Credentialing & Enrollment
At Clarimed Billing, we help healthcare providers navigate the complex process of credentialing and payer enrollment with speed, accuracy, and compliance, so you can start delivering care and receiving payments without unnecessary delays.
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Descriptions
Credentialing and enrollment are essential steps in establishing your practice with insurance networks and ensuring your services are reimbursable. We handle the paperwork, follow-ups, and verifications so that you can focus on patient care.
Our team ensures your application is error-free and submitted on time preventing denials, delays, or revenue loss due to credentialing issues.
Our Credentialing & Enrollment Services
- Provider & Group Credentialing
- Re-Credentialing & Maintenance
- Payer Enrollment (Medicare, Medicaid, Commercial Plans)
- CAQH Profile Management
- NPI & State License Registration
- Hospital Privileging Assistance
- Follow-up with Payers Until Approval
Who We Support
- Physicians & Medical Groups
- Dental Clinics
- Nurse Practitioners (NPs) & Physician Assistants (PAs)
- Behavioral Health Providers
- Therapy & Rehab Centers
- Labs, Imaging Centers, and Urgent Care Clinics
Emergency?
24 Hour Ready
Call Us for Emergency
+146002
(Free Toll)
Book Appointment
How it works
Procedure and Process Treatment
Diagnosis and Treatment
Start billing quickly by getting credentialed right from day one and secure reimbursement.
Find a Doctor
We help your providers appear in-network so patients can easily locate and book appointments.
Clinical Trials
Ensure your research professionals are properly enrolled for covered services and reimbursements.
Make an Appointment
Credentialed providers get listed faster, improving patient scheduling and insurance acceptance.
Patient & Family Resources
When your providers are properly credentialed, patients experience seamless in-network billing and fewer coverage issues resulting in improved satisfaction and trust.
FAQ
Frequently Ask Questions
It’s the process of verifying a healthcare provider’s qualifications, including licensure, education, training, and work history to approve participation with insurance payers.
It typically takes 60–120 days. Our team ensures your application is complete and actively follows up to minimize delays.
Yes, most payers require re-credentialing every 2–3 years. We monitor your deadlines and manage this for you.
