Provider enrollment and credentialing slow down far too many practices. One small mismatch, one outdated form, and payers stop the process cold. Whether you're a physician, nurse practitioner, or therapist, we step in early, fix the details, update CAQH, and manage provider enrollment credentialing services so approvals move smoothly and you stay on schedule without surprises.
You're paired with a health insurance credentialing specialist who manages everything end-to-end. They prepare each application, follow payer-specific guidelines, and keep the file moving with steady follow-ups. From insurance paneling to day-to-day provider credentialing and enrollment services, we remove delays before they turn into real problems.
Our approach focuses on accuracy and momentum. We verify credentials, track every payer enrollment request, and prevent credentialing gaps that interrupt billing and revenue. Whether you outsource credentialing services or simply need help with a few insurance 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 as the best provider credentialing services partner because we keep enrollment predictable, fast, and fully managed. Every credentialing file gets personal attention, clear communication, and clean documentation. You always know where your payer enrollment applications stand, and you never lose time waiting on updates or chasing insurance companies on your own. This credentialing experience sets us apart.
Most delays come from small mistakes. Our medical billing and credentialing experts check every detail so your applications are payer-ready and move forward.
Work with one dedicated credentialing specialist who knows your timelines, payers, and practice, no tickets, no confusion—just a superior credentialing experience.
From one plan to nationwide growth, we manage commercial payer enrollment and Medicare credentialing services, Medicaid and specialty payers across 50 states.
We track every application and share biweekly updates so your payer enrollment keeps moving forward—no guessing, only clear progress to approval.
We correct outdated data sync documents and maintain your CAQH profile, ensuring that every payer request moves faster without delays, stalled files, or missed updates.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. As a trusted credential service provider, we manage every detail from clean NPI setup and CAQH attestation to payer enrollment services, insurance credentialing and 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 stalls when NPI data is wrong. We manage NPI-1 and NPI-2, fix errors, and handle updates for individuals and groups so payers approve faster—supporting all provider enrollment services across every network.
CAQH errors can delay approvals. We rebuild or update your profile, upload documents, and keep attestations current so payers see a complete, accurate file—supporting smooth Medicare credentialing services and commercial approvals.
From Medicare and Medicaid to commercial plans, we complete applications, verify credentials, and follow up to approval. Our provider payer enrollment includes contract review and fee negotiation, and we manage payer enrollment for BCBS, UHC, Aetna.
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.
Insurance contract negotiation services strengthen profitability. We review contracts, uncover underpayments, and negotiate with payers to secure better rates that boost long-term reimbursement without increasing patient 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.
Healthcare providers want credentialing that feels simple, predictable, and fast. Our proven enrollment and credentialing services 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. Many practices choose to outsource payer enrollment for Medicaid because state requirements are complex and constantly changing. 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 expedited credentialing services for Medicare or routine PECOS enrollment 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. Understanding credentialing vs contracting helps you maximize value—we handle both seamlessly for insurance credentialing services.
We appeal closed panels when possible, negotiate CPT fee schedules, and confirm participation so insurance credentialing for physicians becomes faster, smoother, and more predictable.
Learning how to outsource medical credentialing effectively starts with choosing the right partner. Outsourcing third party payer 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. This is third party payer credentialing done right—professional and efficient.
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.
From mental health credentialing services and therapist credentialing services to physical therapy credentialing services and np credentialing services, we align enrollment strategies to your specialty's unique requirements.
Our doctor credentialing services support physicians across all specialties, while our credentialing services for mental health providers address the specific needs of therapists, counselors, and behavioral health clinicians. Whether you need credentialing services for physicians or credentialing services for therapists,
we structure every application to match payer preferences.
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.
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Built for individual providers entering or expanding insurance networks.
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Structured to support multiple providers under one or more tax IDs.
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Designed for providers delivering care multiple states.
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Made for organizations that enroll facilities and large numbers of providers.
Credentialing in medical billing is the process of verifying healthcare provider qualifications and enrolling them with insurance payers so they can submit claims and receive reimbursement. Without proper credentialing in medical billing, providers cannot bill insurance companies, resulting in lost revenue. Medical billing and credentialing work together: credentialing establishes your eligibility to bill, while billing processes the claims. Effective credentialing ensures clean claim submissions and faster payment cycles.
What is provider enrollment and credentialing? It's the two-step process of getting approved to participate in insurance networks. Credentialing verifies your qualifications, while enrollment establishes your billing relationship with the payer. Provider credentialing and enrollment services enable you to accept insurance, file claims, receive reimbursements, and participate in Medicare, Medicaid, and commercial networks.
The difference between credentialing vs contracting is important: credentialing verifies that you meet payer qualification standards, while contracting establishes the legal agreement and fee schedule. Our credentialing and contracting services handle both processes. Insurance credentialing and contracting together maximize your reimbursement potential and ensure you don't leave money on the table.
Start by selecting the best credentialing service with proven payer expertise and transparent processes. When you outsource credentialing services or outsource medical credentialing, verify their experience with your specialty and target payers. The best credentialing companies provide dedicated support, regular updates, and proactive issue resolution.
Standard credentialing timelines vary by payer:
• Commercial payers (BCBS, Aetna, UHC, Cigna): 60-120 days
• Medicare credentialing service: 60-90 days
• Medicaid: 45-90 days
• Expedited credentialing services: 30-60 days when available
Professional provider enrollment services reduce delays through clean submissions and proactive follow-ups. Practices that use credentialing services typically experience 30-40% faster approvals.
The benefits of credentialing services for clinics include:
✅ Faster approvals through expert payer knowledge
✅ Reduced administrative burden—your staff focuses on patient care
✅ Higher approval rates and fewer rejections
✅ Ongoing compliance with managed revalidations
✅ Better contracts through credentialing and contracting expertise
✅ Revenue protection with no billing gaps
For growing practices, outsourcing credentialing is typically offset by faster revenue realization.
Yes. Our credentialing services for physicians, credentialing services for mental health providers, therapist credentialing services, and nurse practitioner credentialing services cover all specialties. We provide:
• Doctor credentialing services for MDs and DOs
• NP credentialing services for nurse practitioners
• Mental health credentialing services for therapists and counselors
• Physical therapy credentialing services for PT/OT/SLP providers
• Healthcare provider credentialing services for all specialties
Whether you need credentialing services for therapists or credentialing services for mental health practices, we adapt to your specialty's unique requirements.
Yes, we provide Tricare provider credentialing and enrollment with all government payers including Medicare, Medicaid, VA, and federal employee health plans. Our provider onboarding and credentialing includes government-specific documentation requirements, compliance verification, and portal management to ensure faster approvals across all federal programs.
Yes, we handle VSP credentialing for vision providers and UPMC provider credentialing along with hundreds of other commercial, government, and specialty payers nationwide. Our payer enrollment solutions include both common and specialty networks to ensure comprehensive coverage for your practice.
When selecting the best credentialing service, look for:
1. Proven expertise with your specialty
2. Dedicated specialist (not ticket systems)
3. Transparent pricing and processes
4. Experience with Medicare credentialing services, Medicaid, and commercial payers
5. Regular status updates
6. Strong approval rates
The best provider credentialing services will answer all questions clearly and provide references. MedSole RCM is recognized as a top credentialing service because we deliver dedicated support, transparent processes, and proven results.
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.
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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!"
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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.
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