Medical Credentialing Services

Get Credentialed & Enrolled.
2X Faster and Easier!

ProMedCl is a top-rated Medical Credentialing Service Provider.
Our Credentialing Services eliminate administrative burdens and ensuring in-network integration and accelerating reimbursements.

We Simplify Physician Credentialing for Your Practice

Our centralize documentation, automate processes with advanced software, and regular audits to keep your credentials up-to-date and compliant.

ProMedCl Provider of Phisician Credentialing Services

We Quickly Enroll Providers in Top Payer Networks!

ProMedCl Provider Credentialing Services

Credentialing, also known as insurance credentialing or doctor / Phisician credentialing, is a process that verifies the qualifications, skills, and legitimacy of healthcare providers. This process ensures that the provider has the necessary licenses, certifications, and education to provide healthcare services to patients.

Only a credentialed provider is eligible to receive payments from the payer and work in compliance with state and federal regulations. Medical credentialing authorizes physicians to practice in specific facilities and be included in insurance networks like CMS/Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield. / Phisician 

Credentialing and Contracting

Fast and Efficient Credentialing with ProMed

As a provider, you want fast credentialing to start practicing and billing (legally and ethically). However, credentialing is a complex process that involves extensive documentation and verification at different stages by the insurance network. A single mistake can result in denials and wasted resources such as time and money.

We offers the best healthcare credentialing solutions. Our professionals handle all the tasks for you, from primary source verification to enrollment in premium payer networks. We do all of this in minimal time and budget, ensuring you can focus on providing quality care to your patients.

Our Medical Credentialing Process

A Walkthrough of Our Specialist-Vetted Provider Credentialing Process

ProMed’s provider credentialing process is not just a routine procedure, but a validated and certified process that ensures the highest standards of compliance. We have achieved up to a 98% success rate of getting providers approved in premium payer networks with maximum privileges in their specific specialties. The process typically includes the following steps

Surveying the Provider

Our process starts with a detailed survey, where we gather essential data like license numbers, educational history, demographics, and professional background through interviews with providers.

Insurance Company Selection

Our services guide providers in strategically choosing insurance partners aligned with their practice goals and license type. We also finalize insurance panels based on practice location.

CAQH Enrollment and Management

We handle CAQH applications, manage ProView accounts, and keep credentials updated. This ensures smooth verification and quick insurance panel integration.

Accelerating Credentialing Approval

Typically, credentialing takes 60-120 days, but we speed up the process by engaging weekly with payers to push for fast approval of your applications.

In-Network Enrollment and Contracting

After credentialing, your application enters the contract phase, including fee schedules and CPT billing codes. We manage closed panel challenges and advocate for your inclusion to enable direct billing with preferred rates.

Ongoing Monitoring and Updates

We continuously monitor your credentials to keep them current and ensure you stay credentialed without interruption. Our team tracks expirations and conducts regular reviews to maintain your active status.

Don’t let the red tape stop your pace.

Credentialing can be a hassle, but not with us. We have the skills, the tools, and the connections to get you credentialed and enrolled with any payer you want. No matter what your specialty or location, we will enable you enjoy the benefits of being in-network!

Customized Credentialing Solutions for Healthcare Organizations

Physician Credentialing

We offer all-inclusive (Qualifications, Training, Experience, and Licensure) Physicians credentialing who are joining a new hospital or clinic.

Continuous Monitoring & Re-credentialing

We proactively managing credentialing requirements and monitoring changes, we help healthcare providers maintain regulatory compliance.

Provider Enrollment

We help healthcare providers enroll with insurance networks, Medicare, Medicaid, and other payer organizations by completing and submitting their enrollment applications.

Payor Contract Negotiation

We specialize in negotiating favorable payer contracts for healthcare organizations, using industry expertise and data analytics to optimize reimbursement rates and contract terms

Transform Your Revenue Cycle Today

When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.

Promed Services LLC

1259 El Camino Real
Unit #1125
Menlo Park
CA 940

Call for help:

+1 (877) 420-9099

Mail us for information

Info@promedcl.com