Credentialing & Contracting

WHY CHOOSE US

Get Credentialed & Enrolled. 2X Faster and Easier!

True Med Billing is a top-rated Medical Credentialing Service Provider. Our Outsourced Credentialing Services eliminate administrative burdens while also unlocking privileges, ensuring in-network integration, and accelerating reimbursements. Our Provider Credentialing Company has empowered doctors, nurses, and therapists to thrive in their careers. Join the ranks of satisfied practitioners via our Doctor Credentialing and Enrollment Services.

Our team supports practices of all sizes in resolving lost, delayed, or underpaid claims. Partner with us for round-the-clock support and dependable solutions to boost your practice’s financial success.

Here’s Why Providers Trust True Med Billing:

  • Maximize Reimbursements
  • Streamline Workflows
  • Faster Payments
  • Revenue Protection
  • Regulatory Compliance
  • Cost-Efficient Solutions:
  • 24/7 Support: Reliable

How our Credentialing process works to grow your practice

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Auditing your coding accuracy

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02

Improving your charge capture accuracy

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Auditing your billing documentation for compliance

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Performing audits of provider-payor contracts

Initial Application Submission

Credentialing Verification

Background Checks

Review of Credentials and Qualifications

Provider Enrollment

Contract Negotiation

Contract Signing

Enrollment Confirmation

Ongoing Monitoring and Recredentialing

Initial Application Submission

Credentialing Verification

Background Checks

Review of Credentials and Qualifications

Provider Enrollment

Contract Negotiation

Contract Signing

Enrollment Confirmation

Ongoing Monitoring and Recredentialing

True Med Billing Consultancy Features

Benefits Of Choosing True Med Billing Consultation Service

1st Class Reimbursement

Benefit from priority reimbursement rates, maximizing your financial returns. This ensures higher payments for the same services, boosting both your profitability and satisfaction.

Maximum Privileges

Our streamlined approach not only helps you secure contracts but also grants essential privileges. You’ll gain access to innovative programs and enjoy incentives for delivering quality performance.

Billing-Ready

You’ll be ready to start billing from day one, saving valuable time. With a unique provider identification number (PIN), you’ll be able to submit claims electronically and track them online seamlessly.

Swift Reimbursement

Speedy reimbursements guarantee a healthy cash flow for your practice. No more waiting for months—our process ensures claims are settled within an average of 15 to 30 days.

Payer Support

Our advocacy ensures insurance companies prioritize your needs. We negotiate on your behalf and address any issues that arise, guaranteeing you are paid fairly and on time.

Minimize Denials

With our expertise, denials are a thing of the past, enhancing your efficiency. We handle eligibility verification, authorization approvals, and accurate claim submissions, minimizing errors and rejections.

We Enroll Providers In Premium Payer Networks In Record Time!

Credentialing, also known as insurance credentialing or doctor credentialing, is a process that verifies the qualifications, skills, and legitimacy of healthcare providers. It ensures that the provider holds the necessary licenses, certifications, and education required to deliver healthcare services to patients. Only a credentialed provider is eligible to receive payments from payers and operate in compliance with state and federal regulations. Medical credentialing authorizes physicians to practice in specific facilities and be included in insurance networks such as CMS/Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield.
As a provider, you want fast credentialing to begin practicing and billing (legally and ethically). However, credentialing is a complex process that requires extensive documentation and verification at various stages by the insurance network. A single mistake can lead to denials and result in wasted time and resources. True Med Billing offers top-tier healthcare credentialing solutions. Our professionals handle everything from primary source verification to enrollment in premium payer networks, all completed in minimal time and within budget.

True Med Billing's Medical Billing Consultancy Benefits

Claim Approval
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Fast Reimbursements
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Patient Satisfaction
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Performance Score
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A Walkthrough of Our Specialist-Vetted Provider Credentialing Process

True Med Billing’s provider credentialing process goes beyond routine procedures—it’s a validated and certified approach designed to ensure the highest standards of compliance. We’ve achieved a success rate of up to 98% in getting providers approved in premium payer networks with maximum privileges tailored to their specialties. Our process typically includes the following steps:

Our credentialing process starts with a detailed survey conducted by our credentialing specialists. This involves thorough interviews with providers to collect essential information, including license numbers, educational history, demographic details, and professional background.

Our medical credentialing services assist providers in strategically selecting insurance partners that align with their practice goals and license type, while also finalizing insurance panels based on the practice location.

We handle CAQH application submissions, manage ProView accounts, and keep credentials up-to-date for seamless primary source verification. Additionally, we assist with payer credentialing submissions, ensuring swift insurance panel integration and accurate profiles that improve network engagement and enhance the quality of patient care

While the typical timeline is 60-120 days, our provider credentialing experts take proactive measures to speed up the process. Our team maintains weekly communication with payers, advocating for the swift processing and approval of your credentialing applications.

Once credentialing is complete, your application moves to the contract phase, where you may receive an in-network contract, including fee schedules and eligible CPT billing codes. We manage closed panel challenges, advocating through appeals to ensure your inclusion. With successful credentialing, direct billing becomes possible, often with preferred reimbursement rates for in-network providers.

As credentialing concludes, our active support continues. We assist you in securing all necessary hospital privileges, whether it’s for admitting, courtesy, or surgical rights.

Our ongoing oversight ensures your company’s credentials remain up-to-date and uninterrupted. Our experts meticulously track credentialing expirations and conduct thorough daily and weekly reviews to maintain your active status. You can trust that your credentials are in capable hands with us, allowing you to focus on your practice with peace of mind.

