Credentialing
Seamless Provider Enrollment for Reliable Reimbursement
At Healthcare Partners Consulting & Medical Billing, LLC,
We simplify the provider credentialing process so you can focus on patient care—not paperwork. Our credentialing experts handle every step of enrollment, licensing, and payer setup, minimizing delays and ensuring your providers are listed across networks promptly and accurately.
How It Works
We collect provider details and relevant documents
We build and submit enrollment packets to each payer
We manage the CAQH credentialing profile and updates
We track all applications and follow up regularly
We notify your team as soon as active status is confirmed
We refresh credentials before renewal deadlines to avoid lapse
Why Partner With Us
Medical Billing-plus expertise in behavioral health and allied practices
Proactive tracking system for licensure renewals and insurance updates
Dedicated credentialing coordinator assigned to your practice
Transparent communications and dashboard reporting
HIPAA-compliant processes and secure document handling
What We Manage
Our comprehensive credentialing service includes:
Provider enrollment with federal and state payers (Medicare, Medicaid, private insurers)
CAQH profile setup and updates
Primary source verification for education, licensure, DEA, NPI, malpractice, and board certification
Re-enrollment and re-credentialing at required intervals
Tracking expiration dates for licensure and insurance credentials
Contracting follow-through to confirm in-network status and fee schedules
Specialty-specific addenda, e.g., behavioral health, telehealth, group practices
Benefits to Your Practice
Faster onboarding: Providers can see patients and bill without administrative delays
Consistent payor compliance: No surprise rejections or credentialing-based denials
Reduced administrative burden: We sweat the paperwork so you don’t have to
Strategic growth support: Add services, locations, or providers with confidence
Why Credentialing Matters
Timely reimbursement
Uncredentialed providers can’t bill payers, delaying payments
Network participation
Credentialing confirms in-network status, boosting patient referrals
Compliance assurance
Payer rules require up-to-date verification and documentation
Practice growth
Credentialing must be up to date before adding new services or providers
Ready to Get Started?
Ensure your providers are fully credentialed and your practice is positioned for both growth and compliance. We offer flexible plans based on your number of providers, specialties, locations, and credentialing complexity.
Request a free credentialing analysis today, and we’ll outline how to speed up your enrollment, reduce Medical billing gaps, and get your providers in-network faster.
Healthcare Partners Consulting & Medical Billing, LLC
Credentialing made easy—so you can focus on care, Medical billing, and compliance
Frequently Asked Questions
What is the credentialing process, and how long does it take?
Credentialing is the process of verifying a provider’s qualifications—including licensure, education, training, and malpractice history—to enroll them with insurance networks. The timeline varies by payer and state, but initial credentialing typically takes 60 to 120 days, depending on payer responsiveness and whether documentation is complete. We track all applications and follow up regularly to help speed up the process wherever possible.
How do you ensure compliance with payer requirements and regulations?
We follow payer-specific guidelines for every credentialing submission and maintain up-to-date knowledge of each insurer's rules. Our process includes primary source verification, HIPAA-compliant document handling, and automated tracking of renewal deadlines to ensure your providers remain compliant. We also monitor state and federal changes that may impact credentialing timelines or requirements.
Can you help with re-credentialing for existing providers?
Yes. We manage re-credentialing and re-enrollment to ensure your providers stay active and in-network. Payers typically require re-credentialing every 2–3 years. Our team tracks expiration dates and renewal deadlines to prevent lapses in participation or reimbursement.
How do I check the status of my credentialing application?
You’ll receive regular status updates from your assigned credentialing coordinator. We also provide access to detailed tracking logs so your team can view progress in real-time. If payers require additional documentation or clarification, we’ll notify you immediately and assist with next steps.
Do you handle credentialing for many specialties?
Yes. While we specialize in behavioral health and mental health practices, we also handle credentialing for a wide range of medical specialties, including primary care, pediatrics, OB/GYN, internal medicine, psychiatry, telehealth, and more. We tailor our process to the specific requirements of your specialty and payers.