A provider who isn’t enrolled with a payer can’t bill that payer, or bills out of network and watches the claim leak. Credentialing is slow, paper-heavy, and easy to get wrong: one missing document or expired form can stall enrollment for weeks while patients you could be seeing go elsewhere.
MedPlus RCM handles the complete provider enrollment lifecycle, end to end: payer network contracting, enrollment applications, and ongoing maintenance. We keep your providers in network so your claims are payable from day one.
What end-to-end credentialing covers
- Payer enrollment and contracting. Applications prepared and submitted to the commercial, Medicare, and Medicaid plans your practice needs, with follow-up until enrollment is confirmed.
- New provider onboarding. New hires, new locations, and new groups enrolled promptly so they can start seeing patients, and billing, without delay.
- Re-credentialing and maintenance. Enrollment is not a one-time event. We track re-credentialing cycles, expiring documents, and payer updates so a lapsed enrollment never quietly stops your payments.
- Network gap analysis. We identify which payers your providers are missing and which panels are worth joining for your patient mix, so enrollment effort goes where the revenue is.
- Enrollment issue resolution. When a payer stalls, requests additional documentation, or rejects an application, we work the issue through to approval.
Why credentialing delays cost more than time
Every week a provider waits on enrollment is a week of visits that can’t be billed in network. Worse, practices sometimes bill anyway and discover later that the claim was non-participating, revenue that is difficult or impossible to recover after the fact.
MedPlus RCM’s credentialing loop exists to close that gap: enrollment handled completely, from application to approval, so billing starts clean instead of starting with a denial.
Credentialing across all 50 states
Each state and each payer runs its own enrollment process, with its own forms, timelines, and requirements. A practice expanding into a new state or adding a new payer faces a new maze every time. MedPlus RCM serves practices across all 50 states, so the enrollment requirements for your state and your payers are handled by a team that already knows them.
Part of a complete revenue cycle
Credentialing connects directly to everything else in the revenue cycle. A claim coded perfectly will still deny if the provider wasn’t enrolled on the date of service. An authorization will still fail if the provider isn’t in the payer’s network. Because MedPlus RCM manages billing, coding, credentialing, denial management, and A/R recovery together, enrollment status is checked as part of the billing process, not discovered after a denial.
Onboarding a practice to MedPlus RCM takes 2 to 4 weeks depending on size, and enrollment work begins during that window so there is no dead time between signing and billing.
Transparent, performance-based pricing
MedPlus RCM charges a performance-based percentage of successfully collected revenue. If you don’t get paid, we don’t get paid. Credentialing is part of the revenue cycle service, aligned with the same goal: your providers enrolled, your claims paid.
Security and compliance
MedPlus RCM is 100% HIPAA compliant, using enterprise-grade encryption, secure servers, and strict internal compliance protocols to keep provider and patient records safe.
Frequently asked questions
How long does provider credentialing take?
Timelines vary by payer and state. MedPlus RCM manages the full process, application, follow-up, and maintenance, and keeps you updated so there are no silent stalls.
Do you handle re-credentialing, or just new enrollments?
Both. We manage the complete lifecycle, including re-credentialing cycles and expiring documents, so enrollment never lapses unnoticed.
Can you enroll providers in a new state?
Yes. MedPlus RCM serves practices across all 50 states and handles enrollment requirements for each state’s payers.
What happens if a payer rejects our enrollment application?
We work the rejection through to resolution, identifying the missing or incorrect item, correcting it, and resubmitting, rather than leaving it for your staff to chase.
Get a free financial audit
Find out whether enrollment gaps are leaking revenue from your practice. Request a free financial audit and our specialists will review your payer enrollment, claims, and denials.
