Provider Credentialing Pro.
Delayed credentialing means delayed revenue. We manage the full lifecycle across all payers and all 50 states — so providers are in-network and billing from day one.
50K+
Enrollment apps annually
15
Days avg to submission
200+
Hospital partnerships
50
States covered
Full-lifecycle credentialing, end to end.
Payer Enrollment
CAQH management, Medicare/Medicaid & commercial enrollment, NPI setup, revalidations.
PSV & Licensing
State license, DEA & CDS apps, primary-source verification, OIG/SAM sanction querying.
Facility Privileging
Medical-staff applications, privilege delineation, peer references, MSO deficiency response.
Expirable Document Mgmt
Proactive expiration alerts, license & DEA renewals, malpractice & CME tracking.
Re-credentialing
Managed payer cycles, PECOS updates, deadline tracking, zero-gap panel coverage.
Real-Time Tracking Portal
Live application status, progress dashboards, missing-item reports, exportable audits.
Our 3-step credentialing process.
Data Collection
We gather provider history, CAQH details, license information and all required documentation through our proprietary intake system — fast and complete from day one.
PSV & Submission
Our team validates every credential at the source, submits applications to all required payers and facilities, and tracks each one with dedicated specialist oversight.
Follow-up & Maintenance
We manage every application to full credentialing and handle the ongoing lifecycle — re-credentialing, license renewals, CAQH re-attestations and compliance monitoring.
Zero-gap coverage — proactive renewals and re-attestation keep providers from dropping off payer panels.
Provider relations — live in 30 days.
Project Planning
- · Kick-off meeting
- · Forms sent
Setup
- · Onboarding forms
- · Provider-relations system
- · Compliance setup
Monitoring
- · AM call
- · Process sign-off
- · Compliance review
Execution
- · Interface go-live
- · Provider-relations go-live
Completion
- · Leadership sign-off
- · Official go-live
Let's find what your practice is leaving on the table.
See what your practice is leaving on the table.
Tell us about your practice. A senior revenue specialist will reach out within one business day to schedule a no-pressure check-up.
- No software change required
- Beat industry averages with our expertise
- Backed by our 100% satisfaction guarantee
Speak with a specialist within 1 business day
hello@medusarcm.com
US-based teams · serving all 50 states