Credentialing is essential for medical practitioners to ensure that they are enrolled correctly with insurance providers and fulfill all regulatory standards. At Billmate, we manage the entire credentialing process, ranging from enrollment to re-credentialing, so you can concentrate on patient care. We have also completed the setup of the CAQH profile, created the NPPS account, and registered the state license. Our team verifies licenses, certifications, and credentials to verify payer and regulatory compliance. We also coordinate the timely submission of applications and pursue follow-up with insurance carriers to accelerate the process. With Billmate, you can prevent disruptions in reimbursements and keep your practice in good standing with payers. We know credentialing can be complicated and time-consuming, and that's why we proactively handle every aspect of it. If you are a new provider or require re-credentialing help, our specialists are available to assist.
Fast and accurate provider enrollment with insurance companies.
Verification of licenses, certifications, and credentials to meet regulatory standards.
Setup the CAQH profile and created the NPPS account.
Avoid disruptions with proactive re-credentialing services.
Expert guidance throughout the credentialing process.
We discuss your practice’s needs and gather necessary information about your providers.
We create or update CAQH profiles for your providers, ensuring all required information is accurate and complete.
We set up NPPS accounts for seamless enrollment with Medicare and other payers.
We register or verify state licenses to meet regulatory requirements.
We submit applications to insurance companies and follow up to ensure timely approval.
We manage the re-credentialing process to avoid disruptions in reimbursements.
We provide continuous support to address any credentialing-related issues.
We typically submit claims within 24-48 hours of receiving complete documentation. This rapid turnaround helps accelerate your payment cycle and improve cash flow.
Our clients enjoy a first-pass acceptance rate of over 98%, significantly higher than the industry average. This high acceptance rate is achieved through our rigorous pre-submission verification process and coding expertise.
We manage primary, secondary, and tertiary insurance billing seamlessly. Our system tracks the status of each claim and automatically submits to subsequent carriers once payment or denial is received from the primary insurer.
Absolutely. Our team includes specialists familiar with the unique billing requirements of various medical specialties. We customize our approach based on your specialty's specific coding guidelines, documentation requirements, and payer rules.