Credentialing Services

End-to-end credentialing, enrollment and compliance support

Tailored to medical and nonprofit practices nationwide. We handle applications, follow-ups, CAQH, and compliance tracking so you stay in network, reduce denials, and get paid faster.

Services

Every step, managed for your practice

From initial provider enrollment to ongoing recredentialing and payer updates, MedCentral manages every step for your practice.

Process

How our credentialing process works

Once you're onboarded, we audit current enrollments, build a payer roadmap, then submit, track, and maintain every application. You'll receive clear timelines, weekly status updates, and a dedicated specialist to resolve issues before they impact reimbursement.

Insurance Credentialing

Insurance credentialing for medical and dental practices done right

Personal, nonprofit credentialing support for practices across the U.S. We manage credentialing from start to finish so your practice stays compliant, avoids delays and gets paid.

Our credentialing services

  • Annual payer directory verification and updates
  • Revalidation and attestation management
  • Adding new providers to your practice
  • Credentialing support for new locations or expansions
  • Ongoing credentialing tracking and support

The credentialing problems we solve

  • Credentialing timelines that can take 90–180 days or longer
  • Errors or incomplete applications that cause delays or denials
  • Missed recredentialing deadlines and compliance issues
  • Limited staff time to manage complex payer requirements
  • Poor communication or lack of updates from insurance payers

Hospital Credentialing

Primary source verification for hospital privileges

MedCentral Hospital Credentialing was founded in 1991 to simplify the hospital credentialing process for healthcare providers in the Greater Louisville area. We provide primary source verification for physicians, APRNs, and other healthcare professionals applying for hospital privileges at participating facilities.

While MedCentral does not grant hospital privileges, we collect and verify credentials, then share completed files with the requested facilities for review. Our primary source verifications meet Joint Commission, AAAHC, URAC, and HFAP requirements.

Since 2018, our fully digital application system has streamlined the credentialing process by reducing paperwork and allowing applicants, assistants, and peer references to complete requirements online.

Stack of credentialing files awaiting verification

What we verify

  • Education and training
  • Employment history
  • Medical staff appointments
  • Licenses and DEA registrations
  • Board certifications
  • AMA and NPDB reports
  • Teaching appointments
  • Peer references and competency evaluations

Why credentialing matters

Primary source verification helps protect patient safety by confirming that healthcare providers possess the qualifications, education, licenses, and certifications they claim.

Free Consultation

Start with a free consultation

Not sure if your credentialing is up to date or ready to support growth? We offer a no-obligation consultation to assess your current process and identify opportunities to reduce risk and administrative burden.

Let MedCentral handle credentialing so you can focus on patient care.