing for new providers including application preparation, document collection, primary source verification, and submission to all required payers. We handle the heavy lifting so you can focus on patient care.

Re-Credentialing

Proactive management of re-credentialing cycles with automated tracking of expiration dates. We initiate the renewal process well in advance to prevent any gaps in your payer participation status that could disrupt billing.

CAQH Profile Management

Complete setup, maintenance, and quarterly attestation of your CAQH ProView profiles. We ensure all information is current, accurate, and compliant with payer requirements to avoid delays in the credentialing process.

Payer Enrollment

Strategic enrollment with commercial payers, Medicare, Medicaid, and managed care plans. We identify the optimal payer mix for your specialty and geography, then systematically enroll you with each carrier.

Expiration Tracking

Continuous monitoring of all license, DEA, malpractice, board certification, and payer contract expiration dates. You receive timely notifications and we handle renewal submissions proactively to ensure zero lapses.

Multi-State Credentialing

For providers practicing across state lines or telehealth providers needing multi-state enrollment, we manage the complexities of different state requirements and payer-specific processes for each location.

Timeline

Our Credentialing Process

A proven, systematic approach that accelerates your time to enrollment.

Week 1

Document Collection & Review

We collect all required documents including medical licenses, DEA certificates, board certifications, malpractice insurance, education history, work history, and references. Our team reviews everything for completeness and accuracy before proceeding.

Week 2

CAQH & NPI Setup

We set up or update your CAQH ProView profile with all required information and supporting documents. We also verify your NPI registration is accurate and up to date with NPPES to avoid enrollment delays.

Weeks 2-3

Application Preparation & Submission

We prepare and submit credentialing applications to all target payers simultaneously. Each application is customized to the specific payer's requirements and includes all necessary supporting documentation.

Weeks 3-10

Active Follow-Up & Issue Resolution

Our team actively follows up with each payer on a regular schedule, escalating when necessary. We promptly address any requests for additional information, correct discrepancies, and resolve issues that arise during the review process.

Weeks 8-12

Approval & Effective Dates

As approvals come through, we verify effective dates, confirm fee schedules, and update your practice management system with the new payer information so you can begin billing immediately.

Ongoing

Maintenance & Re-Credentialing

After initial enrollment, we continuously monitor all credentialing status, manage CAQH attestations quarterly, track expirations, and handle all re-credentialing cycles automatically to ensure uninterrupted payer participation.

FAQ

Frequently Asked Questions

Common questions about our provider credentialing services.

How long does the credentialing process take?
The typical credentialing timeline ranges from 60-120 days depending on the payer and state. Medicare enrollment usually takes 45-65 days, while commercial payers average 60-90 days. Some payers may take up to 120 days. We begin the process immediately upon engagement and follow up aggressively to accelerate timelines wherever possible. Our average is approximately 30% faster than practices handling credentialing in-house.
What documents do I need to provide for credentialing?
You'll need to provide copies of your medical license(s), DEA certificate, board certification, medical school diploma, residency/fellowship completion certificates, malpractice insurance face sheet, CV/work history, professional references, and a government-issued photo ID. We provide a detailed checklist and help you obtain any missing documents to ensure a smooth process.
Can you credential me with specific payers I choose?
Absolutely. We work with you to identify the optimal payer mix based on your specialty, location, and patient demographics. We can enroll you with any combination of commercial payers (Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Humana, etc.), Medicare, Medicaid, and managed care plans. We also provide recommendations on which payers will generate the most revenue for your specific practice.
What happens if my credentialing application is denied?
Denials are uncommon when applications are properly prepared, but they can occur. If a payer denies your application, we immediately investigate the reason, gather any necessary additional documentation, and file an appeal or resubmission. Common issues include incomplete information, expired documents, or discrepancies in databases — all of which we resolve proactively during the initial review phase.
Do you manage CAQH profiles?
Yes, CAQH ProView management is a core part of our credentialing service. We set up new profiles, update existing ones, upload all required documents, and complete the quarterly attestation on your behalf. Since most payers pull credentialing data directly from CAQH, keeping your profile current and accurate is essential for smooth enrollment and re-credentialing.
Can you handle credentialing for a group practice with multiple providers?
Yes, we specialize in managing credentialing for group practices of all sizes — from small groups with a handful of providers to large multi-specialty organizations with hundreds. We use dedicated credentialing management software to track every provider's status across all payers, ensuring nothing falls through the cracks and your entire team stays enrolled and billable.

Get Your Providers Credentialed Faster

Stop losing revenue due to credentialing delays. Let our experts handle the entire process while you focus on growing your practice and caring for patients.