We Provide Affordable & Flexible
Credentialing Service to all
Specialties throughout USA

Credentialing Services

In the absence of proper medical credentialing, the healthcare providers (hospital, physician office, dental practice, or surgery center and more) cannot work in any place and cannot partner with health insurance legally. As a result, reimbursement for medical services can also be denied or delayed and facility will have to face loss in revenues. Medical Credentialing is very crucial for both the patient and the healthcare providers because it ensures that service providers are competent to do the best and possible standers job.

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Do you want to give your patients the best care possible and the credibility of your business do not put your patients at risk?

CareClaimz credentialing processes offer organizational efficiency by reducing the burden on all stakeholders and positively impacting quality. We always ensure real-time credentialing requirements and assist our client’s inquiries about credentialing matters for each specialty, (Medical, Dental, Behavioral Health etc.). We evaluate through qualifications examining, reviewing and verifying that a candidate’s professional licenses or certifications, specialty certificates, education, work experience, competence, and malpractice and other variables are in compliance with credentialing guidelines and standards implemented by the National Committee for Quality Assurance (NCQA). 100% satisfaction is guaranteed on all of your provider enrollment and credentialing matters.

Credentialing Requirements

Credentialing requirements vary state to state, county, and populations even medical facilities and insurance carriers. The major credentialing requirements include education and training, Hospital affiliation, State license(s), DEA license, Provider enrollment application, Board certification, Malpractice insurance certificate, Sanctions disclosure, Criminal background disclosure, Background Screening, Military service and IRS- Letter.

 The departments for Verification are National Practitioner Data Bank (NPDB), American Board of Medical Specialties (ABMS), American Association of Nurse Practitioners (AANP) / American Nurses Credentialing Center (ANCC) and Student Clearing House.

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We Have Proven Expertise In Following Credentialing Specialties

Administrative Services Organization (ASO)Home & Community Based Services (HCBS)Osteopath
Ambulatory Surgery Center (ASC)Home HealthPersonal Care Agency
AudiologistHospicePharmacist
Behavioral Therapy – ClinicHospital – GeneralPharmacy
Behavioral Therapy – IndividualHospital – MentalPhysical Therapist
Birthing CenterIndependent LaboratoryPhysician
Case Management AgencyPharmacyPhysician Assistant
Certified Addiction Counselor (CAC)Licensed Addiction Counselor (LAC)Podiatrist
Certified Registered Nurse Anesthetist (CRNA)Licensed Behavioral Health ClinicianPsychiatric Residential Treatment Facility
Clinic – DentalLicensed Clinical Social Worker (LCSW)Psychologist - Bachelors
Clinic – PractitionerLicensed Marriage and Family Therapist (LMFT)Registered Nurse
Community ClinicLicensed Professional Counselor (LPC)Rehabilitation Agency
Community Mental Health CenterLicensed PsychologistResidential Child Care Facility
Dental HygienistManaged Care Organization (MCO)Rural Health Clinic
DentistNon-Physician Practitioner - GroupSchool Health Services
Dermatologist or Dermatology ClinicNon-Physician Practitioner – IndividualSpeech Therapist
Dialysis CenterNurse PractitionerSubstance Use Disorder - Clinics
Durable Medical Equipment (DME)Nurse-MidwifeSubstance Use Disorder - Individuals
Family Planning ClinicNursing FacilitySupply
Federally Qualified Health CenterNursing Facility - ICF/IIDTransportation
Foreign Teaching PhysicianOccupational TherapistX-Ray Facility
Health Maintenance Organization (HMO)OptometristMany More

We Aim To

  • Increases Physician and Patient Trust
  • Improve reimbursement and prevents lost revenue
  • Reduces error risk factors
  • Improves reputation and credibility
  • Protects against potential lawsuits
  • Understand State Regulations
  • Assign a Credentialing specialist
  • Maintain credentialing tracking grids
  • Weekly application follows up
  • Fulfill expectations of business needs