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- Somewhere, Earth
At MedBill RCM Solutions, we understand that you can’t get paid if you aren’t properly enrolled. Our credentialing experts take the complex, time-consuming paperwork off your desk and manage the entire primary source verification and payer enrollment process. Whether you are starting a new practice or adding a provider to an existing group, we ensure you are “in-network” and ready to see patients without delay.
We utilize established relationships with payers and advanced tracking software to push applications through the system faster. This reduces the typical 90-day waiting period, getting you into “payable” status sooner.
Our team handles the exhaustive documentation required by CMS and private payers. From CAQH profile maintenance to state license renewals, we manage the bureaucracy so you can focus on medicine.
We don’t just get you enrolled; we keep you there. Our system tracks every expiration date and renewal window, ensuring you never face a “lapse in coverage” that could lead to denied claims.
Our credentialing suite is designed to handle every stage of a provider’s career. These specialized services ensure your credentials are always current and your contracts are maximized.
We serve as your primary administrator for the CAQH database, performing the required quarterly attestations and keeping your professional profile updated for all major insurers.
Our team manages the rigorous application process for hospital staff privileges, ensuring you have the "right to treat" at the facilities your patients utilize.
We manage both Type 1 (Individual) and Type 2 (Group) NPI registrations, ensuring your identity is correctly established within the National Plan and Provider Enumeration System.
MedBill RCM Solutions bridges the gap between healthcare providers and complex insurance networks.
We navigate the rigorous federal and state enrollment processes with 100% accuracy to ensure your CMS billing is never interrupted.
We don't just submit forms; we help you get into closed panels and assist in identifying opportunities for better contract rates.
We maintain a secure, digital repository of all your sensitive documents (DEA, Board Certs, Diplomas) for instant access during audits.
Ensuring that your needs are met with precision and attention to detail.
Our dedicated account managers are available around the clock to assist your team with urgent verification or registration hurdles.
MD | Sterling Family Medicine
Seamless Transition for My New Practice" "Starting a practice was overwhelming, but MedBill RCM Solutions handled my credentialing perfectly. I was in-network with all major payers faster than I ever expected.
Clinic Director
No More Missed Deadlines" "We used to struggle with missing re-credentialing dates. Since partnering with MedBill, we haven't had a single lapse in our payer contracts. They are incredibly reliable
