Maximize Revenue with Streamlined Credentialing Services
Credentialing is a critical yet intricate process involving extensive documentation and verification to join insurance networks. Errors or incomplete forms can cause significant delays, limiting your access to patients and potentially resulting in substantial revenue losses.
Medipay Billing MSO is a premier provider of credentialing services in the US, dedicated to simplifying the credentialing and enrollment process. Our expert team manages every aspect of credentialing—from primary source verification to premium network enrollment—allowing you to focus on delivering exceptional patient care.
Our Comprehensive Credentialing Services
Since 2012, Medipay Billing MSO has been accelerating credentialing and enrollment for healthcare providers with a proven 95% success rate. Our comprehensive suite of services is designed to cater to various specialties and provider needs.
Frequently asked questions
The required documents can vary depending on the specific insurance plan and practitioner type. Generally, you will need:
Personal Documents:
- Current CV (including recent employment history)
- DEA (federal) and state Controlled Dangerous Substances (CDS) certificates
- Malpractice Insurance (Certificate of Insurance)
- Current driver’s license
- Board Certification(s)
- Practitioner License(s)
- Diploma or highest level of education (for non-MDs and DOs)
Additional Documents:
- Collaborative Agreement (for Nurse Practitioners)
- ECFMG Certificate (for providers educated outside the US)
- Letter of Admitting Arrangement (if you lack hospital admitting privileges)
- Passport or citizenship documents (for non-US born providers not previously enrolled with Medipay Billing)
- Letter of Prescribing Arrangement (for physicians without a DEA certificate)
Legal Entity Documents:
- IRS Form CP575 or substitute letter 147C (EIN verification)
- IRS Form W-9
- CLIA Certificate
- Office lease copy (for therapy facilities)
- Business License
- Verification letter of bank account (for Medipay Billing enrollment)
Yes, most credentialing processes require details about your service location. Medipay Billing helps ensure that all necessary information is accurately provided to facilitate a smooth enrollment process.
The Council for Affordable Quality Healthcare (CAQH) Provider Data Portal is a centralized system where providers can maintain their credentialing information. Keeping your CAQH profile updated helps streamline the credentialing process with multiple health plans and reduces administrative burdens.
