Individual Provider Credentialing

As an individual healthcare provider in the USA, you know that the path to practice is filled with more than just patient care—it’s also packed with complex paperwork. The credentialing and enrollment process can be overwhelming, delaying your ability to see patients and get paid for your services.

At Get Credentialing Done, we specialize in making this process as simple as possible for you. We are your dedicated partner for a reliable credentialing service, handling the time-consuming administrative work so you can focus on building your practice and serving your patients.

How We Help You With Credentialing?

We offer a complete solution that handles every step of the credentialing process, ensuring you meet all requirements for both insurance networks and hospitals.

• Faster Reimbursement: Time is money. We work efficiently to get your applications approved so you can start medical billing and receiving payments sooner. Our proactive follow-ups with insurance payers and other organizations minimize delays and keep your revenue flowing. (saving up to 15–20 hours per application*)

• Reduced Administrative Burden: Say goodbye to endless paperwork and confusing forms. We manage the entire application process, including initial submissions, renewals, and ongoing maintenance. We are your single point of contact, saving you hours of frustration.

• Maximized Payer Network Participation: We help you get credentialed with the insurance networks that matter most to your practice, ensuring you can serve the patients you want and get reimbursed for your services. We also assist with Medicare, Medicaid, and other government programs.

• Guaranteed Accuracy & Compliance: Our experts ensure your applications are completed with meticulous detail to meet the strict standards of all regulatory bodies, including CMS and NCQA. This reduces the risk of errors that can lead to costly denials and delays.

• Proactive Management: Credentialing isn’t a one-time task. We provide ongoing support, including re-credentialing, re-validation, and CAQH profile maintenance, to make sure your information is always current and compliant.

Our Provider Credentialing Process

We take a detailed approach to every application to ensure nothing is missed.

1. Initial Consultation: We start with a comprehensive discussion to understand your specific needs, practice goals, and the insurance networks you want to join.
2. Document Collection: We guide you through the process of gathering all necessary documents and information, from your CV and licenses to malpractice insurance.
3. Application Preparation & Submission: Our team prepares and submits all applications on your behalf, ensuring they are accurate and complete.
4. Proactive Follow-up: We handle all communication and follow-up with insurance companies and other organizations to track your application status and resolve any issues that arise.
5. Ongoing Maintenance: Once you are credentialed, we continue to manage your profile and ensure you stay compliant, handling re-credentialing and updates as needed.