Provider enrollment and credentialing slow down far too many practices. One small mismatch, one outdated form, and payers stop the process cold. We step in early, fix the details, update CAQH, and manage insurance credentialing so approvals move smoothly and you stay on schedule without surprises.
You're paired with a provider enrollment specialist who manages everything end-to-end. They prepare each application, follow payer guidelines, and keep the file moving with steady follow-ups. From insurance paneling to day-to-day credentialing and enrollment services, we remove delays before they turn into real problems.
Our approach focuses on accuracy and momentum. We verify documents, track every payer request, and prevent credentialing gaps that interrupt billing. Whether you outsource provider enrollment or simply need help with a few plans, we keep your approvals moving until each payer signs off.
Start your enrollment today or consult with a credentialing specialist who can guide you through the entire process, from initial setup to final payer approval.
Credentialing Service Fees Starting
As Low As $99 Per InsuranceFree consultation with a credentialing expert
Providers choose MedSole RCM because we keep enrollment predictable, fast, and fully managed. Every file gets personal attention, clear communication, and clean documentation. You always know where your applications stand, and you never lose time waiting on updates or chasing payers on your own.
Most delays come from small mistakes. Our team checks every detail before submission, so your applications move forward without repeat work or avoidable reversions.
Work with one dedicated credentialing specialist who knows your timelines, payers, and practice needs so nothing gets lost—no tickets, no confusion just progress
Whether you are adding one plan or expanding nationwide, we manage commercial, Medicare, Medicaid and specialty payers across all 50 states without delays.
You never wonder what is happening. We track each payer and send clear biweekly updates so every enrollment keeps moving forward until it is fully approved.
We correct outdated data sync documents and maintain your CAQH profile, ensuring that every payer request moves faster without delays, stalled files, or missed updates.
Your practice can’t grow if you're stuck waiting on payer approvals.
Our accelerated credentialing workflow unlocks
faster reimbursements, more contracts, and a stronger monthly cash flow — guaranteed.
MedSole RCM runs a hands-on, end-to-end provider enrollment and credentialing system that keeps your practice compliant, contracted, and cash-positive. We manage every detail from clean NPI setup and CAQH attestation to payer enrollment, contracting, and revalidations, so your team never chases portals or missing documents. Our credentialing specialists move files faster and cleaner, correcting issues in real time and pushing applications across payer queues until approvals land. The result is uninterrupted billing, steadier revenue, and more time for patient care.
Enrollment fails when NPI data isn’t right. We create and manage NPI-1 and NPI-2, fix errors, and handle updates for individual and group providers so payers approve without delays. No portals. No forms. No back-and-forth.
CAQH can slow credentialing down if even one field is off. We rebuild or update your profile, upload missing documents, and keep attestation current. When payers check your file, everything lines up the first time.
From Medicare and Medicaid to every major commercial plan, we complete all applications, verify data, track progress, and follow up until the approval letters land. Nothing is left on hold. You get clean submissions and steady progress.
Recredentialing and revalidation keep revenue protected. We track payer deadlines, update documents, fix errors, and submit on time so your enrollment stays active, compliant, and uninterrupted across all payers.
Fee schedule negotiation improves revenue at the source. We review contracts, identify underpayments, and negotiate with payers to secure better rates that increase long term reimbursement without adding volume.
Payers don't always communicate clearly. We call, email, document, escalate, and confirm every step so you always know where things stand. You'll never wonder if an application was "received" or "still under review."
Faster payments start with the right configuration. We complete EFT and ERA enrollment for each payer, fix mismatches, and confirm activation so your deposits and remits flow without delays or rejections.
If you are leaving a network or changing groups, we handle the notices and timelines. We make sure payers get the right documents so the transition goes smoothly.
Providers want credentialing that feels simple, predictable, and fast. Our system is built to handle it from start to finish. Every step is handled by trained enrollment specialists who understand payer rules, documentation checkpoints, and the pressure practices face when approval timelines drag. Our workflow removes the guesswork, protects your revenue, and gets you in-network without delays.
We begin with a structured intake led by a senior enrollment specialist. Your NPI, CAQH, licensure, taxonomy, and documentation are reviewed for accuracy. This early audit removes hidden errors that stall provider enrollment and credentialing, setting the foundation for clean submissions across every payer.
