Provider Credentialing Services

Quick, Comprehensive Provider Credentialing

We Coordinate with Payors — 
So You Can Care for Patients

ClinicMind credentialing experts manage the entire process, working directly with payors and following up with primary sources – which gives you more time deliver patient care and market your practice.
  • Fast turnaround: average 90 to 120 days
  • Dedicated account manager
  • Continuous application status updates
  • Competitive pricing

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  • Hassle-Free Credentialing

    We guide you through the entire credentialing process, following up with payors and staying on task until you are approved.

  • Fast, Efficient Turnaround

    Our credentialing support is designed to get you verified and enrolled on payor panels as quickly as possible and at a competitive price.

  • Dedicated Credentialing Experts

    Our credentialing experts have decades of credentialing and medical billing experience to help you determine which panels will benefit your practice most. Already a client? Your existing account manager will work closely with our experts to get you enrolled as quickly and easily as possible!

  • Continuous Status Updates

    Our credentialing experts leave no detail untouched and provide consistent updates to make sure you know the exact status of your application.

Why Outsource Your Provider Credentialing?

Provider credentialing is an essential part of practice management, allowing for successful payor billing and reimbursement. But the process can be extremely time-consuming, especially for a busy practitioner. It involves verification of information related to qualifications and experience, as well as extensive follow up to ensure privileging or permissions for providing specialty services until a provider is enrolled in payor panels.
The specific data elements ClinicMind will gather and validate for each provider include:
  • Primary source verification of the provider’s license to practice
  • NPI number
  • DEA license
  • Work history
  • Degrees and transcripts
  • References from previous employers/practitioners
  • Insurance information
  • Board certification
  • Malpractice claims history
  • License history (sanctions, suspensions, or revocations)

The ClinicMind Quick, Comprehensive Credentialing Process

Each step in our credentialing process has clearly defined deliverables and continuous communication to keep you informed and make sure no detail is missed.
  • Step 1: Assessment

    Our credentialing experts analyze your qualifications to identify the best payors and panels for billing success.

    Deliverable: Clear scope, cost for credentialing services, and timeline for completion

  • Step 2: Validation

    Working with you or your practice administrator, we gather and validate the primary source data needed for privileging and enrollment. Throughout the process, your account manager provides continuous communication and updates.

    Deliverable: Completed credentialing application and primary source validation

  • Step 3: Follow-Up

    Our experts double-check contact information to ensure quick correspondence and compliance. As questions and open items are identified, we coordinate immediate response to ensure a quick turnaround.

    Deliverable: Weekly status reports and tracking of all records

  • Step 4: Monitoring and Recredentialing

    We are committed to your billing success and continue to support you when it’s time to recredential. A 90-day advance notice is sent to you or your practice administrator to begin the recredentialing process. Your dedicated credentialing account manager works with you to complete the process quickly so you can continue providing patient care and billing.

    Deliverable: Recredential process competed on or before deadline


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Who Is ClinicMind?

With two decades of proven success and more than 16,000 clinician users, ClinicMind delivers a complete EHR and revenue cycle management solution specifically designed to power your practice.
  • Comprehensive, cloud-based software makes it easier for you to schedule, document and bill for your clinical encounters.
  • Expert, no-nonsense billing services work on your behalf to get your claims paid faster.
  • Customizable, real-time financial dashboards put the information you need to maximize your practice right at your fingertips.

Working with Clinicmind’s Credentialing Team has been a pleasure. I get detailed organized responses in a timely fashion. Not much more I can ask for.”

– Dr. Rafael Foss, Owner, NIVA Health Centers

“Your staff has been great keeping me updated as we move along. The process seems to be moving along faster than I could have done it. Happy we made the decision to have your staff handle this for us”

– Dr. Matt Ankrom, CEO, WellCare Medical

Schedule Your Free, No-Obligation Credentialing Consultation Call Today

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