A single delay in credentialing can hold your revenue, stall patient care, and slow down your practice’s growth. That’s why our expert credentialing specialists handle every detail—from payer enrollment to contract follow-ups—to get you approved faster and keep your reimbursements flowing without interruptions. With 5 Star Billing Services managing your credentialing, you stay focused on patients while we take care of the paperwork, deadlines, and payer requirements across all 50 states.
Credentialing forms, documents, and updates consume hours of valuable clinical time and distract providers from patient care.
Payers often take months to process applications, and without constant follow-ups, approvals get pushed even further.
Incorrect NPI, outdated CAQH, missing licenses, or incomplete documents can cause weeks—or months—of delays.
Expired credentials result in denied claims, interrupted reimbursement, and the risk of being removed from payer panels.
Each payer and state has unique requirements, making it difficult for growing practices to stay compliant and organized.
In-house staff may not have the specialized knowledge needed to manage complex payer rules and documentation standards.
Long hold times, unclear responses, and repeated follow-ups drain productivity and slow down the approval process.
Any credentialing gap directly impacts billing timelines, leading to delayed reimbursements and revenue slowdowns.
Our credentialing specialists prepare, verify, and submit every document with complete accuracy—so you never waste time on forms again.
We track every application daily, follow up with payers, and push for quicker processing to reduce long approval timelines.
Every file is reviewed by credentialing experts to prevent missing details, outdated information, and preventable payer rejections.
We monitor deadlines, update CAQH, renew licenses, and maintain all credentials so you never face interruptions in reimbursement.
Whether you operate in one state or across the country, we manage different payer rules and requirements for 40+ specialties.
You get a single point of contact who knows your practice, your providers, and your payers—offering clarity and expert guidance throughout.
We make the calls, send the emails, handle documentation requests, and keep payers accountable so your team doesn’t have to.
By minimizing delays, preventing gaps, and ensuring timely approvals, we help you start billing sooner and keep revenue flowing consistently.
We manage complete credentialing for new providers with Medicare, Medicaid, commercial insurance plans, and facility networks.
From initial setup to document uploads, updates, and attestation reminders—your CAQH stays 100% accurate and compliant.
We handle contract requests, negotiations, linking providers to group contracts, and verifying fee schedules.
We track deadlines, update profiles, complete renewals, and ensure you never miss an expiration date.
Accurate and up-to-date NPI (Type 1 & 2), taxonomy codes, practice locations, and provider details for clean submissions.
We help you join additional payer networks, specialty panels, and new-state plans to expand your practice footprint.
We coordinate required verifications for licenses, certifications, education, and professional history.
Application preparation, documentation collection, and status follow-ups for hospital or facility credentialing.
We handle all emails, calls, document requests, and status checks directly with each payer—so you don’t have to.
Address changes, ownership updates, provider additions, and demographic corrections across all payers.
Expert handling of payer requirements across all 50 states for single or multi-location practices.
Get clear and simple updates on all credentialing activities, timelines, and payer statuses.
From complex surgical coding to behavioral health documentation, we tailor our medical coding service for every provider type.
From compliance to collections — we simplify every step of your revenue cycle.
Our clean claim submission process minimizes rejections and accelerates reimbursements — helping you get paid faster with fewer follow-ups.
We follow strict data security measures — encrypted communications, limited access, and full HIPAA adherence.
Through continuous claim tracking, automated reminders, and payer-specific workflows, we ensure quicker payment cycles and improved cash flow.
By identifying missed charges, underpayments, and coding errors, our audit-backed billing process boosts your overall collections.
We ensure claims are processed within 1–2 business days after receiving the patient encounter data — reducing delays and denials.
We work with major systems like AdvancedMD, Athenahealth, Epic, Tebra, and DrChrono — no need to switch platforms.
Our team follows the latest CPT, ICD-10, and HCPCS updates to maintain coding accuracy and compliance with payer rules.
From cardiology and allergy to behavioral health and urgent care — we understand each specialty’s coding and billing nuances.
Every client gets a single point of contact to ensure personalized support, clear communication, and faster issue resolution.
From patient eligibility verification to AR follow-up, denial management, and payment posting — we handle the entire revenue cycle.
We conduct periodic internal audits and follow CMS, OIG, and payer compliance guidelines to minimize regulatory risks.
Flexible engagement — scale up or pause anytime. We earn your trust through results, not lengthy commitments.
Double-verification at every stage ensures precise data entry, claim validation, and payment posting accuracy.
We understand payer variations across all 50 U.S. states — including Medicaid, Medicare, and commercial insurance carriers.
Monthly or weekly performance reviews keep you informed about KPIs like collection rates, denial ratios, and revenue growth.
Join hundreds of practices experiencing measurable improvements
Holmes Chiropractic
Medical Director
Medical Director, Pulmonary & Sleep Associates of Marin
Everything you need to know about outsourcing your medical billing
Our credentialing service covers everything from initial provider enrollment to re-credentialing, including CAQH setup/maintenance, NPI management, contracting support, payer follow-ups, primary source verification, panel applications, facility privileging, and multi-state credentialing. We manage the full process end-to-end so providers can focus on patient care—not paperwork.
Most payer approvals take 60–120 days, depending on the insurance company and state regulations. However, we speed up timelines through daily follow-ups, error-free submissions, and proactive communication with each payer to reduce avoidable delays.
Yes. We support 40+ medical and surgical specialties, including primary care, cardiology, behavioral health, orthopedics, telemedicine, anesthesia, and more. Our credentialing specialists follow specialty-specific requirements to ensure accurate and compliant submissions.
Absolutely. We manage credentialing for single providers, large groups, MSOs, multi-location practices, and providers operating across multiple states. Our team understands how payer rules vary by region and ensures compliance in all 50 states.
Yes. We create, update, and maintain CAQH profiles, upload required documents, ensure information accuracy, and complete all attestation reminders so your profile stays active and compliant year-round.
We prevent this from happening. Our team tracks all expiration dates, renewals, and payer deadlines to keep you active on insurance panels. If a lapse has already occurred, we immediately work to restore network status and prevent reimbursement gaps.
By ensuring proper NPI/TIN alignment, accurate taxonomy, compliant CAQH data, valid licenses, and timely payer updates, we eliminate the most common errors that cause denials. Our process protects your practice from revenue disruption and payment delays.
Yes. You receive clear monthly reports, real-time updates, and a dedicated credentialing specialist who monitors every application, follows up with payers, and keeps you informed of all milestones and requirements.
100%. We handle all calls, emails, document submissions, verifications, follow-ups, and status checks directly with payers. Your team never has to wait on hold or chase payers again.
Yes. We assist with new payer enrollments, specialty panel applications, adding providers to existing contracts, and expanding into new states. Our experts ensure your practice is credentialed quickly so you can start billing sooner and grow without administrative barriers.
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