Every enrollment plan is setup according to your specialty, location, and reimbursement goals. We assess Medicaid and Medicare eligibility, open commercial panels, and network opportunities that align with your practice. This targeted approach strengthens your credentialing in medical billing and positions your practice for higher-value contracts.
Our team manages the setup, updates, and maintenance of every profile tied to your approvals. This includes NPI registration, CAQH attestation, PECOS enrollment, Medicaid applications, and commercial payer onboarding. Each file is aligned to payer standards, ensuring smooth medical provider credentialing services from the start.
Once your profile is ready, we verify every document, correct inconsistencies, and prepare payer-specific applications. This step sharpens the accuracy required for medical credentialing service and reduces the back-and-forth that delays approval. Clean submissions mean fewer interruptions in your enrollment timeline.
Payers move slowly—so we don’t. Our team handles all follow-ups, resolves missing items, escalates stalled files, and confirms progress each week. When approvals arrive, we negotiate fee schedules, secure contract terms, and complete EFT/ERA setup so you can begin billing without delay.
Credentialing doesn’t end with approval. We manage demographic updates, recredentialing cycles, Medicaid revalidations, Medicare re-enrollment, contract terminations, and CAQH re-attestations. This full lifecycle support keeps your enrollment active, accurate, and compliant while you stay focused on patient care.
Delays happen when data doesn’t match, documents are incomplete, or payers stop responding. Our provider enrollment & credentialing team resolves these problems with clean submissions, consistent follow-ups, and a workflow built to accelerate approvals across Medicaid, Medicare, and every major insurance panel.
Medicaid rules change often, and even small errors like NPI, TIN, bank details, or malpractice information can delay applications for months. Providers usually don’t get updates, which causes wasted time and delayed payments.
We prepare state-specific applications, verify every document, correct inconsistencies, and apply credentialing in medical billing standards to prevent rejections. Our team handles all revalidations and keeps your enrollment compliant year-round.
We follow up with payers every week, raise issues if files get stuck, and ensure full transparency from submission to approval. This is how we streamline Medicaid credentialing services and shorten the typical timeline.
PECOS rejects files instantly for wrong taxonomy, mismatched addresses, broken reassignment links, or incorrect action types. These errors stop Medicare payments before they start.
We align your PECOS, NPPES, and CAQH data, correct expired or missing credentials, and select the proper action, new enrollment, reassignment, or revalidation. This prevents the denials most providers face with insurance credentialing services for Medicare.
Daily tracking, proactive MAC communication, and structured escalation ensure your enrollment keeps moving. Providers trust us when they need Medicare approval without repeated corrections.
Each payer has different forms, timelines, and documentation needs. Closed panels, inconsistent data, and missing attachments lead to vague rejections that slow onboarding and disrupt cash flow.
We prepare clean submissions for BCBS, Aetna, UHC, Cigna, and Humana; match every detail to payer systems; and apply our medical insurance credentialing checklist to eliminate errors before they happen.
We appeal closed panels when possible, negotiate CPT fee schedules, and confirm participation so insurance credentialing for physicians becomes faster, smoother, and more predictable.
Outsourcing credentialing should make your work easier, not risk your revenue or compliance. MedSole RCM delivers fully managed provider enrollment and credentialing services while keeping you informed, protected, and in control at every stage.
You work with one credentialing specialist who knows your providers, payers, and timelines. No ticket systems. No handoffs. Just one accountable point of contact managing your provider enrollment and credentialing from intake to final approval.
Outsourcing medical credentialing should save money, not create hidden costs. Our pricing replaces internal admin hours, repeat submissions, and delayed revenue while delivering clean enrollment and credentialing services that move faster and cost less over time.
You never have to ask where things stand. We provide clear, scheduled updates on every payer, every application, and every follow-up so you always know what's approved, pending, or waiting on action.
Most delays start with small mismatches that payers reject silently. We audit NPIs, licenses, tax data, and banking details before submission so your medical credentialing files align with payer systems and move forward without unnecessary corrections.
When you outsource provider enrollment to MedSole RCM, paperwork disappears from your day. We handle forms, portals, documentation, and insurance credentialing services so your team can focus on patient care and operations instead of enrollment tasks.
Enrollment should keep moving. Our team follows up regularly, records every step, and pushes stuck files so approvals come faster for Medicare, Medicaid, and commercial insurance plans.
