Medical Credentialing Services
Get Credentialed & Enrolled. 2X Faster and Easier!
DIS is a top-rated Medical Credentialing Service Provider. Our Outsourced Credentialing Services eliminate administrative burdens while also unlocking privileges, ensuring in-network integration, and accelerating reimbursements. Our Provider Credentialing Company has empowered doctors, nurses, and therapists to thrive in their careers. Join the ranks of satisfied practitioners via our Doctor Credentialing and Enrollment Services.
DIS Provider Credentialing Services
We Enroll Providers In Premium Payer Networks In Record Time!
Credentialing, also known as insurance credentialing or doctor credentialing, is a process that verifies the qualifications, skills, and legitimacy of a healthcare providers. This process ensures that the provider has necessary licenses, certifications, and education to provide healthcare services to patients.
Only a credentialing provider is eligible to receive payments from the payer and work in compliance with the state and federal regulations. Medical credentialing authorizes physicians to practices in a specific facility and be included in insurance networks like CMS/Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield.
As a provider, you want fast credentialing so as to start practicing and billing (legally and ethically). But credentialing is a complex process that involves a lot of documentation and verification at different stages by the insurance network. This means a single mistake can result in denials and wastage of resources such as time and money.
DIS medical billing company offers the best healthcare credentialing solutions. Our professionals handle all the tasks for you, from primary source verification to enrollment in premium payer networks. We do all of this in minimal time and budget.
Our Medical Credentialing Process
Our Medical Credentialing Process
A Walkthrough of Our Specialist-Vetted Provider Credentialing Process
DIS provider credentialing process is not just a routine procedure, but a validated and certified process that ensures the highest standards of compliance. We have achieved up to 98% success rate of getting providers approved in premium payer networks with maximum privileges in their specific specialties. The process typically includes the following steps:
Complete Medical Credentialing Solutions
Helping Health Care Providers With All Their Credentialing Needs
DIS credentialing company offers all-inclusive provider credentialing services for healthcare professionals and organizations. Here’s an overview of the medical credentialing and enrollment services we provide:
Medicare and Medicaid Provider Enrollment
We enroll providers in Medicare and Medicaid programs, which are the largest health insurance programs in the US, covering millions of Americans. By enrolling in these programs, providers can expand their patient base, increase their revenue, and comply with federal and state regulations.
Commercial Insurance Credentialing
We credential providers with commercial insurance payers like Aetna and Humana, which are private health insurers that offer different plans and networks for their members. By credentialing with these companies, providers can access more patients and negotiate better reimbursement rates.
NPI Registration (Type 1 and Type 2)
Our credentialing solutions help individual providers (Type 1) and organizations (Type 2) with obtaining and updating their National Provider Identifier (NPI), which is a unique 10-digit identification number assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS). Having an NPI is required for billing, reporting, and electronic transactions.
CAQH Registration and Maintenance
We help providers stand head and shoulders above their peers. Our credentialing specialists register and maintain every provider’s profile on the Council for Affordable Quality Healthcare (CAQH) ProView, which is an online database that collects and verifies provider information for credentialing purposes. By using CAQH ProView, providers can refine their credentialing process with multiple health plans.
MCR DMEPOS Enrollment
Providers using our credentialing service can enroll in the Medicare DMEPOS program, which covers items such as wheelchairs, oxygen equipment, braces, and diabetic supplies. By enrolling in this program, providers can offer these items to Medicare beneficiaries, improve their quality of care, and receive reimbursement from Medicare.
Hospital Privileges
We facilitate physicians with obtaining and renewing their hospital privileges, which are the rights and responsibilities granted by a hospital to a provider to practice within its facilities. By having hospital privileges, providers can admit and treat patients, access hospital resources, and collaborate with other health care professionals.
Contract Negotiation
Our credentialing team provides support to the doctors with negotiating contracts with insurance payers, which are the agreements that define the terms and conditions of the provider-payer relationship. By negotiating contracts, medical practitioners can secure favorable payment rates, dispute resolution processes, quality measures, and network inclusion.
Revalidation & Re-Credentialing
Our medical insurance credentialing service manages every physician’s revalidating and re-credentialing enrollment process and credentialing status with Medicare, Medicaid, and commercial insurers. With DIS managing these processes on autopilot, providers can maintain their eligibility to participate in these programs and avoid any interruptions or penalties.
Reimbursement Issues Audit
Our credentialing and privileging specialists audit reimbursement issues, such as underpayments, denials, delays, or errors from insurance payers. Providers also get accounts receivable (AR) follow up services to help collect outstanding payments from payers. By auditing reimbursement issues and following up on AR, providers can improve their cash flow, reduce their bad debt, and optimize their revenue cycle.
Providers State License
We assist providers with obtaining and renewing their state license to practice medicine in the US. Each state has its own requirements and procedures for licensing health care providers. By obtaining and renewing their state license, providers can comply with state laws and regulations, demonstrate their competence and qualifications, and protect their professional liability.
DEA Certificate & Renewal
DIS medical credentialing experts help providers with obtaining and renewing their Drug Enforcement Administration (DEA) certificate, which is a registration that authorizes them to prescribe controlled substances in the US. By obtaining and renewing their DEA certificate, providers can prescribe these drugs legally and safely to their patients.
CLIA Registration
Providers using our physician credentialing services get help with registering their laboratory under the Clinical Laboratory Improvement Amendments (CLIA), which are federal standards that regulate laboratory testing performed on human specimens. CLIA registration is required for any laboratory that performs tests for diagnosis, prevention, or treatment of disease or health assessment.
Best Physician Credentialing Services Near Me
DIS Offers The Best Credentialing Services Near You In The USA
Looking for reliable credentialing solutions near you? With over a decade of experience, BDIS is a trusted provider credentialing company serving healthcare practices across all 50 states. We specialize in helping providers meet payer and state-specific requirements efficiently and accurately.
Our process begins with a personalized assessment of your practice and target payers. We handle all necessary verifications—licenses, certifications, insurance, and more—through our strong network of payer relationships. For instance, credentialing a physician in California includes verifying licenses with the Medical Board, checking the National Practitioner Data Bank, and submitting documents to insurers like Blue Shield and Health Net.
BDIS also offers re-credentialing, expedited services, and support for locum tenens providers, ensuring continuous compliance and faster onboarding. Partner with us for a seamless, stress-free credentialing experience.
