Insurance Credentialing/Provider Enrollment at MBA Medical

As with all of the services we bring to medical practitioners, we want to provide a worry-free partnership and credentialing process.

Credentialing (also called provider enrollment) is the method by which medical practitioners are verified in order to participate in the insurance marketplace. In other words, it’s a form of insurance contracting whereby healthcare providers and insurance companies link up.

MBA Medical provides expert and highly regarded credentialing services for new and established healthcare providers. We’ll ensure the process is completed and the required documentation has been submitted and approved. We’ll make all the calls, submit all the forms, speak with all interested parties, and handle all the details.

The Credentialing Process at MBA Medical

MBA has been the go-to credentialing expert for medical providers for 25 years. We pride ourselves on our ability to facilitate conversations between practitioners and insurance companies. With our long work history and billing experience, you can be certain that your best interests will be represented by MBA at all times and at all levels of the process.

The path to acceptance is a thorough and rigorous process. The credentialing application involves the determination by insurance carriers (as well as other facilities, including hospitals) that a particular provider meets or exceeds the standards set by their insurance network.

For a medical professional, being “in-network” means that patients enrolled in health coverage turn to you in order to receive medical benefits paid for by their insurance companies. 

The credentialing process usually includes verification and examination of:

  • Education/Training/Experience
  • Residency
  • References (via colleagues and/or professors)
  • Medical licensing
  • State registration
  • Federal registration
  • State certification
  • Federal certification
  • Professional liability coverage

This time frame for credentialing can take several months. MBA’s highly effective approach streamlines the process making it easy for you, your medical staff, and your practice.

Check out our “Credentialing and Contracting for New Medical Service Providers” blog post for additional information.

About MBA Medical

MBA Medical offers comprehensive billing services and a host of other services for all modern medical offices. Our processes are designed to be transparent, and we are trusted and respected industrywide for our ability to provide accurate billing. We’ll make sure you are paid quickly, and our accuracy is unparalleled.

In addition to medical billing, our services include:

  • Medical Practice Management
  • Revenue Cycle Management
  • Bookkeeping
  • Credentialing
  • Medical IT
  • Medical SEO
  • Consultations

Questions? Once you’re ready to get started, contact MBA Medical. Our expert and friendly staff are ready to help you, lead by Ronda Rose, our contracting and credentialing specialist.

We look forward to working with you!