Physician Credentialing

Credentialing, Contracting and contract negotiation/re-negotiation Services :

Provider credentialing and enrollment services are the processes of contracting and attestation that a physician is a member of a Payer's network and is permitted to provide the services to patients enrolled in the Payer's plans. Credentialing ensures that a physician fulfills the Payer's criteria by assessing the individual's license, experience, accreditation, schooling & graduations, training, partnerships, malpractice, adverse clinical events, and clinical expertise.

Why is Credentialing Required?

Effective provider credentialing services are essential for better practice profitability. Even if the physician is qualified and medically required, insurance companies may delay or refuse reimbursement if appropriate onboarding is not accomplished.

IMBS offers Credentialing services to help providers to boost their revenue. Our specialized provider credentialing services make the payer enrollment process easier for physicians like :

  • Formation of new practice.
  • Change from one practice to another.
  • New provider contracts and group credentialing.
  • Looking to enroll with new payers.
  • The addition of a new physician or APPs to an established group.
  • Create Individual and group NPI for new provider after medical school.
  • Our experienced team handles all aspects of credentialing, from documentation to timely follow-ups, ensuring seamless affiliation with insurance networks, hospitals, and healthcare organizations. We also specialize in credentialing, meeting the requirements of various insurance.

    Physician Credentialing Process Flow