Credentialing Services

For Individual Providers

Staying updated and properly credentialed not only enhances your trustworthiness as a healthcare provider but also opens more opportunities for patient referrals and insurance partnerships.

Grow your practice with ease and confidence by keeping your credentials current with our dedicated support.

Streamline Your Practice

  • ZERO Overhead
  • Processing guaranteed.
  • Real Time Updates
  • Status updates
  • 100% Bilingual Team

Enrolled and Maintenance Insurance

  • Check the Status
  • Identifying opportunities
  • Provider data Management
  • Negotiation
  • Contracting

Opportunities for Growth

  • Get credentialed with a new private or government insurance and boost your
  • growth by 10% to 15%.
  • Access to a broader network of patients
  • Credibility and Trust

SPECIAL PLANs

  • Primary Source Verification

Verification of all credentials through primary sources.

  • Credentialing Support

Assistance with the initial credentialing process.

  • Renewal Alerts

Automated reminders for upcoming license renewals.

  • Compliance Assistance

Support to ensure compliance with industry standards.

  • Document Mangement

Secure storage of credentialing documents.

  • Expedited Service

Faster processing times for credentialing requests.

  • Detailed Status Reports

Regular updates on the status of credentialing applications.

  • Access to Expertise

Direct access to credentialing experts for guidance and support.

  • Customizable Services

Ability to tailor services to specific needs and requirements.

  • Flexible Scheduling

Convenient scheduling for credentialing tasks and consultations.

  • Performance Metrics

Access to metrics and reports on credentialing performance and efficiency.

Pay-Per-Plan

For Clients Preferring
Non-Membership Option

Starting at

$299*

/Health Plan

Flexible Credentialing, Pay As you Go

Get Started
Ideal for: Solo practitioners, small clinics, or any healthcare provider with infrequent credentialing requirements.

Solo Max

For Individual Practitioners

Starting at

$49.99*

/Health Plan

Maximum Credentialing for Solo Providers

Get Started

Ideal for: Independent doctors, nurses, therapists, and other solo healthcare providers.

  • Comprehensive Credentialing Services

Full-service credentialing for all healthcare providers.

  • Expedited Processing

Accelerated processing times for credentialing and re-credentialing.

  • Dedicated Account Manager

Personalized support from a dedicated account manager.

  • Audit Preparation

Assistance in preparing for audits and inspections.

  • Monthly Reports

Detailed monthly reports on credentialing status and activities.

  • Compliance Support

Guidance to ensure adherence to regulatory standards.

  • Priority Support

Access to priority customer support.

  • Automated reminders

Alerts for upcoming license renewals and expirations.

  • Advanced Credentialing Software

Utilization of advanced software to manage and track credentialing status.

  • Industry Updates

Regular updates on industry changes and best practices.

  • Health Plan Liaison

Access to live support for urgent issues.

  • Contract Negotiation

Expert support in negotiating contracts with health plans.

  • Provider Transition

Credentialing for new providers replacing departing ones at no additional cost.

Pay-Per-Plan 

For Clients Preferring Non-Membership Option

Starting at

$299*

/Health Plan

Flexible Credentialing, Pay As you Go

Get Started
Includes:
  • Primary Source Verification
     Verification of all credentials through primary sources.
  • Credentialing Support
    Assistance with the credentialing process for specific health plans.
  • Renewal Alerts
    Automated reminders for upcoming license renewals.
  • Compliance Assistance
    Support to ensure compliance with industry standards for specific health plans.
  • Document Management
    Secure storage of credentialing documents for specific health plans.
  • Expedited Service
    Faster processing times for credentialing requests.
  • Detailed Status Reports
    Regular updates on the status of credentialing applications.
  • Access to Expertise
    Direct access to credentialing experts for guidance and support.
  • Customizable Services
    Ability to tailor services to specific needs and requirements.
  • Flexible Scheduling
    Convenient scheduling for credentialing tasks and consultations.
  • Performance Metrics
    Access to metrics and reports on credentialing performance and efficiency.

Solo Max

For Individual Practitioners

Starting at

$49.99*

/Health Plan

Maximum Credentialing for Solo Providers

Get Started
Includes:
  • Comprehensive Credentialing Services
    Comprehensive Credentialing Services: Full-service credentialing for all healthcare providers.
  • Expedited Processing
    Accelerated processing times for credentialing and re-credentialing.
  • Dedicated Account Manager
    Personalized support from a dedicated account manager.
  • Audit Preparation
    Assistance in preparing for audits and inspections.
  • Monthly Reports
    Detailed monthly reports on credentialing status and activities.
  • Compliance Support
    Guidance to ensure adherence to regulatory standards.
  • Priority Support
    Access to priority customer support.
  • Automated Reminders
    Alerts for upcoming license renewals and expirations.
  • Advanced Credentialing Software
    Utilization of advanced software to manage and track credentialing status.
  • Industry Updates
    Regular updates on industry changes and best practices.
  • Health Plan Liaison
    Expert support in negotiating contracts with health plans.
  • Contract Negotiation
    Expert support in negotiating contracts with health plans.
  • Provider Transition
    Credentialing for new providers replacing departing ones at no additional cost.

RCM services

Why choose BilliMD for Your Medical Billing Needs?

Billing and Coding 

Correct coding is crucial to getting paid for your services. Our specialists ensure that your billing and coding are accurate, leading to fewer rejections and delays in payments.

Denial Management

When claims are denied, it can disrupt your cash flow. We analyze denials, correct the issues, and resubmit claims promptly, reducing your denial rate and helping maintain a steady income.

A/R Health

We keep a close eye on your accounts receivable, making sure that payments are being processed in a timely manner, and we take action on any outstanding claims to ensure that your practice’s finances stay robust.

What Makes Us Unique?

At BilliMD, our commitment to your practice goes beyond services. We become allies in your journey, sharing our expertise to empower you to run a financially healthy practice. We’re invested in your success because when you flourish, we do too.