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Sick of Out-of-Network Denials? Choose Our Physician Credentialing Services for Seamless In-Network Success

Our dedicated team specializes in Insurance Physician Credentialing and maintaining comprehensive CAQH profiles, a critical component of Insurance Credentialing, Negotiation And Contracting.

Get a free quote today!

Sick of Out-of-Network Denials? Choose Our Physician Credentialing Services for Seamless In-Network Success

Our dedicated team specializes in Insurance Physician Credentialing and maintaining comprehensive CAQH profiles, a critical component of Insurance Credentialing, Negotiation And Contracting.

Get a free quote today!

Free Billing Audit

What is Physician Credentialing in Medical Billing?

This is the process of evaluating and verifying the qualifications and background of healthcare professionals to establish if they fulfill the required conditionalities of healthcare organizations and insurance companies. However, this process is complicated and lengthy, requiring numerous documents. Pro Medical Billing Solutions offers top-tier physician credentialling services to help healthcare physicians navigate these challenges and focus on delivering exceptional healthcare results to patients.

Based on years of rich experience in the industry, we are fully familiar with the complexities involved in physician credentialing services. Our medical credentialing experts have a profound familiarity with regulatory bodies and insurance carriers, with established relationships with major healthcare carriers. This deep understanding enables us to seamlessly navigate the physician contracting and credentialing process, ensuring our clients receive outstanding services and results.

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Contracting And Pricing

Pro Medical Billing Solutions has the expertise to offer uniquely superior healthcare provider credentialing and contracting.  Our credentialing experts efficiently handle the entire contracting process to ensure a seamless experience for your practice. We manage all the responsibilities from beginning to end, including responding to payer requests, completing the credentialing process, and collecting necessary documents.

We consider it our top-most priority to meet re-credentialing deadlines and assign the project to an extremely competent and dedicated team to track and initiate the re-credentialing process for your process. We cooperate with you to fill out the initial application, conduct background assessments, and ensure timely approval for your providers.

Contracting & Pricing

Pro Medical Billing Solutions specializes in healthcare provider credentialing and contracting. Our team of experts manages the entire contracting process to ensure a hassle-free experience for your practice. We handle all responsibilities from start to finish, including collecting necessary documents, completing the credentialing process, and responding to payer requests.

We understand the importance of meeting re-credentialing deadlines and assign a dedicated team to track and initiate the re-credentialing process for your practice. We work with you to fill out the initial application, conduct background checks, and ensure timely approval for your providers.

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Medical Credentialing Services We Offer

Medicare and Medicaid

Commercial Insurances’

Provider Enrollment

Credentialing Services

NPI Registration (Type I and Type II)

CAQH Registration and Maintenance

MCR DMEPOS Enrollment

Hospital Privileges

Contract Negotiation

Revalidation & Re-credentialing

Reimbursement Issues Audit

Providers' State License

DEA Certificate & Renewal

CLIA Registration

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