Helping Health Care Providers With All Their Credentialing Needs

True Med Billing offers comprehensive provider credentialing services for healthcare professionals and organizations. Here’s an overview of the medical credentialing and enrollment services we provide:

We enroll providers in Medicare and Medicaid programs, the largest health insurance programs in the US, covering millions of Americans. By joining these programs, providers can broaden their patient base, boost their revenue, and ensure compliance with federal and state regulations.

We credential providers with commercial insurance payers like Aetna and Humana, which are private health insurers offering various plans and networks for their members. By credentialing with these companies, providers can reach a broader patient base and negotiate better reimbursement rates.

Our credentialing solutions assist both individual providers (Type 1) and organizations (Type 2) in obtaining and updating their National Provider Identifier (NPI), a unique 10-digit identification number assigned to healthcare providers by the Centers for Medicare & Medicaid Services (CMS). An NPI is essential for billing, reporting, and electronic transactions.

True Med Billing's Medical Billing Consultancy Benefits

Claim Approval
0 %
Fast Reimbursements
%
Patient Satisfaction
0 %
Performance Score
0 %

True Med Billing Consultancy Features

Benefits Of Choosing True Med Billing Consultation Service

1st Class Reimbursement

Benefit from priority reimbursement rates, maximizing your financial returns. This ensures higher payments for the same services, boosting both your profitability and satisfaction.

Maximum Privileges

Our streamlined approach not only helps you secure contracts but also grants essential privileges. You’ll gain access to innovative programs and enjoy incentives for delivering quality performance.

Billing-Ready

You’ll be ready to start billing from day one, saving valuable time. With a unique provider identification number (PIN), you’ll be able to submit claims electronically and track them online seamlessly.

Swift Reimbursement

Speedy reimbursements guarantee a healthy cash flow for your practice. No more waiting for months—our process ensures claims are settled within an average of 15 to 30 days.

Payer Support

Our advocacy ensures insurance companies prioritize your needs. We negotiate on your behalf and address any issues that arise, guaranteeing you are paid fairly and on time.

Minimize Denials

With our expertise, denials are a thing of the past, enhancing your efficiency. We handle eligibility verification, authorization approvals, and accurate claim submissions, minimizing errors and rejections.

Your Success is Our Priority

With True Med Billing as your partner, you can focus on delivering outstanding care to your patients while we handle the complexities of medical billing, coding, and revenue cycle management. Together, we’ll achieve greater efficiency, enhanced patient satisfaction, and a more profitable practice.

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Helping Health Care Providers With All Their Credentialing Needs

True Med Billing offers comprehensive provider credentialing services for healthcare professionals and organizations. Here’s an overview of the medical credentialing and enrollment services we provide:

We enroll providers in Medicare and Medicaid programs, the largest health insurance programs in the US, covering millions of Americans. By joining these programs, providers can broaden their patient base, boost their revenue, and ensure compliance with federal and state regulations.

We credential providers with commercial insurance payers like Aetna and Humana, which are private health insurers offering various plans and networks for their members. By credentialing with these companies, providers can reach a broader patient base and negotiate better reimbursement rates.

Our credentialing solutions assist both individual providers (Type 1) and organizations (Type 2) in obtaining and updating their National Provider Identifier (NPI), a unique 10-digit identification number assigned to healthcare providers by the Centers for Medicare & Medicaid Services (CMS). An NPI is essential for billing, reporting, and electronic transactions.

Payer Enrollment and Medical Doctor Credentialing

Credentialing and Payer Enrollment Services For All Healthcare Organizations

Proper credentialing is essential for healthcare providers to deliver quality care, attract patients, and maintain compliance. Our comprehensive credentialing service helps providers of all specialties navigate these challenges. Our payer enrollment credentialing services are available for:

Physicians

Our credentialing service ensures physicians gain quick access to insurance networks, expediting patient care. It’s essential for maintaining credibility and trust with both patients and peers.

PAs/NPs

Credentialing through our service helps PAs/NPs expand their practice reach, ensuring they are authorized to provide essential medical services independently.

Hospitals

Credentialing with us streamlines hospital operations, facilitating efficient insurance claims processing and promoting seamless collaboration among medical staff.

PT/OT/SLP

Our credentialing service helps therapists gain inclusion in insurance panels, allowing them to provide essential rehabilitation services while ensuring financial stability.

Podiatrists (DPM)

Credentialing through us enables podiatrists to provide specialized foot care, solidifying their status as recognized experts in their field.

Chiropractors (DC)

Our credentialing service strengthens chiropractors’ standing in the medical community, granting them access to insurance networks and enabling broad patient engagement.

Ambulatory Surgery Centers (ASC)

Credentialing through our service for ASCs boosts patient trust by showcasing adherence to strict quality standards, which are essential for ensuring safe surgical procedures.

Urgent Care Facilities

Our credentialing service ensures urgent care facilities are in-network with insurers, providing timely and affordable medical services to a wider range of patients.

Diagnostic Testing Facilities

Credentialing helps diagnostic facilities and clinical laboratories secure insurance approval, boosting patient referrals and enabling timely diagnosis and treatment.

Optometrists, Audiologists

Credentialing expands the reach of optometrists and audiologists, enabling them to provide essential eye and ear care services to a broader and more diverse clientele.

Behavioral Health Providers

Our credentialing service helps behavioral health providers join insurance networks, ensuring that essential mental health services are accessible to those in need.

Schedule a free consultation

True Med Billing specializes in comprehensive medical billing services designed to improve your revenue cycle, eliminate delays, and maximize collections.

With our expertise, healthcare providers focus on patient care while achieving financial stability.

Book An Appointment