Credentialing & Enrollments

We are your trustworthy credentialing and enrollment partners, offering up-to-the-mark credentialing services to uplift your practice and let you focus on the bottom line. 

A Prime Medical Revenue, we understand the importance of knowing your insurance coverage before seeking medical services. Our easy and secure process allows you to verify your eligibility and benefits in just a few steps. By confirming your coverage in advance, you can ensure a smooth, hassle-free experience and avoid unexpected medical costs. Simply fill out the form below with your insurance details, and our team will review your benefits. If you need assistance, feel free to contact us.

Prime Medical Revenue, we provide medical practices with a comprehensive solution for credentialing as part of the revenue cycle process. Our services include expert credentialing and enrollment consultancy to ensure optimal outcomes. We offer a variety of billing and credentialing services tailored to different types of medical practices. For example, if you are a psychologist seeking reliable credentialing services, our specialized credentialing and billing solutions for psychologists are both affordable and cost-effective. This approach helps you save time and money, allowing you to achieve stability and peace of mind while focusing on delivering exceptional patient care.

Why with Us ?

Faster Service

Save time by confirming your eligibility ahead of your appointment.

Accurate Information

Get clear, accurate details about your insurance coverage for peace of mind.

Minimize Expenses

Understand your coverage details to avoid surprises and plan accordingly.

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Your Credentialing and Recredentialing, Simplified

Credentialing in medical billing is not a one-time task that can be completed during the early stages of your practice. As healthcare services evolve and improve, along with new laws and regulations introduced by federal and state governments, ongoing credentialing becomes essential. To ensure your practice remains compliant with all legal and ethical standards, regular re-credentialing is necessary. At Prime Medical Revenue, our credentialing experts take the hassle off your hands, providing comprehensive support to keep your credentialing process up-to-date and aligned with current standards.

Trust Our Credentialing Experts to Deliver Excellence

What does it take to become a qualified credentialing expert? According to research, it takes around 10,000 hours of focused work to master a specific field. At Prime Medical Revenue, we pride ourselves on having some of the most seasoned credentialing experts in the industry. These professionals have dedicated a significant portion of their careers to medical billing and credentialing, serving both large and small medical providers and healthcare practices. Their expertise ensures that your practice can focus on patient care without the burden of complex and time-consuming documentation processes required for credentialing and enrollment.

Specialized services across 50 states. Avail our services today!

RCM Solutions For Maximum Reimbursement

Prime Medical Revenue is revolutionizing the medical billing industry by providing cost-effective, high-quality RCM solutions tailored to maximize reimbursements for physician practices. Starting at just 2.95% of monthly revenue, our RCM services ensure a streamlined, accurate billing process managed by a team of skilled professionals. With a secure, efficient approach, we handle all back-office operations, enabling clinics to focus on patient care while enhancing revenue collection.

Benefits of Our Medical Credentialing and Billing Service

Here are some of the major benefits of outsourcing eligibility verification with Prime Medical Revenue

24/7 Customer Support

Credentialing experts available 24/7, supporting medical practices with care

Handling Documentation

Focus on patient care; let experts manage your documentation.

Up-to-date Services

Our credentialing team stays current with all rules and standards.

On time Recredentialing

Our credentialing systems ensure timely coverage of all re-credentialing needs.

Comprehensive Credentialing Process for Physicians, Explained Step-by-Step

Collect Required Information

The first step involves gathering all necessary background information for the credentialing process.

Step 1

Register for CAQH

The second step focuses on enrolling in CAQH, maintaining your profile, and keeping records updated.

Step 2

Submit Applications

The third step involves preparing and thoroughly reviewing all documentation before submitting it to payers.

Step 3

Maintain Active Communication

The fourth step requires accurate verification and effective communication with the relevant payer organization.

Step 4

Ensure Transparency and Accessibility

After submitting applications, we ensure that the credentialing system remains fully transparent for easy access.

Step 5

Provide 24/7 Customer Support

Finally, we assign a dedicated customer representative to address any questions related to the credentialing process.

Step 6

Need Help?
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What is Eligibility & Benefits Verification?

Eligibility & Benefits Verification is the process of confirming your insurance coverage details before you receive medical services. It ensures that your insurance will cover the necessary treatments

Eligibility & Benefits Verification is the process of confirming your insurance coverage details before you receive medical services. It ensures that your insurance will cover the necessary treatments

Eligibility & Benefits Verification is the process of confirming your insurance coverage details before you receive medical services. It ensures that your insurance will cover the necessary treatments

Eligibility & Benefits Verification is the process of confirming your insurance coverage details before you receive medical services. It ensures that your insurance will cover the necessary treatments

Eligibility & Benefits Verification is the process of confirming your insurance coverage details before you receive medical services. It ensures that your insurance will cover the necessary treatments

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