Credentialing

Medical credentialing is a process to evaluate the qualifications and practice history of a doctor to establish competency. This process comprises a review of a doctor’s completed education, training, residency, and licenses. It also includes any certifications issued by a board in the doctor’s area of specialty. Hospitals, insurance providers, Medicare and Medicaid conduct medical credentialing to determine which physicians meet their requirements prior to permitting them to practice in their network. These entities continue to do so, on a regular basis as dictated by states, regulatory bodies and accrediting organizations.

Our time-tested approach is used to streamline issues relating to the credentialing and enrollment process while keeping providers in the loop every step of the way.

Medilink provides physician credentialing and enrollment services to physicians and medical practices of all sizes!
Key Features:
• New practice setup in all 50 states
• Adding additional providers to a current practice
• Re-attestation of CAQH
• Medicare enrollment and revalidation
• EDI Setup
• ERA Setup
• EFT Setup
• Address changes/updates
• Credentialing covering all 50 states and major insurance companies
• Help prepare & submit enrollment applications
• In Network & out of Network decision making
• Fee schedule review & compliance
• Regular updates
• Personalize account representative
• Regular follow up with insurance carriers
• Unmatched customer service