Providers Medical Credentialing & Enrollment Services
Enroll in your desired insurance network with confidence with the help of MBS1 healthcare credentialing services; increase your practice’s patients and maximize your revenue. In United States healthcare, medical credentialing is a core requirement, demanding the skills and expertise to be completed quickly and efficiently. All medical specialty providers and every type of practice are served here at MBS1.
Whether you’re launching a new practice or expanding across multiple states, we keep you enrolled, compliant, and ready to see patients.
Best Credentialing Services With a Proven Track Record
Efficient Solutions
Make your practice more efficient with our smart, efficient automated credentialing solutions.
Growth Focused
Growth is the factor that most practices ignore; they live in comfort, but we help the practice focus on growth.
Patients Treated Fast
Proper credentialing allows you to start patient treatment faster, which converts to more revenue.
Scalable Solutions
MBS1 is flexible; our team can adapt according to your practice and provider’s specialty, making credentialing faster than ever.
Credentialing Services for Healthcare Practices of All Sizes
Provider credentialing and enrollment services for facilities are as important as patient health. MBS1 handles both National Provider Identifier (NPI) Type 1 for individual providers and Type 2 for organizations. Stay compliant with the highest standards of the industry. No matter the size of your healthcare practice, you can trust us to handle enrollment timely and systematically.
Professional Contract Negotiation
Provider Credentialing is not just about getting enrolled in insurance networks; it is about securing the best possible contracts for the services you provide to their patients. If you are a surgeon and a surgery lasts an average of two to four hours of pure, exhausting focus, not receiving proper compensation is simply not fair. We help you secure the best contracts and can even renegotiate your existing ones for maximum insurance reimbursements.
Outsource Credentialing Services to MBS1 to Expand Your Patient Base
Is outsourcing insurance credentialing services a better choice? Yes! It is, and let me walk you through how. Outsourcing billing and credentialing services can save you from exhaustion. You would not have to worry about in-house staffing, allowing you to focus entirely on your patients while we handle the complex paperwork and rigorous follow-ups.
Your Quickest Path to Full Enrollment in All 50 States
Faster credentialing means more patients for your practice, without having to turn anyone away by saying, “We don’t work with this insurance.” At Medical Billing Services 1, we have a proven track record of getting providers credentialed in less than 45 days, making the process simple and efficient.
If you’re looking for physician credentialing service or practice enrollment services, choose a team that delivers as promised, on time and with accuracy.
End-to-End Physician Credentialing Services
CMS Credentialing Services
Medicare and Medicaid have the largest number of patients in the USA, and there is about a 60% chance that one of them will walk into your practice. To treat them, you must be enrolled with Medicare and your state’s Medicaid program so you lose no revenue by not being credentialed. MBS1 experts understand Centers for Medicare & Medicaid Services (CMS) requirements to get you enrolled timely.
CAQH Credentialing Services
At MBS1, our well-trained professionals manage your CAQH database information and keep it updated. This ensures easy provider verification and keeps your CAQH profile polished for credentialing and re-credentialing, while maintaining compliance with NCQA standards and all regulatory requirements. By entrusting us with your data maintenance, you can reduce administrative burdens.
Facility Credentialing Services
Enrolling a facility into insurance networks is often more difficult than it is for individual providers. However, facility credentialing is even more critical; without it, facilities cannot receive reimbursement, and provider payments may also be affected. MBS1 makes facility credentialing easy by taking over the entire process, helping ensure facilities are properly credentialed regardless of their state or size.
Hospital Credentialing Services
American healthcare insurance is one of the most heavily regulated sectors in the world. If you are a hospital owner struggling with credentialing, you have come to the right place. Choose MBS1 to get enrolled into your desired insurance networks, treat your patients with complete transparency, and free yourself from complex paperwork.
