Medical Credentialing Services

PHCSS Healthcare Solutions specializes in provider credentialing, simplifying the entire process for you. Our team goes the extra mile to handle the complexities involved, offering credentialing services at unmatched rates, complete with primary source verification.

Whether you're seeking credentialing for Medicare, Medicaid, or commercial insurance payers, we ensure you're approved quickly so you can begin receiving reimbursements without delay. Our services are designed to support providers and specialties of all sizes, whether you're an individual practitioner or part of a large medical group.
 Trust PHCSSCare for reliable, efficient, and affordable medical credentialing services across the U.S.

Why Is Medical Credentialing Essential?

Medical credentialing plays a critical role in building trust between patients and healthcare providers. It verifies a provider’s education, training, licensure, work history, and overall professional background before they are approved to join a payer network or healthcare facility such as a hospital or surgery center.

Closely linked to credentialing is the process of enrollment, submitting applications to insurance networks to be recognized as an in-network provider.

Together, credentialing and insurance enrollment ensure that healthcare professionals meet industry standards and regulatory requirements, giving patients confidence in the quality and legitimacy of their care.

START EARLY

Initiate the credentialing process 120 days before seeing patients to ensure timely approval.

Illustrate

Take the time to carefully complete the paperwork—one small mistake could delay the process by weeks.

CONSISTENCY

Consistently monitor the status of your applications by following up with payers.

ESCALATE

If your payor contact isn't responding effectively, escalate the matter to a supervisor.

DELEGATE

Let PHCS credentialing experts do what they do best—ensuring you get paid.

Comprehensive Provider Medical Credentialing Services

  • Credentialing for Physicians and Healthcare Organizations
  • Medicare Provider Re-Validation Services
  • Credential Verification for Providers and Allied Health Staff
  • Health Plan Network Management
  • Outsourced Hospital Privileging
  • Managed Care Contracting
  • Healthcare Organization Consulting
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List of Individual or Group Practices We Work With

  • PAs / NPs
  • Physicians
  • Hospitals
  • Podiatrists
  • Chiropractors
  • Urgent Care Facilities
  • Clinical Laboratories
  • Ambulatory Surgery Centers
  • PT / OT
  • Diagnostic Testing Facilities
  • Sleep Labs
  • Behavioral Health Providers
  • Dentists / Orthodontists
  • Optometrists
  • Audiologists

How Does It Happen?

The medical credentialing process takes place once every two years.

Steps in Provider Credentialing

  • Fill up a provider credentialing application
  • Send it to the credentialing entity
  • Regular follow-ups with them
  • Provide any additional documents if required
  • Coordinate with insurance setups and hospitals on your behalf

What We Do for You

The medical credentialing process takes place once every two years.

  • Saves you months of time and work
  • Eliminates the aches and pains caused by vast amounts of printed materials and applications
  • Increases patient referrals
  • Speeds up payments by the insurance companies
  • Assigns a dedicated project manager to your venture
  • Makes telephone calls, subsequent follow-ups, presents all applications, messages, and emails
  • All-time access to online project portals
  • Provide you with a cost-competitive edge to help your practice grow