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Physician Credentialing Services


How it works?

Physicians across the nation have been struggling to find a professional who can relieve them of their administrative chores so that they can face the challenges of providing quality healthcare. Most physicians would rather prefer a specialist taking care of the reimbursement process and maximize their revenue but they are tirelessly looking for the rest to manage their revenue cycle management.


Insurance Enrollment (For Physicians and Offices)

As Physician Enrollment determines your practice’s physicians/staff’s eligibility-status as providers of medical services in pre-identified specialty disciplines, it is imperative that you, either as a sole-practitioner or group of practitioners, get your services credentialed through prospective insurance carriers. But given the heterogeneous mix insurance players – Federal Government’s popular health insurance schemes such as Medicare and Medicaid, and a number of private health insurance plans – a considerable time of your quality time is going to be spent on satisfying the heterogeneous insurance players with your practices’ medical credentials for Physician Enrollment.

And when you consider the procedural complexity involving Physician Enrollment – Preliminary Application, Scrutiny, and Renewal – it may not be prudent to do all by yourself as it can take away much of your quality time reserved for augmenting quality medical care to your patients. Moreover, given the competitive level under which medical practices find themselves in, our ingenious and proven Physician Enrollment Services – offered both as a separate component or an integral constituent of our Comprehensive Medical Billing Revenue Cycle Management – should be an optimal choice both cost and as well as efficiency wise. Our Physician Enrollment is comprehensive enough to cover both Medicare and private insurance carriers’ obligatory procedures for availing enrollment-status

Under Medicare Enrollment, we can undertake Medicare Enrollment Application for:

  • Institutional Providers
  • Clinics, Group Practices, and Certain Other Suppliers
  • Physicians and Non-Physician Practitioners
  • Reassignment of Medicare Benefits
  • Eligible Ordering and Referring Physicians and Non-physician Practitioners
  • Managing callbacks and cross-scheduling
  • Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers

These diverse Medicare Enrollment services are duly renewed as when CMS deems it mandatory.

Our Medicare Enrollment is duly complemented by a comprehensive enrollment for private insurance schemes, floated by leading health insurance carriers, such as:

  • Unitedhealth Group
  • Wellpoint Inc. Group
  • Kaiser Foundation Group
  • Aetna Group
  • Humana Group
  • Coventry Corp. Group
  • HCSC Group
  • Highmark Group
  • Independence Blue Cross Group
  • Blue Shield of CA Group
  • Cigna Health Group
  • Health Net of California Inc
  • Regence Group
  • BCBS of MA Group
  • Carefirst Inc. Group
  • Wellcare Group
  • HIP Ins. Group
  • Metropolitan Group
  • UnumProvident Corp. Group
  • Universal Amer Fin Corp. Group
  • Lifetime Healthcare Group

When you combine our ability to manage both Medicare as well as private health insurance plans with prevailing state-specific health insurance laws across diverse regional states in the US, your Physician Enrollment needs can look no further!

Real Physicians, Real Results

Discover how physician groups thrive with us

We had no visibility into whether our IPA capitation payments were accurate. MBC's reconciliation process identified $138,000 in underpayments in the first quarter. That's revenue our prior vendor never even looked for.

Dr. S. Larsen
Dr. S. Larsen
Wound Care Practice — San Diego, CA

“I appreciate your prompt results on my Medicare inquiry. Dr. Ingrid Arnold and I appreciate the quality work that you and your team have provided to her practice. We had tried a couple of different insurance posting options, before we contracted with your company. We are delighted that we found your company to assist us. We find your reports timely and informative. I will recommend your services, without reservation, to any of our physician friends, who might be looking for a more reliable billing service”

Dr. Ingrid Arnold
Dr. Ingrid Arnold
DO | Mesquite, Texas

“I want to thank you for your professional help during the past two years with our accounts receivable. I have absolutely nothing but appreciation for your company in helping us out with the jam we were in when our office manager suddenly quit. Since that time we have enjoyed an absolutely non-problematic relationship. Our experience with claims injury, handling insurance rejections, posting our payments, the account receivable process, patient statements, and the excellent service provided to my patients are greatly appreciated. I also sincerely appreciate all the help that you have given me and my staff and I wish you the best of luck in future endeavors.”

Dr. Larry C. Watson
Dr. Larry C. Watson
MD | Houston, Texas

“For the last 4 years, MBC has been an integral part of growing our counseling and Intensive outpatient programs. My team and I appreciate MBC's commitment to exceptional customer support, credentialing, and billing services.”

Dr. Allen
Dr. Allen
Texas

Record high collections this month for our Chiropractic Practice! Thank you MBC!

Dr.Faulds
Dr.Faulds
Alabama

I just wanted to take a moment to say a big thank you for all the hard work you've put in over the past two years! Your efforts have really helped us transform our old accounts receivable into the impressive numbers we see today. I truly appreciate everything you do to keep our operations running smoothly all year round. Let’s keep up the great work together as we continue to tackle past claims and stay on top of the current ones.

Vadim Vartanov
Vadim Vartanov
Internal Medicine Associates of Jacksonville, FL

“We truly appreciate the exceptional work you are doing. Dr. Martha and I are grateful for your dedication and commitment. Your availability, regardless of the time, has been invaluable to us. The outstanding results we've achieved are a testament to your efforts, and we hope to continue this successful journey together. Thank you for all that you do!”

Judith Cedeno
Judith Cedeno
Podiatry Office Manager, FL

“Just a note of thanks in appreciation of all your help. The credentialling process can be daunting but you and the team at MBC were awesome every step of the way. Communication was clear, the process moved efficiently and the service was stellar. Thanks again and I look forward to working with you on this journey.”

Dr. Michael Lacqua
Dr. Michael Lacqua
Plastic & Reconstructive Surgeon, NY

“Our billing was poorly organized with a poor collection rate before you took on our account, and you have worked diligently to find what can be paid and have organized our billing process, including the sometimes difficult workers comp cases which compose a lot of my billing. Your unflinching attitude to constantly find ways to improve our billing is beginning to pay off. We are optimistic that with continued improvements and refinements we will see a big boost in our collections, and we are looking forward to a big turnaround in our finances in 2025 working with you. Thank you for your unstoppable attitude.”

Dr. James Baker
Dr. James Baker
Orthopaedic Surgeon | Knee and Hip - Stryker, TX
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