We simplify the complex process of provider credentialing and payer enrollment, helping healthcare professionals and organizations avoid delays, denials, and compliance issues. Trust our experts to handle the paperwork while you focus on delivering quality care.
+1(934)255 2355
At our core, we specialize in streamlining provider credentialing and payer enrollment processes for individual practitioners, group practices, and large healthcare facilities. Credentialing delays and errors can cost your practice revenue and credibility. Our team handles every stage of the process — from gathering documents, filling out forms, and verifying credentials to managing re-credentialing and ongoing enrollments. With our in-depth knowledge of payer requirements, we minimize turnaround time and eliminate costly mistakes. Whether you’re starting a new practice, hiring new providers, or expanding your insurance networks, we’re here to make credentialing stress-free and efficient.
We deliver fast, compliant, and accurate credentialing services tailored to your specialty and payer mix. Say goodbye to delays and denials — let our experienced team manage your enrollment needs from start to finish.
We collect accurate patient demographics, insurance data, referral documents, and authorization records to prevent upfront errors.
Our team manages full enrollment with Medicare and Medicaid, including PECOS and state-specific portals, ensuring compliance with federal regulations.
We monitor your providers' credentialing statuses and submit timely updates to avoid terminations or denials due to outdated information.
We track expiration dates and handle re-credentialing before deadlines to avoid reimbursement interruptions and maintain your active status with payers.
Credential your entire group or facility across multiple payers. We organize provider rosters, taxonomies, and group NPI validations.
We help set up, manage, and regularly update your CAQH profile, a crucial step for faster approvals and insurance verification.
We submit and track applications with private payers such as Aetna, Blue Cross, Cigna, UnitedHealthcare, and more.
If your credentialing or enrollment is denied, we investigate the issue, gather supporting documentation, and submit appeals for resolution.
We understand how critical credentialing and payer enrollment are to your revenue cycle. Our team of credentialing specialists provides full transparency, strict timeline adherence, and personalized support. With in-depth payer knowledge and a secure document management process, we help providers reduce delays, meet payer-specific requirements, and secure active network participation. Whether you’re an independent provider or part of a multi-provider practice, we offer scalable solutions that grow with your business. We’re not just a service provider — we’re a long-term partner in your credentialing journey.
Our credentialing solutions are designed for compliance, accuracy, and efficiency, helping you gain faster approval from payers and reducing administrative burdens on your staff.
We are a dedicated RCM medical billing company based in New York, committed to helping healthcare providers streamline their revenue cycle with accuracy, compliance, and speed. With expert teams in billing, coding, credentialing, and administrative support, we serve as your behind-the-scenes partner in achieving financial success.
Medfusion is the leading company for managing the cycle of revenue. Our partners value our excellent claims handling, timely responses, thorough follow-ups, and outstanding management of denied claims.
Do you want a free consultation or pricing guide? Send the info or call now for billing information.