Services
Credentialing
At PMBC, we specialize in providing comprehensive credentialing services tailored to meet the diverse needs of medical practices in Arizona. Whether you’re starting a new practice or integrating a new provider into your existing setup, our experienced team ensures a seamless and efficient credentialing process. We understand the intricacies involved and offer a range of services that include Medicare and commercial insurance enrollments, NPI registration, and much more.
Get in touch with us today to discuss your credentialing needs.
Recognizing the right time to seek professional credentialing services can save you significant time and hassle. Here are some key reasons to reach out to PMBC:
- Starting a new medical practice
- Hiring a new provider needing credentialing
- Facing delays in insurance contract confirmations
- Needing assistance with Medicare enrollment
- Reassigning Medicare enrollment to a group
- Setting up ERA/EFT for commercial carriers
If any of these situations apply to you, contact PMBC for professional credentialing services.
Our new practice start-up services can include all or parts of the following:
- Medicare enrollment for group practices and individuals
- Medicare EFT enrollment for group practices and individuals
- Medicare EFT enrollment for individuals and groups
- ERA/EFT setup assistance for commercial carriers
- Tracking and confirmation of all insurance contracts
- PAR ID’s and effective dates
- Weekly or bi-weekly status reports
- Prices based on the number of providers and plans
If you have hired a new provider(s) and need to get them credentialed and linked to your existing contracts, our services can include all or parts of the following:
- CAQH credentialing
- Fast and accurate completion of all applications for commercial insurance companies
- Medicare enrollment for individuals and reassignment to group
- Medical license application processing and tracking
- NPI registration – Type 1: Health care providers who are individuals, including physicians, dentists, and all sole proprietors
- PECOS – Adding your provider(s) to the PECOS system
- Tracking and confirmation of all insurance contracts, PAR ID’s and effective dates.
- Weekly or bi-weekly status reports
- Prices based on the number of providers and plans
To start this process, we will require a list of details and documents from you.
The amount of time required to complete the credentialing process will vary based on practice location and the plan itself, but the average time is approximately 90-120 days. It is important to plan ahead and to start this process as soon as possible. Medicare will only backdate effective dates thirty (30) days from the date they receive an enrollment application and the effective dates for the commercial plans can vary. Contact PBMC with any questions you may have.
Reach out to PMBC to outsource your practice’s credentialing needs efficiently and professionally. Our experienced team is ready to assist you with every aspect of the credentialing process. Contact us today to discuss your specific requirements and get started.
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Testimonials
Credentialing typically takes 60–120 days depending on the payer and location.
We handle Medicare enrollment, commercial payer enrollment, CAQH setup, NPI registration, and contract tracking.
Yes, we manage credentialing for both new and existing providers.
Yes, we provide regular updates and track all applications until completion.
Credentialing ensures providers can legally bill insurance companies and receive reimbursements.
