Tech Med Solutions

Streamline Your Practice with
Provider Credentialing Services

Easy Provider Credentialing Services with Tech Med Fast-Track Payer Enrollment

Credentialing, or insurance credentialing, verifies the qualifications, skills, and legitimacy of healthcare providers. This essential process ensures providers have the required licenses, certifications, and education to offer healthcare services while meeting state and federal compliance standards. Only credentialed providers are eligible for payer reimbursements and network inclusion.

Tech Med Solutions offers comprehensive credentialing services, managing every step from primary source verification to enrollment in top-tier payer networks. We deliver fast, reliable, and cost-effective solutions, so you can focus on patient care.

Credentialing grants access to facilities and insurance networks such as Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield. Fast and accurate credentialing is vital for providers to start practicing and billing legally, but the process can be complex, requiring meticulous documentation and verification. Errors can lead to delays, denials, and resource wastage.

Our Streamlined Credentialing Process

A Step-by-Step Guide to Our Proven Provider Credentialing System

At Tech Med Solutions, our credentialing process goes beyond routine procedures. We follow a certified, compliant approach that ensures providers meet the highest industry standards. With a 98% success rate in securing approval for providers in premium payer networks, we maximize privileges in your specialty. Here’s a look at our efficient process:

Provider Survey & Data Collection

Our credentialing journey starts with an in-depth survey led by our specialists. Through detailed interviews, we collect vital information such as license numbers, educational background, demographic details, and professional experience.

CAQH Enrollment & Management

We handle CAQH application submissions, manage ProView accounts, and keep credentials up to date for seamless primary source verification. Our team also supports payer credentialing submissions, ensuring fast insurance panel integration and accurate profiles that improve network participation and patient care quality.

Selecting the Right Insurance Partners

Our medical credentialing services assist providers in strategically choosing insurance companies that align with their practice goals and license type, while also selecting the best insurance panels based on practice location.

In-Network Enrollment Made Simple

After credentialing, we guide your application through the contract phase, securing in-network agreements with fee schedules and eligible CPT codes. We tackle closed panel challenges with strategic appeals, ensuring your inclusion. Enjoy direct billing and preferred reimbursement rates as an in-network provider.

Securing Your Hospital Privileges

Once credentialing is complete, we continue supporting you by facilitating applications for essential hospital privileges, including admitting, courtesy, and surgical rights.

Credentialing Maintenance Made Simple

Our continuous oversight ensures that your company’s credentials remain current and that you stay credentialed without interruption. Our experts diligently track your credentialing expirations and conduct comprehensive daily and weekly reviews to maintain your active status. You can rest easy knowing that your credentials are in good hands with us.

Continuous Credentialing Oversight

We ensure your credentials stay up to date and compliant without interruptions. Our team monitors expirations, conducts regular reviews, and proactively updates your records for seamless credentialing management.

Payer Enrollment and Credentialing
Services for Healthcare Providers

Streamlined Credentialing for Healthcare Organizations

Accurate credentialing is key to delivering quality care, attracting patients, and ensuring compliance. Our all-encompassing service simplifies the credentialing process for providers across all specialties. We offer payer enrollment and credentialing services for:

Credentialing Simplified

Our service ensures physicians quickly join insurance networks, enabling seamless patient care while enhancing credibility and trust with patients and peers.

PAs and NPs Credentialing

Streamline credentialing for Physician Assistants (PAs) and Nurse Practitioners (NPs) with our expert services. We help expand their practice scope, ensuring they’re authorized to deliver critical medical care independently and compliantly.

Hospitals

Our credentialing services enhance hospital efficiency by streamlining insurance claims processing and fostering collaboration across medical staff, ensuring smoother operations and improved patient care.

PT/OT/SLP

Our credentialing services empower physical, occupational, and speech therapists to join insurance networks, enabling them to provide essential rehabilitation services while ensuring consistent revenue streams.

Podiatrists (DPM)

Our credentialing services support podiatrists in gaining recognition within insurance networks, allowing them to provide specialized foot care and strengthen their standing as trusted experts in their field.

Chiropractors (DC)

Our credentialing services enhance chiropractors’ integration into insurance networks, ensuring greater access to patients and solidifying their role as vital contributors to holistic healthcare.

ASC Credentialing

Our credentialing services help ASCs build patient confidence by showcasing compliance with stringent quality standards, essential for delivering safe and effective surgical care.

Urgent Care Credentialing

We streamline credentialing to ensure your urgent care facility is in-network with insurers, enhancing access to timely and affordable care for a wider patient base.

Diagnostic Credentialing

Our credentialing services help diagnostic facilities and clinical labs secure insurance approval, driving patient referrals and ensuring timely diagnosis and treatment.

Optometry & Audiology Credentialing

Our credentialing services expand the reach of optometrists and audiologists, enabling them to provide vital eye and ear care to a broader range of patients.

Behavioral Health Provider Credentialing

We assist behavioral health providers in joining insurance networks, ensuring critical mental health services are accessible to those who need them most.

All-In-One Credentialing

Effortless Credentialing Solutions

TMS Tech Med Solutions offers complete credentialing and enrollment support for healthcare providers and organizations. Discover our comprehensive services designed to streamline the process and guarantee success:

CAQH ProView Setup & Management

Our experts manage and maintain your provider profile on the Council for Affordable Quality Healthcare (CAQH) ProView. This online database simplifies credentialing by verifying provider information across multiple health plans, boosting your credibility and appeal to payers.

Medicare DMEPOS Registration

We assist providers in enrolling in the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) program. This allows you to offer essential items like wheelchairs, braces, and diabetic supplies to Medicare patients, enhancing care quality and ensuring reimbursements.

Hospital Privileges Assistance

Our team secures and renews hospital privileges for physicians, enabling them to admit, treat, and collaborate within hospital facilities. With these privileges, you can access valuable resources, build professional relationships, and expand patient care opportunities.

Don’t let the red tape stop your pace

Credentialing can be a hassle, but not with us. We have the skills, the tools, and the connections to get you credentialed and enrolled with any payer you want. No matter what your specialty or location, we will enable you enjoy the benefits of being in-network!