Request pricing or more information

Complete the form below and a MedCentral credentialing specialist will follow up with options tailored to your practice.

Provider Enrollment

Insurance credentialing request

Tell us about your providers, payers and locations. There's no obligation — we'll review your needs and respond with clear next steps.

(502) 589-2277
medcentral@glms.org

First name *Last name *

Practice/group name *

Email address *Phone number *

Specific type of request *I would like to receive a quote for Insurance Credentialing ServicesSend me general information about MedCentral Insurance Credentialing ServicesI wish to be contacted by MedCentral Provider EnrollmentOther - describe below

Describe your credentialing needsMaximum of 250 characters.What type of services are you interested in?Provider name(s) and type (MD, DMD, NP, PA, etc.)For services indicated above, list the names and type of providers.State where practice is located

Is the practice currently contracted with any payers through an IPA?

YesNoNot sure

We can work with independent practice associations on behalf of your practice.

Credentialing services requested (check all that apply)

Multi-Payer A: Up to 6 InsurersMulti-Payer B: 7-10 InsurersMulti-Payer C: 11-14 InsurersOne InsurerPayer Directory Verification & Update ServiceResearch Current Enrollments OnlyNew CAQH Account OnlyOther

A nonprofit credentialing partner handling payer and provider enrollment for medical and dental practices nationwide.

Explore

Home
About
Credentialing Services
Who We Help
How It Works

Contact

(502) 589-2277
medcentral@glms.org

Free Consultation