Getting credentialed with insurance payers and enrolling in networks is one of the most critical steps for healthcare providers to ensure timely reimbursements and smooth operations. At MTBS LLC (MTBSRCM.com), our Credentialing & Enrollment services simplify the entire process—helping physicians, clinics, and hospitals become recognized by payers, expand patient access, and reduce claim denials caused by credentialing issues.
“With MTBS LLC’s Credentialing & Enrollment solutions, providers focus on care while we handle the complex payer requirements.”
What is Credentialing & Enrollment?
Provider Credentialing is the process of verifying a healthcare provider’s qualifications—licenses, certifications, training, and professional history—to confirm eligibility for payer networks. Provider Enrollment follows credentialing and involves registering the provider with insurance networks so they can bill and receive reimbursement. Together, these processes ensure compliance, patient trust, and financial stability.
Key Features of Our Credentialing & Enrollment Services
- ✔ Payer enrollment (Medicare, Medicaid, commercial insurances)
- ✔ CAQH profile creation and management
- ✔ Licensing and certification verification
- ✔ Re-credentialing and ongoing maintenance
- ✔ Hospital privileging support
- ✔ PECOS and NPPES registration assistance
- ✔ Compliance with NCQA, CMS, and HIPAA requirements
- ✔ Tracking of credentialing renewals and expirations
Why Choose MTBS for Credentialing & Enrollment?
Credentialing is time-consuming and often delays reimbursements if not done correctly. At MTBS LLC, our credentialing specialists ensure that applications are accurate, complete, and submitted on time. We manage the entire lifecycle of enrollment and re-credentialing to prevent disruptions in provider payments. With End-to-End RCM Solutions, we integrate credentialing with billing for seamless operations.
Our Credentialing & Enrollment Workflow
- ✔ Provider Information Gathering – Collect licenses, certifications, and background data.
- ✔ Application Preparation – Accurately complete payer applications and CAQH profiles.
- ✔ Submission to Payers – Apply to Medicare, Medicaid, and commercial networks.
- ✔ Follow-Up & Tracking – Engage with payers to resolve application delays.
- ✔ Enrollment Confirmation – Verify approval and activate billing eligibility.
- ✔ Re-Credentialing Support – Monitor renewals and maintain compliance.
Benefits of Credentialing & Enrollment with MTBS
- ✅ Faster payer approval and network participation
- ✅ Reduced claim rejections due to credentialing issues
- ✅ Increased patient referrals through insurance networks
- ✅ Compliance with federal and state requirements
- ✅ Long-term credentialing maintenance and tracking
- ✅ Dedicated credentialing specialists at your service
Affordable Credentialing & Enrollment Services
MTBS LLC offers cost-effective solutions for credentialing and enrollment, whether for new practices, growing multi-specialty groups, or hospitals. Visit our Pricing Page for customized service plans that fit your organization’s needs.
Get Credentialed with MTBS LLC
Don’t let incomplete credentialing slow down your reimbursements.
Contact MTBS Today and let our experts handle credentialing and enrollment while you focus on patient care.
Frequently Asked Questions (FAQs)
1. How long does the credentialing process take?
Credentialing can take anywhere from 30 to 120 days depending on payer requirements and provider type.
2. Do you handle CAQH setup and maintenance?
Yes, MTBS assists with CAQH profile creation, updates, and re-attestations.
3. Can you enroll providers with Medicare and Medicaid?
Yes, we manage PECOS and Medicaid enrollment applications along with commercial payers.
4. Do you provide re-credentialing services?
Absolutely. We monitor expiration dates and handle re-credentialing to maintain compliance.
5. What if my application gets delayed?
Our credentialing specialists follow up with payers, resolve errors, and ensure timely approval of applications.
