top of page

Get Credentialed. Get Paid. Grow Your Practice.

Getting credentialed with insurance payers can be time-consuming, complex, and frustrating—but it doesn’t have to be. Modern Medical Billing simplifies the entire credentialing process, helping you get approved faster, start billing sooner, and expand your access to insured patients. Whether you're opening a new practice, growing your team, or joining additional networks, we handle the paperwork, deadlines, and follow-up—so you can stay focused on care.

What’s Included in Our Credentialing Services:

✔ Payer Enrollment & Network Applications
We complete and submit all applications to commercial payers, Medicare, Medicaid, and other managed care organizations—ensuring all documentation is accurate and compliant.

✔ CAQH Setup & Maintenance
Our team sets up, updates, and maintains your CAQH profile to ensure it’s current, complete, and verified for quicker payer approval.

✔ NPI & Taxonomy Management
We assist with National Provider Identifier (NPI) registration and ensure your taxonomy codes are correct and match your specialty.

✔ Credentialing for New Providers & Facilities
Onboard new providers or locations with ease—our experts handle the paperwork, communication, and follow-up with payers.

✔ Re-Credentialing & Enrollment Maintenance
Stay in-network and compliant with proactive re-credentialing, revalidation, and ongoing payer updates.

✔ Status Tracking & Follow-Up
We track every application and communicate regularly with payers to monitor progress and resolve issues quickly.

Who We Credential:

  • Physicians, Therapists, and Mid-Level Providers

  • Mental & Behavioral Health Providers

  • DME & HME Suppliers

  • Ambulatory & Urgent Care Facilities

  • Birthing Centers, OB/GYNs, and Midwives

  • Solo Practices and Multi-Specialty Clinics

May 11, 2025, 02_08_00 PM.png

HIPAA-Compliant & Accurate

We follow strict HIPAA and payer compliance guidelines to protect your data and ensure credentialing accuracy at every step.

bottom of page