Credentialing & Provider Enrollment

What Is Credentialing & Provider Enrollment?

Credentialing is the verification of a provider’s qualifications—licenses, education, training, and work history—by insurance companies and healthcare facilities. Enrollment, on the other hand, is the process of applying to become a participating provider with payers such as Medicare, Medicaid, and private insurers.

Without proper credentialing and timely enrollment, your practice can face claim denials, delayed reimbursements, or even lost patients.

Our Credentialing Services Include:

• New Provider Credentialing
  We manage initial credentialing for physicians, nurse practitioners, and other providers—ensuring all credentials and documents are submitted accurately and on time.

• Payer Enrollment
  We enroll providers with commercial insurers, Medicare, Medicaid, and managed care organizations (MCOs).

• Re-Credentialing & Maintenance
  Stay compliant with timely re-credentialing, updates, and renewals to prevent lapse in network status.

• CAQH Profile Management
  We create and maintain your CAQH profile, ensuring it’s complete and up-to-date to avoid processing delays.

• Hospital Privileging Assistance
  Support with hospital applications and privileges as needed for practice expansion or provider changes.

• Real-Time Status Tracking
  Monitor the status of your applications with regular updates and proactive communication.

Why Credentialing Matters

• ✅ Faster Insurance Reimbursements
  Proper credentialing ensures you’re paid for the care you provide—without costly delays or denials.

• ✅ Expanded Patient Access
  Being in-network with more insurance plans helps you reach more patients and grow your practice.

• ✅ Compliance & Risk Reduction
  Avoid legal or regulatory risks by staying compliant with payer and federal requirements.

• ✅ Time & Resource Savings
  Let our experts handle the forms, phone calls, and follow-ups so your team can focus on care, not admin work.

Why Choose Acore Health for Credentialing?

• ✔️ Experienced Credentialing Specialists
  Our team has in-depth experience navigating the unique requirements of both large and small healthcare organizations.

• ✔️ Tailored Support
  Whether you’re onboarding a new provider, expanding your network, or maintaining existing enrollments, we provide customized support to meet your needs.

• ✔️ Transparent Communication
  We keep you informed at every step—no surprises, no missed deadlines.

• ✔️ One-Stop Solution
  Combine credentialing with our billing, revenue cycle, and business development services for end-to-end practice growth.

Start Strong. Stay Compliant. Grow Confidently.

Credentialing and enrollment are critical foundations of your practice’s financial and operational success. With Acore Health as your partner, you gain peace of mind knowing that every detail is handled professionally and efficiently.

Contact us today to simplify your credentialing process and start seeing patients—faster, smarter, and stress-free.