A Slow Credentialing Process Is a Slow Start to Revenue
Every uncredentialed provider is a provider who can’t bill. Between Medicare enrollment, commercial insurance applications, NPI registration, and contract confirmations, a single missing form or overlooked follow-up can push effective dates back by weeks.
We manage the full credentialing process from start to finish, tracking every application, PAR ID, and effective date, so your practice or provider is billing as soon as possible instead of waiting on paperwork.
- Starting a New Medical Practice
- Hiring a Provider Who Needs Credentialing
- Delays in Insurance Contract Confirmations
- Medicare Enrollment Assistance Needed
Are These Credentialing Challenges Slowing Down Your Practice?
Get Enrolled Faster, Stay Enrolled Longer
Complete Solutions for Every Stage of Credentialing
Payor Enrollment & Practice Start-Up
- Medicare Enrollment
- Medicare EFT Enrollment
- ERA/EFT Setup
- Ongoing Insurance Contract Tracking
Provider Credentialing
- CAQH Credentialing
- Commercial Applications
- License Tracking
- Medicare Reassignment
NPI & PECOS Management
- NPI Type 1 Registration
- PECOS Enrollment
- License Application & Processing
- Documentation Verification
Contract Tracking & Reporting
- PAR ID Tracking
- Contract Confirmation
- Ongoing Follow-Up Until Completion
- Status Reports
Payer Communication & Escalation
- Direct Payer Outreach
- Delay Escalation
- Response Documentation
- Application Status Checks
Compliance & Renewal Management
- Renewal Monitoring
- Expiration Deadline Escalation
- Audit Trail Maintenance
- Requirement Verification
How We Handle Your Contracts & Credentialing
We build the process around your practice’s specialty, provider count, and existing contracts, rather than applying one generic approach to every application
Document & Detail Collection
We gather the list of details and documents needed to begin the credentialing process.
Application Preparation & Submission
We complete Medicare, commercial insurance, CAQH, and NPI/PECOS applications accurately and on time.
Contract & PAR ID Tracking
We track every submitted application, confirming PAR IDs and effective dates as they’re issued.
ERA/EFT Setup
We assist with setting up electronic remittance and funds transfer with commercial carriers.
Status Reporting
We provide weekly or bi-weekly reports so you always know where each application stands.
Why Providers Rely on PMBC for Credentialing
Certified coders trained across multiple specialties
Claims scrubbed and submitted within 24 to 48 hours of service
Real time reporting on claim status, denials, and collections
Dedicated account manager who knows your practice
AI-powered workflow automation for faster, more accurate billing
Reduced FTE costs with transparent, no-hidden-fee pricing
PMBC vs. the alternatives
Actionable Insights for Better Patient Collection
What Our Customers Are Saying
Ammar Alobaidy, MD
Practice Administrator
Pankaj Jain, MD.
Habib U. Khan, MD
FAQ
01. What's the difference between medical billing and medical coding?
Coding translates clinical documentation into standardized codes that describe the diagnosis and services provided. Billing takes those codes and turns them into a claim that gets submitted to the payer for payment. They’re separate steps, but they need to be accurate together for a claim to get paid correctly.
02. How do you make sure claims are coded correctly?
Every claim is coded against current documentation and reviewed before submission. Our staff stays current on coding updates as they’re released, since a code that was valid last year can trigger a denial today if it hasn’t been updated.
03. How long does it take to get a claim submitted after a visit?
Claims are typically submitted within a few business days of the visit, once documentation and coding are complete. We don’t let claims sit in a queue, since faster submission generally means faster payment.
04. What happens if a claim is rejected before it's even submitted to the payer?
A rejected claim, one that never reaches the payer due to a formatting or data error, gets corrected and resubmitted right away. Catching these early means they don’t count against your denial rate with the payer.