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Guaranteed peace of mind with us by your side for all your Credentialing and enrollment needs.
15+ Years in Business
MedsDental Provider Credentialing Service
Credentialing is the process of verifying a provider’s qualifications to ensure that they can provide care to patients. Most health insurance companies require this process including CMS/Medicare, Medicaid, and Commercial plans, as well as hospitals and surgery centers.
The providers credentialing process is completed by verifying all of a provider’s documents to ensure that they are valid and current. These include their medical license, malpractice insurance, and DEA.
Additional information necessary to complete credentialing:
- Medical School information
- Internship/Residency/Fellowship’s Information
- Board Certifications
- Provider’s CV
Credentialing Process
What Information is Required for Credentialing?
Information is dependent on payers but tends to be relatively consistent across the board and typically include.
-
Malpractice claims history
- (Suspensions, Revocations)
- License to practice and primary source verification
- NPI number
- License history
- DEA license
- Work history
- Degrees and transcripts
- References from previous employers/practitioners
- Insurance information
- Board certification
Outsourcing Credentialing and Re-Credentialing
When you elect to handle credentialing physicians in-house, you must assign resources to compile and send out application materials to new providers; track the completion and collect the documents; complete the facility portion of the application and credentialing process (like primary source verification, malpractice claims review, etc.); send the applications to payers; and then respond to any requests for corrections or additional information from payers. Additionally, that person (or team) must track re-credentialing deadlines and initiate, track, and complete the process every time a provider is due for re-credentialing.
Connect With MedsDental
We’ve helped thousands of practices find the right credentialing and enrollment experts for them. Take the stress out of searching for a credentialing specialist and let us find a vetted, experienced billing partner that knows whole process.
Step 1. Connect
Provide us with initials details so the MedsDental RCM team can start the recommendation process.
Step 2. Review Application
MedsDental will reach out to learn more about your business to ensure that your unique needs are understood.
Step 3. Get Your Expert Team
MedsDental will match you with two highly-vetted credentialing expert teams that have extensive experience in your type of practice.
What our client's are saying
I want to thank MedsDental for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care to my patients. I highly recommend MedsDental if you are looking for medical billing services.
Dr. Ndidi UkaOwner of A-plus Dentistry 
After reviewing different medical billing companies, I came across MedsDental. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. There staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsDental for helping us improve our healthcare practice at a competitive rate!"
Memoona Waheed, PA-CFamily Medicine & Pain Management 
"Our counseling practice loves working with MedsDental! They are efficient, thorough, and knowledgeable. They have done a great job communicating with us and helping us catch up. Not to mention, they are affordable! If you are a counseling practice and overwhelmed with billing, MedsDental is the way to go!"
Victoria GordonOffice Manager 
"We are an outpatient family medicine/primary care practice. Have offices in NYC and Nassau County. MedsDental handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. Thank you for providing excellent customer service. They are always available to answer any questions. We definitely recommend!"
M. TecheiraOffice Manager - Family Medicine 
"I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsDental handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with. They provide us with weekly organized reports as requested. We appreciate their business & look forward to a great future together."
S. DhillonOffice Manager - Physical Medicine & Rehabilitation Practice
"Being a SNP I was looking for a billing team since last year for my Medicare claims. I was also facing claims denial but after working with MedsDental team Moe and Jack, my collections have now increased and claims are being processed in a timely manner as promised. Definitely recommend for anyone in a similar situation!"
Peterson JeanSkilled Nurse Practitioner
"Response time and professionalism is amazing.. much better than my previous provider. I’m very satisfied with the MedsDental team, especially with Moe. I highly recommend MedsDental for your practice management."
Dolores CordovaFamily Practice Physician
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