Physician Credentialing

How it works?

All Healthcare Providers 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 providers 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 (A wide range of providers)

As Provider Enrollment assesses eligibility for medical service providers in specific specialty areas, it is essential for you, whether you are a sole practitioner or part of a group practice, to have your services credentialed with the appropriate insurance carriers.

Given the diverse range of insurance providers including federal programs like Medicare and Medicaid, as well as various private health insurance plans you will likely spend a significant amount of your valuable time securing your practice's medical credentials for Provider Enrollment.

Additionally, the complexities involved in the Provider Enrollment process including the Preliminary Application, Scrutiny, and Renewal make it challenging to manage on your own. Handling this process can take precious time away from delivering quality medical care to your patients.

Considering the competitive nature of the healthcare industry, our effective and proven Provider Enrollment Services are available as a separate offering or as part of our Comprehensive Medical Billing Services.

Revenue Cycle Management can be a wise choice for both cost and efficiency. Our Provider Enrollment services are thorough enough to address the mandatory procedures required by both Medicare and private insurance carriers to obtain enrollment status.

Who We Credential – Comprehensive Coverage for All Providers

MBC facilitates credentialing and enrollment for a broad spectrum of healthcare professionals, including but not limited to:

• Physicians (MDs, DOs)
• Advanced Practice Providers – Nurse Practitioners (NPs), Physician Assistants (PAs)
• Therapists & Allied Health Professionals – Physical Therapists (PT), Occupational Therapists (OT), Speech-Language Pathologists
• Mental Health Practitioners – Psychologists, Licensed Professional Counselors (LPCs), Therapists
• Specialty Billing Solutions –Wound Care, Family Practice, OBGyn, Optometry, Cardiology, Neurology, Oncology, Dermatology, Orthopedics, Pain Management, Podiatry, Behavirol Health, Mental Health, Urology, Pulmonology, Radiology, Radiation Oncology, Gastroenterology, Pathology, Sleep Medicine, Rheumatology, Sports Medicine, Allergy & Immunology, Physical Medicine, and more
• Chiropractors/ Physical Therapist / Massage Therapist
• Home Health Agencies
• Ambulatory Surgical Centers (ASCs)
• Emergency Medicine Providers
• Hospitalists and Facility-Based Practitioners
• Optometrists / Ophthalmologists
• Durable Medical Equipment (DME) Suppliers & Vendors

Private Insurance Credentialing – Nationwide Coverage

Our Medicare enrollment services are complemented by comprehensive credentialing with all leading commercial and private health insurance carriers, including:

• Medicaid Managed Care Plans
• Medicare Advantage Plans
• UnitedHealthcare
• Aetna
• Cigna
• Humana
• Kaiser Permanente
• Blue Cross Blue Shield (All Affiliates)
• Health Net
• CareFirst
• Highmark
• Molina Healthcare
• WellCare
• Centene Corporation
• Regence
• Tricare
• VA Community Care Network (CCN)
• Other Regional and National Commercial Carriers
• Anthem / Elevance Health and more…

This list represents the most commonly credentialed insurance panels by providers across the U.S., ensuring maximum reimbursement potential and broad patient access. MBC handles all aspects of payer enrollment—from documentation to follow-ups—so your practice stays focused on care, not paperwork.

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