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Physician Credentialing Services

Physician Credentialing Services That Connect Enrollment Directly to Billing Readiness

Every day a provider remains unenrolled with a key payer is a day of revenue your practice cannot recover.

MBC's physician credentialing services cover Medicare, Medicaid, and all major commercial payers across all 50 states. With dedicated follow-up on every application, CAQH and PECOS management, and continuous compliance monitoring, we reduce enrollment timelines and ensure providers reach billing-ready status as early as possible.
Enroll My Providers Faster See Our Enrollment Process

The Metrics of Enrollment Efficiency

States Served Nationwide All States
Specialties Credentialed 32+
Billing Readiness Target Day 1
Claims Processed Annually $2.4B+
All StatesNationwide Coverage
32+Specialties Credentialed
Day 1Billing Readiness Goal
25+Years of RCM Excellence
The Enrollment Challenge

Where Credentialing Delays Become Revenue Loss

Without dedicated management, applications sit in pending status for weeks over minor documentation gaps. Every unenrolled day is revenue that cannot be recovered retroactively.

Common Causes of Enrollment Delays

Incomplete Application SubmissionsMissing or inaccurate documentation causes payer rejection and restarts the entire enrollment clock, adding weeks to an already extended timeline.
Complex Portal NavigationCAQH, PECOS, and each commercial payer portal carry distinct submission requirements, attestation schedules, and update windows that slow progress without dedicated expertise.
Disconnected from Billing OperationsWhen credentialing is managed separately from billing, approved providers often sit in a queue before claim submission begins, extending the revenue gap unnecessarily.
Our Enrollment Process

How MBC Manages Physician Credentialing End to End

From initial application through active billing status, every step is managed, tracked, and escalated when timelines are at risk.

1
Provider Onboarding

Credential Verification, CAQH Setup and PECOS Enrollment

All required documentation is collected and verified before any application is submitted. CAQH ProView setup and PECOS enrollment are initiated simultaneously, removing the sequential delay most practices experience.

2
Payer Application

Commercial and Government Payer Panel Enrollment

Submitted to all target payer panels simultaneously with complete documentation on the first attempt, prioritized by volume so your highest-revenue relationships activate first.

3
Active Follow-Up and Billing Activation

Application Tracking, Escalation and Approval-to-Billing Transition

Every application tracked weekly with direct payer follow-up. When approval is received, billing activation is coordinated the same day and the first eligible claim queued immediately.

4
Ongoing Compliance

Continuous Monitoring and Renewal Management

License renewals, DEA expirations, revalidation cycles, and CAQH attestations tracked for every provider. Renewal actions initiated before deadlines so billing status is never interrupted by an administrative lapse.

What We Manage

Physician Credentialing Services: Full Scope Coverage

Every component of provider enrollment managed in one engagement, with no handoffs and no gap between approval and first claim submission.

01

Medicare and Medicaid Enrollment

Medicare enrollment through PECOS and Medicaid across all applicable state programs, with state-specific documentation requirements handled end to end.

Outcome: Active Medicare and Medicaid billing status with accurate enrollment records and no gaps in provider-level eligibility.
02

Commercial Payer Panel Enrollment

Simultaneous submission to all target commercial payers with payer-specific documentation, prioritized by volume so your highest-revenue relationships activate first.

Outcome: Complete commercial payer panel coverage with active tracking from application through approval status confirmation.
03

CAQH ProView Management

MBC manages the full CAQH lifecycle: initial setup, quarterly re-attestation, document uploads, and ongoing updates so your profile never falls out of compliance across participating payers.

Outcome: An accurate, fully attested CAQH profile that supports enrollment across all participating payers without manual intervention from your staff.
04

Re-Credentialing and Revalidation

Every re-credentialing and revalidation window tracked per provider. Renewals initiated ahead of deadlines so missed cycles never interrupt active billing.

Outcome: Continuous active enrollment status across all payers with no billing interruptions from missed renewal cycles.
Payer Coverage

Government and Commercial Payer Enrollment Coverage

Medicare (PECOS) Medicaid (All States) Medicare Advantage Tricare VA / Community Care CHIP
UnitedHealthcare Aetna Cigna Humana BlueCross BlueShield Kaiser Permanente Anthem Centene Molina Healthcare Highmark
Regional BCBS Plans State-Specific MCOs IPA and ACO Networks Workers Compensation CAQH ProView
Our Credentialing Team and Standards

Credentialing Specialists Integrated Directly with Billing Operations

Credentialing Built for Billing Readiness

CAQH
CAQH ProView Management End-to-end CAQH profile management, attestations, and document updates to keep provider data current across all participating payers.
PECOS
Medicare PECOS Enrollment Accurate Medicare enrollment through PECOS for all provider types, with milestone tracking from submission through CMS approval.
PAR
Commercial Payer Panel Enrollment Simultaneous application management across your commercial payer network, prioritized by volume relevance to your practice.
MON
Continuous Compliance Monitoring Ongoing tracking of license renewals, DEA registrations, and revalidations to prevent lapses that interrupt active billing.

Why Practices Choose MBC Credentialing

  • Dedicated specialists across all 50 states and 32+ specialties
  • Active follow-up on every application, no pending status goes unmonitored
  • Simultaneous multi-payer enrollment prioritized by your volume data
  • CAQH and PECOS managed end-to-end with ongoing attestation maintenance
  • Approval-to-billing transition managed as a single connected workflow
  • License, DEA, and revalidation renewal tracking with proactive initiation
  • Integrated with MBC billing operations, no handoff required from your team
Client Outcomes

What Provider Groups Say About MBC

Results from practices that transitioned to MBC's credentialing and revenue cycle services across specialties and practice sizes nationwide.

★★★★★

"We onboarded three new physicians last quarter. MBC had all three credentialed and billing-ready within the standard payer timelines, with weekly status updates throughout. We did not chase a single payer."

RT
Practice Administrator, R. Torres Family Practice Group, Dallas TX
★★★★★

"MBC caught a DEA renewal that our team had missed and would have suspended our provider's billing status mid-cycle. Their monitoring process flagged it six weeks before expiration and handled the renewal before we were even aware of the risk."

KW
Office Manager, K. Williams OB-GYN Practice, New York NY
★★★★★

"The payer panel application process used to consume two full days of staff time per provider. MBC handles the entire process, including portal submissions and follow-up, and gives us a status dashboard so we always know where each application stands."

MH
Dr. M. Hassan Internal Medicine, Los Angeles CA
Common Questions

Frequently Asked Questions

Commercial payer credentialing timelines range from 60 to 150 days depending on the payer and specialty. Medicare enrollment through PECOS typically takes 30 to 60 days. MBC's active follow-up protocol reduces avoidable delays by ensuring no application sits in pending status without action.
CAQH ProView is the primary credentialing data repository used by the majority of commercial payers. MBC manages the full CAQH lifecycle: initial profile setup, documentation upload, quarterly re-attestation, and ongoing updates to keep provider data current across all participating payers.
MBC's continuous monitoring tracks license renewal windows, DEA registration expirations, and payer revalidation cycles for every provider in your roster. Renewal actions are initiated before deadlines. If a lapse is identified, MBC coordinates the remediation process to restore active billing status as quickly as possible.
Yes. MBC manages new provider credentialing in parallel with ongoing billing operations for your existing roster. New provider enrollment and billing activation are coordinated as a single connected workflow so that approval translates immediately into claim submission readiness.

Stop Losing Revenue to Enrollment Delays.

MBC manages credentialing end to end so your providers reach billing-ready status as early as possible.

Enroll My Providers Faster Explore Full RCM Services
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