Following the NCQA Credentialing Standards
Healthcare physician credentialing requirements are well-defined; the National Committee for Quality Assurance (NCQA) sets evidence-based standards for these evaluations and accredits how health plans and organizations verify healthcare professionals’ credentials. Medical Billing Services 1 has built a comprehensive understanding of NCQA standards, ensuring that no physician, doctor, or provider working with us is hindered by the regulatory hurdles of the healthcare system.
Bridging Speed & Proficiency to Solve Medical Credentialing Toughest Challenges
Out of Network Enrollment
Medical Billing Services 1 is your gateway to capturing revenue lost by being an out-of-network provider. We empower you with more options to successfully credential even the most difficult cases and maximize results.
PECOS & CAQH Maintenance
Trust us with your Provider Enrollment, Chain, and Ownership System (PECOS) and Council for Affordable Quality Healthcare (CAQH) profiles. Properly updating and maintaining these two systems can make your credentialing 10x easier and significantly faster.
CDS Certification
We handle your Controlled Dangerous Substance (CDS) registration and licensing, which are necessary for providers to prescribe controlled substances. We complete all this documentation for you, so you don’t have to.
DEA Certification
We manage the entire DEA registration process, including Form 224 filing, state CSP coordination, and NCQA-compliant credentialing. Our team handles all documentation and primary-source verification to ensure your legal authority to prescribe and dispense.
State Medical License
Each state has different regulations and requirements for credentialing in medical billing. MBS1 will guide you through these hurdles to obtain your state license and achieve the status of a fully credentialed provider and facility.
Re-credentialing
Re-credentialing is frequently neglected by physicians, resulting in delayed payments, and compliance hurdles, and frustrated patients. MBS1 closely monitors your status to ensure you never lose your lead in the revenue race.
Know Status Of Your Application
We provide our clients with real-time reports and analytics across all our services, including billing, denial management, reimbursements, and provider credentialing. For example, with our physician credentialing services, we keep clients updated on application statuses and approvals, ensuring proactive communication with all parties whenever a need arises.
Individuals We Provide Medical Credentialing Services
Behavioral & Mental Health Credentialing Services
Despite high behavioral/mental health patient demand in specific areas across the USA, insurances often declare "network adequacy," causing them to stop accepting new behavioral health providers.
Inconsistencies between CAQH ProView, the NPPES (NPI) registry, and state licensing boards are common challenges in credentialing.
MBS1 handles these obstacles and helps get credentialing approved in 30–60 days.
Dental Credentialing Services
When dental providers join one insurance network, they may unknowingly get added to other networks that pay much lower rates.
Dental credentialing is a fragmented process where applications get rejected due to minor errors and lack of communication from carriers.
This causes 90 to 180 day billing delays, costing practices revenue while still paying associate salaries.
Reach out to MBS1 Credentialing Services for experienced, efficient solutions.
MBS1 Healthcare Credentialing Process
Primary Source Validation & Data Acquisition
We handle it all, from verifying provider credentials directly from issuing authorities such as medical schools, licensing boards, and certification bodies, to making sure that every document is authentic, current, and immutable, with fully encrypted data handling at each stage.
Professional Clinical Competency Evaluation
Providing practices / providers with a professional single point of contact who conducts a thorough review of each provider’s clinical history, peer references, malpractice records, and performance metrics to confirm they meet the highest standards of patient care and professional excellence.
Institutional Privileging & Payer Enrollment
Managing complete privileges process with hospitals and healthcare facilities while simultaneously handling payer enrollment across all relevant insurance networks, ensuring providers are fully authorized and ready to practice without delay, as any delay means lost revenue.
Re-credentialing & Continuous Monitoring
Our system proactively tracks license expirations, board sanctions, and credential updates on an ongoing basis, initiating re-credentialing cycles well in advance to maintain uninterrupted compliance and protect both providers and institutions from legal liabilities.
