Credentialing & re-credentialing
Get in-network faster — and stay there
Credentialing validates that a physician meets the standards for delivering clinical care. Payers verify education, licensure, experience, certifications, affiliations, malpractice history, adverse clinical events and training — and any gap or delay means claims can’t be paid.
MTS manages the credentialing process from start to finish, helping physicians avoid delayed claim submission, missed filing limits, wasted time and lost revenue. Our team stays current on industry changes, credentialing trends and payer requirements.
What’s included
Customized payer credentialing and enrollment
New providers
Enrollment for physicians starting or joining a new practice.
Changing groups
Updates when a physician switches from one practice group to another.
New affiliations
Joining or affiliating with new groups, practices or locations.
New payers
Enrollment with additional commercial and government payers.
Re-credentialing
Renewal deadlines tracked and completed so participation never lapses.
Profile maintenance
CAQH and payer profiles kept accurate and attested.
How we work
A managed credentialing process
We take on the paperwork and the follow-up, and keep you updated at every stage.
Collect
Provider documents and information gathered in one secure checklist.
Apply
Applications prepared and submitted to each payer.
Follow up
Applications tracked and payer questions answered until approved.
Maintain
Re-credentialing dates and profile attestations monitored going forward.
Why practices hand credentialing to MTS
- Start billing in-network sooner
- No revenue lost to lapsed enrollment
- Staff freed from lengthy payer follow-up
- One team for credentialing and billing
FAQ
Common questions
How long does credentialing take?
It depends on the payer and state. Some approvals come through in weeks while others take several months, which is why we start early and follow up consistently.
Can we use credentialing without your billing service?
Yes. Credentialing can be engaged on its own or bundled with our billing services.
Do you manage CAQH?
Yes. We can set up, update and re-attest CAQH profiles as part of credentialing.
Related services
Complete the rest of your revenue cycle
Eligibility verification
Confirm coverage and patient responsibility before the visit.