Credentialing is never one-size-fits-all. Each specialty faces different payer rules, documentation standards, and approval risks. That’s where most credentialing companies fall short. MedSole RCM structures provider enrollment and credentialing by specialty, not assumptions, so applications move faster and approvals stick.
Our team understands how medical billing credentialing changes by care type, payer mix, and service setting. From therapy practices to urgent care groups,
we align enrollment scenarios, payer selection, and documentation to your specialty’s exact requirements. This specialty-first approach reduces denials, shortens timelines, and protects long-term reimbursement.
Our provider enrollment and credentialing services support all medical specialties including the ones listed below and many more:
Medical credentialing and provider enrollment usually fall apart for one reason: paperwork that doesn't line up. A missing form, an old address, or a mismatch between systems is often enough to stall an application for weeks. Payers all have different rules, but they ask for many of the same basics. When provider and practice details are reviewed carefully at the start, approvals move with fewer interruptions. There's less chasing, fewer corrections, and a much smoother path to in-network status.
All packages include full medical credentialing, provider enrollment, continuous support, and payer follow-ups. Pricing starts from $99 per insurance, based on enrollment scope and payer volume.
_11zon.webp)
Built for individual providers entering or expanding insurance networks.
_11zon.webp)
Structured to support multiple providers under one or more tax IDs.
_11zon.webp)
Designed for providers delivering care multiple states.
_11zon.webp)
Made for organizations that enroll facilities and large numbers of providers.
Most delays are not caused by slow payers. They happen when provider information does not line up across systems. A different address, a missing document, or the wrong enrollment type can quietly stop a file. Without steady follow-up, applications sit untouched for weeks.
A credentialing company manages the work providers usually do alone: applications, document checks, payer portals, corrections, and follow-ups. The goal is simple — get the provider approved, in-network, and cleared to bill without repeated submissions or unanswered emails.
You are ready only after the payer confirms active status. Not when forms are submitted. Not when CAQH is complete. "Active" means the payer recognizes you, links you to the practice, and allows claims to process. Anything earlier risks denials and lost revenue.
Medicaid rules change often and differ by state. One wrong selection or mismatched banking document can stall a file without explanation. Many providers never receive updates unless someone follows up consistently. Medicaid moves faster when files are built correctly from the start.
Pricing depends on the number of payers and the complexity of the enrollment. A single provider with one insurance plan is different from a group or multi-state setup. At MedSole RCM, credentialing starts from ninety-nine dollars per insurance, with a clear scope and no hidden steps.
Real results matter more than promises. Healthcare providers and medical practices across the USA trust MedSole RCM for provider enrollment and credentialing because we deliver consistent approvals, clear communication, and dependable follow-through. From solo clinicians to established practices, our credentialing services help providers get in-network faster, stay compliant, and avoid costly enrollment delays. These reviews reflect real provider experiences and real businesses we’ve supported through medical credentialing, payer enrollment, and ongoing compliance management.
Great credentialing services. The credentialing services at Medsole have been wonderful for our practice. The process has been smooth, professional, and successful.
_11zon.webp){kind=avatar}
Noah and all the Medsole team have been incredible to work with. Their expertise and dedication to getting us credentialed quickly has been invaluable to our practice.
"Pleased with services I have found Medsole RCM LLC to be knowledgeable, professional, and courteous in regard to credentialing and billing. I found Stephen to be very patient as I had a loss in the family. Andrew communicates in real time and the turnaround for payments moves rather quickly. I highly recommend Medsole RCM for those in private practice."
"Excellent Service and Responsiveness! I’ve been incredibly pleased with the professionalism and efficiency of Medsole RCM LLC. Their team responded quickly and thoroughly when it came to checking credentialing and addressing any discrepancies reported by patients regarding their insurance coverage. It’s clear that they take their role seriously and are committed to making sure everything runs smoothly on the back end. Their attention to detail and prompt communication have made a noticeable difference in how confidently we can move forward with patient care. I truly appreciate the support!"
_11zon.webp)
_11zon.webp)
_11zon.webp)
_11zon.webp)
_11zon.webp)
_11zon.webp)
_11zon.webp)
Trusted by 500 plus U.S. healthcare businesses across 100 plus specialties. We manage provider enrollment payer credentialing revalidations and follow ups from start to finish.
_11zon.webp)
_11zon.webp)