Save Yourself From Costly Credentialing Mistakes
Every Delay Costs Real Dollars
Every delay costs real dollars; uncredentialed providers mean automatic claim denials, making the treatment and services completely irretrievable from the payers, which ultimately means thousands of dollars lost in revenue.
Revenue Erosion Through Out-of-Network Gaps
Revenue erosion through Out-of-Network gaps patients redirect to competitors while payers simultaneously refuse all claims, compounding your financial drain. Lost patient lifetime value never returns once redirected.
Compliance Exposure
Compliance exposure; the hidden audit trigger missed re-credentialing deadlines invite CMS audits and state investigations that suspend entire billing privileges. One provider's lapse puts your whole organization at risk.
Provider Onboarding Delays
It is frustrating when it comes to onboarding new providers; recurring approvals required before seeing patients cost full salaries with zero revenue generated in return. Save your practice with MBS1 medical credentialing services.
Frequently Asked Questions
Credentialing in medical billing is the process of verifying a healthcare provider's qualifications, including licenses, certifications, and experience, so insurance companies approve them as in-network providers. Without it, providers cannot submit claims or receive reimbursements, making it a critical first step in any successful medical billing cycle.
Outsourcing insurance credentialing services is simple, here's how it works:
- Choose A Provider — Partner with a reputable medical billing or credentialing company.
- Share Your Documents — Submit provider licenses, certifications, and practice information.
- They Handle Applications — The service submits payer enrollment forms on your behalf.
- Follow-Ups Managed — They track approvals and communicate with insurance companies.
- Re-Credentialing Covered — Ongoing renewals are managed without burdening your staff.
That's it, your revenue cycle stays on track while you focus on patient care.
Type | Industry Average | MBS1 Medical Billing Services |
Individual Provider (Physician/NP/PA) | 90–120 days | 45–60 days |
Hospital Privileges | 90–120 days | 60 days |
Insurance/Payer Enrollment | 120–180 days | 90 days |
Medicare Enrollment | 60–90 days | 30–45 days |
Medicaid Enrollment | 60–90 days | 30 days |
Facility/Organization Credentialing | 3–6 months | 60–90 days |
NCQA Health Plan Credentialing | 90–180 days | 60 days |
Yes, MBS1 offers credentialing for all specialties. Whether you're in orthopedics, cardiology, neurology, psychiatry, radiology, pediatrics, or primary care, We have got you covered. From surgical specialties all the way to behavioral health, MBS1 handles credentialing across the full spectrum of medical practice. No matter your specialty, we make sure you're enrolled, compliant, and ready to see patients.
Credentialing is the process of verifying who you are, your education, licenses, board certifications, and clinical experience. It confirms that you're qualified to practice medicine.
Enrollment is the process of getting you paid, registering you with insurance companies like Medicare, Medicaid, Aetna, or Blue Cross so you can bill and receive reimbursements.
Simply put, credentialing proves your qualifications. Enrollment connects you to the money.
At MBS1, we handle both, so you can focus on your patients while we take care of the paperwork.
Not all credentialing companies are created equal. Here's what you should always check before choosing one:
- Experience Across Specialties: They should know your specialty inside out, whether you're in orthopedics, cardiology, psychiatry, or primary care.
- Fast Turnaround Times: Every delayed day costs you revenue. A good company keeps things moving and keeps you informed.
- Full-Service Support: From CAQH setup and PECOS enrollment to NPI management and re-credentialing, everything should be handled under one roof.
- Payer Knowledge: They must know commercial payers like Aetna, Cigna, and UnitedHealthcare just as well as Medicare and Medicaid.
- Dedicated Coordinator: You should have a real person managing your file, not just a chatbot or a support queue.
- Strong Approval Rate: Ask about their track record. The best companies maintain a 95%+ approval rate across all networks.
- Compliance You Can Count On: They must follow NCQA and HIPAA standards so your practice stays protected and penalty-free.
At MBS1, we built our process around every one of these standards, because your practice deserves a partner, not just a vendor.