Why Credentialing Matters

• Credentialing is the gateway to getting paid. Without it, providers can't legally bill or treat patients. At MediPro Solutions, we handle the complex process of credentialing so you can stay focused on patient care while ensuring you're fully enrolled and compliant with insurance requirements.

What We Offer:

✅ Initial Provider Credentialing

o Application preparation & submission to insurance payers

o CAQH profile setup & attestation

o NPPES & PECOS registration

o State license & DEA verification

o Primary source verifications

📝 Payer Enrollment & Insurance Contracts

o Commercial & government payers (Medicare, Medicaid, BCBS, Aetna, UHC, etc.) o Contract negotiation & tracking

o Follow-up with insurance carriers to ensure timely approvals

🔄 Re-Credentialing & Updates

o Re-enrollment reminders & renewals o Periodic audits for compliance readiness

o Address and ownership changes o Tax ID or NPI updates

👥 Group/Facility Credentialing

o Group NPI setup & linking to providers

o PECOS management for group practices

o Facility credentialing for ASCs, clinics, and DME

• 📂 PECOS, CAQH, NPI Management

• 📊 Ongoing Compliance Monitoring