If your credentialing is denied, we assist with identifying the cause and provide guidance on how to resolve the issue, ensuring all documentation is complete and accurate to reapply.
Medical Credentialing Services
MedBrilliance provide outsource credentialing services that make the process simple and stress-free. We handle provider enrollment, submit applications, and track approvals. This saves you time, reduces errors and lets you focus on patients.
We work with all major insurance payers in the U.S. Our team ensures faster approvals, fewer denials, and smooth payments. We also offer professional medical billing services for as low as 2.49%, giving you a complete and affordable RCM solution.
MedBrilliance Outsource Credentialing Services
MedBrilliance offers Complete Outsourced Credentialing Services that handle everything from provider enrollment to re-credentialing, ensuring you are in-network with payers and can get paid. Our professional services start for as little as 2.49%.
Provider Enrollment
Complete enrollment with Medicare, Medicaid, and private insurance companies. We handle all paperwork & to make sure ideal provider registration.
Insurance Credentialing
Get your providers properly credentialed with all major insurance networks. We manage the entire process from application to approval.
CAQH Maintenance
Professional management of your CAQH profile with regular updates and quarterly attestations to keep your information current and accurate.
Re-Credentialing Services
Stay compliant with timely re-credentialing. We track expiration dates and handle all renewal requirements to maintain all coverage.
License Verification
Overall verification of all professional licenses, certifications, and credentials to ensure compliance with state and federal requirements.
Credentialing Audit
Complete review of your current credentialing status with recommendations for improvement and compliance optimization.
Stop Losing Money to Claim Denials
Our medical credentialing services handle provider enrollment, payer applications, and ongoing updates so your practice stays credentialed and ready to get paid while you focus on patient care.
- We make every project simple, and efficient for you, not unnecessarily complicated, stressful, or time-consuming.
- We don't overpromise and underdeliver, leaving clients frustrated and disappointed with unmet expectations.
Our Medical Solutions to Maximize Your Revenue
Our medical credentialing services handle provider enrollment, payer applications, and ongoing updates so your practice stays credentialed and ready to get paid while you focus on patient care.
Provider Enrollment
We manage provider enrollment with Medicare, Medicaid, and commercial payers to ensure fast approvals and accurate documentation for your practice.
Primary Source Verification
We confirm education, training, and board certifications directly with primary sources to keep your providers compliant and ready to bill.
Payer Contracting & CAQH Updates
We handle payer contracts and maintain CAQH profiles to keep your information current and avoid any payment interruptions.
Ongoing Credentialing Maintenance
We track renewals, update expiring documents, and manage re-credentialing so your practice remains compliant all year long.
MedBrilliance Success Rate
Error Free Claim Ratio
0
%
Success Rate on First Send
0
%
Guaranteed Revenue Growth
0
%
CAQH Maintenance & Registration
MedBrilliance will handle your CAQH Maintenance & Registration with care and make sure everything stays updated and compliant.
- Create and manage CAQH profiles
- Keep provider information updated
- Upload and verify required documents
- Re-attest provider details on time
- Ensure compliance with payer requirements
- Track and resolve CAQH-related issues
Stop Losing Patients & Accelerate Your Revenue
Healthcare practices lose 5% to 10% of their yearly revenue because of delays and denials in credentialing.
MedBrilliance RCM has over 5 years of experience in handling credentialing services. Let us handle it to speed up revenue and keep patients happy.
Why Choose Us for Medical Credentialing Services?
End-to-End Credentialing: Enrollment, re-credentialing, and ongoing maintenance.
Faster Approvals: We streamline the process to reduce waiting time.
Compliance Focused: Stay aligned with payer and regulatory requirements.
Dedicated Specialists: Experienced team managing applications and follow-ups.
Seamless Coordination: We work directly with payers and providers for tension free credentialing.
With MedBrilliance handling credentialing, your providers can focus on patient care while we take care of the paperwork.
MedBrilliance Credential For
Government Insurances Medicare & Medicaid
We specialize in credentialing healthcare providers with government insurance programs like Medicare and Medicaid, making sure you’re fully enrolled, compliant, and ready to serve beneficiaries without delays
- Complete application preparation and submission
- Ongoing compliance with Medicare & Medicaid requirements
- Faster approvals and reduced risk of claim denials
Commercial Insurances
We help healthcare providers get credentialed with leading commercial insurance companies such as Humana, Aetna, and Cigna, ensuring smooth enrollment and faster reimbursements that support practice growth
- End-to-end credentialing with major private insurers
- Streamlined process for quicker approvals and contracting
- Reduced payment delays and stronger payer relationships
What Our Partners Say
See how we've helped practices like yours streamline operations and grow.
"Since switching to MedBrilliance, our entire credentialing and billing workflow has improved. Their team is proactive, detail-oriented, and always available. We've seen a measurable reduction in AR days and can finally focus on our patients."
Dr. Michael Chen
Administrator, Pineview Medical Center
"The professionalism and expertise of the MedBrilliance team are unmatched. They handled our complex multi-state provider enrollment without a hitch. Their transparent reporting gives us peace of mind. I wholeheartedly recommend their services."
Jessica Rodriguez
COO, Regional Specialty Group
"We are a small practice, and MedBrilliance has been a lifesaver. They manage our credentialing and billing with an efficiency we could never achieve in-house. Their service is affordable, reliable, and has directly contributed to our practice's financial health."
Dr. David Lee
Owner, Sunrise Family Care
Frequently Asked Questions (FAQs)
What is the credentialing process and how long does it take?
Credentialing involves verifying a provider’s qualifications and submitting applications to insurers. It can take anywhere from 30 days to six months, depending on the insurer and the completeness of the documentation.
Why is it important to stay credentialed with insurance companies?
Staying credentialed ensures you are eligible for reimbursements from insurers, preventing disruptions in patient care and revenue flow. Expired or missing credentials can result in claim denials and loss of patients.
How do I handle credentialing denials?
What are the costs of outsourcing credentialing services?
Outsourcing credentialing services can reduce in-house costs, including salaries and training. It also prevents costly delays and errors that can impact revenue and patient care.
Can you help me with credentialing for multiple insurance companies?
Yes, we handle credentialing with various commercial and government insurers, ensuring timely submissions and follow-ups to maximize your revenue and practice growth.
