Who We Serve

• Group Practices

• Individual Providers

• Ambulatory Surgery Centers

• Skilled Nursing Facilities

• Home Health Agencies

• Behavioral Health & Telehealth Providers

Credentialing Services

Provider Enrollment and Credentialing Services

Where Revenue Starts and Delays End

Your providers can’t bill, and organizations can’t collect, until they’re enrolled with payers. Credentialing often feels like a paperwork-heavy chore, but it’s the bedrock of your revenue cycle. Every delay means lost reimbursement, risk of patient leakage, and longer cash cycles.

The MDcare transforms credentialing and enrollment into a strategic advantage. Using a proven mix of expertise and scale , we help providers get approved faster, maintain compliance, and keep payer data accurate so revenue flows without interruption.

Why Credentialing and Enrollment Matters

Faster enrollment, faster cash flow: Unlock revenue quickly for new hires, locations, and added services.

Accurate provider data, fewer denials: Keep provider records up-to-date and patients in-network to reduce costly claim denials.

Proactive payer follow-up: Prevent bottlenecks (and reimbursement delays) before they occur.

Our Credentialing Services

We manage the entire process of getting a provider affiliated with payers, including:

Application Evaluation

Complete required documentation, flag missing items, and resolve exceptions.

Primary Source Verification

Validate physician and facility credentials with accuracy.

Payer Follow-Up

Manage payer requests, clarifications, and missing documentation efficiently.

Ongoing Data Maintenance

Continuously update provider records and CAQH profiles to stay compliant.

Our Provider Enrollment Services

We ensure providers are enrolled for the services they deliver, with accurate data on file so claims are processed without delay:

Provider Information Verification

Confirm payer records are accurate before claims submission.

Address Validation

Make sure all pay-to and billing addresses are current and correct.

Electronic Transaction Enrollment

Set up EDI, ERA, EFT, and CSI for streamlined transactions and faster payment.

Continuous Monitoring

Track payer processes, identify gaps, and resolve enrollment issues before they disrupt cash flow.

Results You Can Expect

Keep provider data up-to-date across payers

Shorten time-to-revenue for new hires and services

Reduce denials and mitigate revenue leakage

Increase patient access with more in-network providers

Eliminate paperwork burdens and simplify daily operations

The MDcare makes credentialing and enrollment a foundation for growth, not a barrier to revenue.

Provider Enrollment

Our team assists healthcare providers with enrollment processes to ensure timely and efficient onboarding.

Hospital Privileges

Hospital privileges are permissions granted to healthcare professionals to provide patient care in a specific hospital. Privileges are based on a healthcare provider's credentials, training, and experience.

A provider contract is an agreement between a medical provider, like a doctor or healthcare organization, and a payor, such as an insurance company or government program. It outlines how much the payor will reimburse for covered services for their insured customers and determines whether the provider is in-network.

Contracting

MD Care made the credentialing process seamless for our practice. Their expertise and support were invaluable in navigating the complexities of providers enrollment.

Dr. Smith

★★★★★

MD Care handled our credentialing efficiently and professionally. Their expertise and clear communication made the entire process smooth and stress-free for our practice.

CRS Care

★★★★★