Credentialing Services
Efficient provider enrollment with major insurance networks.
About Credentialing Services
Provider credentialing is a detailed, documentation-heavy process that most practices find time-consuming and opaque. Delays in enrollment mean delays in billing — and revenue gaps that can run for months.
TBL MedRCM handles the entire credentialing process, from initial application to follow-up with payer credentialing departments, so your providers can start billing as quickly as possible.
What's Included
- CAQH profile setup and maintenance
- Insurance panel applications
- Medicare and Medicaid enrollment
- Re-credentialing management
- Provider data verification
- Credentialing status tracking
- Expiration monitoring and renewals
- Group enrollment
- Hospital privileges coordination
- Credentialing timeline reporting
How We Do It
- Collect and verify all provider documentation and attestations.
- Set up or update the provider's CAQH profile.
- Identify the correct payer panels and submit applications.
- Follow up with each payer on application status every 10 business days.
- Notify the practice immediately upon approval and set up billing.
- Track renewal dates and initiate re-credentialing 90 days in advance.
Common Questions
How long does credentialing typically take?
Payer timelines vary. Medicare typically takes 60 to 90 days; commercial payers range from 30 to 120 days. We work proactively to minimize delays on your end.
Do you handle locum tenens credentialing?
Yes. We can manage temporary and locum tenens credentialing as part of our service.
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Ready to Improve Your Revenue Cycle?
Talk to a billing specialist about how Credentialing Services can work for your practice.
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