Credentialing Made Easy for Every Provider

Provider Enrollment & Credentialing Services

Simplify and accelerate your provider enrollment & credentialing process with Med Karma.

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The Essentials of Credentialing & Enrollment

Credentialing verifies a healthcare provider’s qualifications and practice history, ensuring compliance and building trust. Provider Enrollment involves registering with various insurance providers, like Medicare and Medicaid, to enable billing for healthcare facilities.

At Med Karma, we expertly handle both these services, making it seamless for providers to bill and integrate into the healthcare system.

  • Contract Negotiations
  • Compliance Maintenance
  • NPI, CAQH, and PECOS Setup
  • CUA Approved Lab Enrollment
  • Annual Credentialing Maintenance
  • Medicare/Medicaid Enrollment
  • New Provider Credentialing
  • Expirations and Renewals

Why Choose Med Karma?

Businessman hand with stethoscope
  • Proven industry knowledge with deep professional expertise
  • Tailored client solutions for every provider
  • Compliance and Accuracy Guaranteed
  • Proven success with complex credentialing and enrollment cases
  • Time and cost efficiency
  • Reduced risk of claim denials
  • Expert handling of credentialing and revalidations
  • Streamlined documentation process

Automated Application Management & Data Collection

Key Features:

  • Automated provider data collection and secure digital storage 

  • Real-time validation of licenses, certifications, and NPI numbers 

  • Auto-fill capability for payer applications and re-credentialing packets 

  • Centralized document management with expiration tracking

  • HIPAA-compliant provider profile management 

Payer Enrollment & Network Participation Automation

Key Features:

  • Automated payer enrollment form preparation and submission
  • Payer-specific enrollment requirement tracking
  • Real-time status monitoring and automated follow-up reminders
  • Instant alerts for pending deadlines, missing documents, and re-credentialing windows
  • AI-driven application priority and task management

Ongoing Credentialing Maintenance & Re-Credentialing Automation

Key Features:

  • Automated license, insurance, and certification expiration tracking
  • Re-credentialing deadline monitoring with automated reminders
  • CAQH profile management and attestation assistance
  • Automated document renewal request generation
  • Real-time credentialing compliance reporting

The Process of Credentialing to Enrollment

1. First, we guide you through credentialing with your chosen healthcare organization.

2. Once credentialing is complete, we move forward with the provider enrollment process, registering you with various insurance providers.

3. We help you prepare the necessary documentation and insurance details for a stress-free enrollment process.

4. From submission to approval, our team expertly manages your applications and maintains regular contact with insurers to ensure faster approvals.

5. Once applications are submitted, we carefully verify all credentials and enrollment details to confirm accuracy and compliance with payer requirements.

6. After successful verification and approval, we complete your enrollment, enabling you to bill enrolled insurance networks for your medical services.

7. Our specialists provide ongoing support, keeping you updated on changes in healthcare regulations that may impact your enrollment.

8. Connect with Med Karma today for expert assistance at every stage of your credentialing and enrollment journey.

Areas of Expertise

  • Hospitals
  • Rural Health Clinics
  • Hospital Clinics
  • Radiology
  • Anesthesiology
  • Family Medicine 
  • Internal Medicine
  • OB/GYN
  • General Surgery
  • DME
  • Orthopedic Surgery
  • Radiation Oncology
  • Physical Therapy
  • Physiatry
  • Speech Pathology
  • Otolaryngology
  • Pediatrics
  • Neurology
  • Cardiology
  • Sleep Lab
  • Pain Management
  • Rural Hospitals
  • Podiatry
  • ENT
  • Emergency Medicine
  • Plastic Surgery
  • Dermatology
  • Pathology
  • Imaging Centers

Quick Contact

    Frequently Asked Questions

    What is the difference between provider enrollment and credentialing?
    Provider credentialing is the process of verifying a healthcare provider’s qualifications and practice history. Provider enrollment, on the other hand, is the process of registering with insurance providers, including Medicare and Medicaid, to be able to bill for services.
    The credentialing process can vary in length, but it generally takes between 90 to 120 days. This timeframe can be influenced by the completeness of the submitted information and the specific requirements of the credentialing body.
    For provider enrollment, you typically need to provide detailed professional qualifications, practice location information, Tax Identification Number (TIN), and other relevant documentation like insurance details.
    Med Karma offers comprehensive services that cover a wide range of insurance networks, including major ones like Medicare and Medicaid. For specific network inquiries, it’s best to contact our team directly.
    Med Karma employs rigorous verification processes and stays updated with the latest compliance standards to ensure the accuracy and compliance of your enrollment.
    Med Karma offers continuous support and updates to ensure that healthcare providers stay compliant with any changes in regulations and insurance policies. This includes assistance with re-enrollment and keeping track of renewal dates.
    To start the process, simply contact the Med Karma team. Our experts will guide you through each step and provide personalized assistance tailored to your specific needs.