Trusted Medical Credentialing Services

We provide medical credentialing services to simplify healthcare provider
enrollment. Get credentialed and enrolled twice as fast, twice as easy!

Our Associations

Medical Credentialing Services for All Healthcare Providers

Medical credentialing is a complex process where even minor errors or missing details can delay provider enrollment. However, our validated and certified process ensures hassle-free enrollment with insurance networks. We provide an intuitive platform designed to save time, ensure compliance, and keep credentials up-to-date for all kinds of healthcare practitioners. So, if you want seamless credentialing, gather your documents and get started today.

Expert Credentialing Process You Can Trust

Get credentialed first—because without credentials, there are no payments! We handle the provider credentialing process, from verification to premium network enrollment. This allows you to enroll with major insurance providers, including CMS/Medicare, Humana, Cigna, and Aetna. With an efficient and personalized process, we save your time, boost your practice revenue, and eliminate administrative headaches. Our comprehensive support saves you weeks of repetitive work so that you can focus more on your core mission. Let us handle your enrollment while you grow your practice!

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Top Medical Credentialing Solutions We Provide

At Atlantis RCM, we simplify the payer enrollment process with our top medical credentialing solutions. Like AR management, we provide faster credentialing with automation, real-time updates, and expert support - no delays, no stress!
Automated verification
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Automated verification

Say goodbye to manual paperwork! Our automated system verifies credentials with accuracy and compliance—no hassle, no delays.

Real-Time Updates
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Real-Time Updates

Track and monitor your credentialing process with instant notifications and zero guesswork. Stay informed every step of the way!

Personalized Support
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Personalized Support

Expert support, customized for you! We make your operations smoother as our medical credentialing specialists assist you to ensure a smooth and hassle-free process.

Our Complete Physician Credentialing Services

We offer end-to-end medical credentialing services to ensure providers meet both organizational and payer standards. We streamline credentialing to build patient trust, maintain compliance, and accelerate payments.
 Our Complete Physician Credentialing Services

We ensure that you are enrolled in Medicare and Medicaid government programs. Our specialists assist providers in gaining approval for the Medicare DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) program so you can meet strict compliance standards.

Our medical credentialing specialists register and maintain your profile on the Council for Affordable Quality Healthcare (CAQH), a provider data portal. We ensure accurate data collection and compliance to facilitate seamless payer enrollment.

We help both individual providers (type 1) and organizations (type 2) obtain their National Provider Identifier (NPI) registration. We also assist healthcare providers in obtaining CLIA registration to conduct lab testing under the Clinical Laboratory Improvement Amendments (CLIA).

We verify and maintain your professional certifications and licenses including the DEA certificate to ensure you meet payer and regulatory requirements while avoiding costly delays. We also certify compliance and essential registration with regulatory frameworks specific to your jurisdiction to make sure you meet the required standards.

Because of varying eligibility criteria and plan complexities, the insurance credentialing process can be lengthy. However, we streamline the process and minimize additional delays so you can start delivering healthcare services quickly and efficiently. Our team provides fast credentialing and enrollment services with top insurers such as Medicare, Medicaid, Cigna, Aetna, and more!

Experience the Atlantis RCM Edge

Medical credentialing is essential for providers to gain patient trust and increase revenue. However, the process can be complex and time-consuming due to varying insurance requirements and potential errors that cause delays.  Atlantis RCM optimizes credentialing by ensuring a faster, smoother, and more efficient experience.

Hospital Privileges

Our experienced credentialing team secures your hospital affiliations smoothly with hassle-free credentialing support. Our proactive approach helps expand your practice scope and patient care services.

Payer Contract Negotiation

We specialize in favorable negotiations for payor contracts. We handle negotiations with insurers to get you the best possible contract terms. Our team leverages industry expertise and data analytics to improve reimbursements.

On-Going Professional Support

Stay compliant effortlessly! Recredentialing and revalidation are essential for continued compliance and active status with payers. We manage renewals and updates to keep your credentials active and error-free.

Time Efficient

Enrolling in an insurance network can take months, delaying your ability to care for patients and receive reimbursements. However, our efficient process can cut that time down to just weeks. We prevent delays with expertise and follow-ups.

24/7 Support

If you have any questions or concerns, our experts are available 24/7 to guide you through every step of the process. You can monitor and track your application status anytime, anywhere through our online platform.

Frequently Asked Questions

Credentialing services in medical billing involve verifying a healthcare provider’s qualifications, licenses, and certifications to ensure they meet payer requirements. This service allows providers to enroll with insurance networks like Medicare, Medicaid, and private insurers. It includes CAQH registration, NPI enrollment, license verification, and payer contract negotiations. Get our efficient medical credentialing and ensure compliance, faster payments, and uninterrupted patient care.

Medical credentialing document requirements vary by insurance plan and payer. Generally, the following documents are required:

  • Updated CV (including current employer, with all entries in mm/yy format)
  • DEA (federal) and state Controlled Dangerous Substances (CDS) certificates
  • Certificate of Insurance
  • Board Certification(s)
  • Practitioner License
  • Diploma or a copy of the highest level of education (required for non-MDs and DOs)
  • Collaborative Agreement (Required for Nurse Practitioners)
  • ECFMG Certificate
  • Letter of Admitting Arrangement
  • Passport/Citizenship Documents
  • Letter of Prescribing Arrangement (Needed for physicians without a DEA certificate)
  • IRS Form CP575 or Letter 147C – EIN verification
  • IRS Form W-9 (taxpayer identification and certification)
  • CLIA Certificate (required for laboratories and diagnostic testing)
  • Bank Account Verification Letter – Required for Medicare enrollment

Credentialing allows providers to enroll with insurance networks. It enables them to bill and receive reimbursements for services. This process helps secure better-payer contracts and ensure higher and more timely reimbursements. Additionally, credentialing builds patient trust, attracts more patients, and increases overall revenue.

The provider enrollment process typically takes 80 to 120 days to complete. The credentialing time ultimately depends on the insurance company and how quickly they approve applications. However, we ensure an accurate and efficient submission to minimize delays on our end.

No, you must complete the credentialing process and receive approval from payers before you can bill for services. Treating patients without credentialing can result in denied claims, delayed payments, or compliance violations. It’s essential to complete this step to ensure smooth reimbursements and avoid disruptions in your practice.

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