Quick, Hassle-free Enrollment and Medical Credentialing Services

At SHMEDEX, we make the enrollment process simple, fast, and stress-free for healthcare providers.

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Why Choose Our Medical Credentialing Services?

We are a reliable medical credentialing company in the U.S., and we can provide you with total assistance to simplify the process for your team.

  • 98% first-time approval rate
  • Average 30-day turnaround
  • Specialty-specific credentialing
  • Real-time application tracking
  • Ongoing revalidation management
Medical Credentialing Overview

Why Outsource Medical Credentialing Services to Us?

We eliminate enrollment bottlenecks that delay provider revenue

Faster Approvals

Our efficient credentialing process makes the process 40% faster than doing it yourself, so you can begin practicing and collecting payments much sooner.

Error-Free Applications

Our team verifies documents three times to ensure nothing is missing or inaccurate, preventing delays due to errors.

Compliance Guarantee

We abide by all key regulations of NCQA, URAC, and individual insurance companies to ensure your credentialing meets all necessary standards.

Payer Network Access

Our existing network of more than 200 insurance companies helps accelerate your credentialing process.

Continuous Monitoring

We track your credentials, re-credentialing dates, and license renewals automatically to prevent any lapses.

Revenue Protection

We ensure you don't lose revenue by keeping your credentials up to date and preventing disruptions in billing.

Provider Enrollment and Medical Credentialing Services

At SHMEDEX, we simplify the enrollment of providers and their credentialing such that it is not stressful. Our medical credentialing company assists doctors and medical professionals in enrolling with insurance firms in the shortest time possible and the proper manner.

We do all the paperwork and do follow-ups on applications, and everything is done in time. This will assist you in commencing practice on your patients and receiving payments quickly.

Furthermore, we also follow critical dates, such as license renewal and recredentialing, to avoid missing anything. Our process is efficient, precise, and time-saving. SHMEDEX keeps your credentials up-to-date and insurance company compliant, whether you operate as an individual provider or an extensive practice.

Provider Enrollment Process

Our Comprehensive Suite of Physician Credentialing Services

Complete solutions to streamline your provider enrollment process

Document Collection & Verification

We manage all required documentation including licenses, certifications, and professional references with thorough verification.

CAQH Profile Management

Complete setup and ongoing maintenance of your CAQH profile including quarterly attestations and annual reattestation.

Application Preparation

Expert completion of all payer-specific forms with optimized responses to maximize approval chances.

Fee Schedule Negotiation

We assist in negotiating contracts with payers to secure the best possible reimbursement rates for your services.

Highest Approval Rate for Medical Credentialing Services

SHMEDEX enables medical practitioners to receive authorization from the insurance industry with a success rate of 98%

98%

Approval Rate

First-time approval with leading insurance networks

30-45

Days

Average turnaround time for credentialing

200+

Payers

Established relationships with insurance companies

Our Medical Credentialing Process

A meticulous 7-step approach to ensure seamless provider enrollment

1

Provider Documentation Collection

We obtain all essential documents, such as licenses, certifications, malpractice insurance, and references about the provider.

2

Primary Source Verification

Direct verification of each document and credential with official issuing sources to ensure validity.

3

Application Preparation

We complete all payer insurance forms correctly and optimize answers to maximize approval chances.

4

Payer Submission & Follow-Up

We submit completed applications electronically and regularly follow up on their status.

5

Committee Review Management

We maintain contact with credentialing committees, addressing any questions about the application.

6

Fee Schedule Negotiation

We assist in negotiating contracts with payers to secure the best possible reimbursement rates.

7

Ongoing Maintenance

We track expiration dates and manage renewals for your credentials automatically.

SHMEDEX Offers the Best Medical Credentialing Services

Do you wish to enroll in insurance networks without much trouble? Contact us today to streamline your credentialing process.

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Credentialing FAQs

Answers to common credentialing questions

Typical processing times range from 30-90 days depending on the payer. Medicare averages 45-60 days, while commercial payers range from 30-45 days. Our team accelerates this by ensuring complete applications and proactive follow-up.

Essential documents include: Medical licenses, DEA certificate, malpractice insurance, board certifications, diplomas, CV, work history, peer references, and W9. We provide a customized checklist for each provider.

Yes, we fully manage CAQH profiles including initial setup, quarterly attestations, and annual reattestation. This ensures your providers remain eligible for all CAQH-participating health plans.

Absolutely. We analyze denial reasons, correct deficiencies, and resubmit with supporting documentation. Our success rate on appeals exceeds 85% for properly qualified providers.
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