Streamlined Provider Credentialing for Faster Network Enrollment.
Provider credentialing is one of the most critical—and time-sensitive—processes in healthcare revenue cycle management. At Keystone Medics, we manage the entire credentialing lifecycle to ensure your providers are enrolled accurately, approved faster, and connected with insurance networks without delays.
Our expert team handles primary source verification, payer applications, CAQH maintenance, re-credentialing, and follow-ups—so you can focus on patient care while we handle compliance and approvals.
- Faster Insurance Enrollment
- Reduced Revenue Delays
- CAQH Profile Management
- Re-Credentialing & Renewals
- Payer Application Tracking
- Compliance & Documentation Accuracy
- Multi-State Enrollment Support
- Dedicated Credentialing Specialist
OUR RANGE OF PROVIDER CREDENTIALING SERVICES
At Keystone Medics, we don’t just submit applications, we build a structured, compliant, and proactive credentialing system that protects your revenue and ensures uninterrupted reimbursement.
We work closely with solo providers, group practices, and multi-specialty clinics across the United States to simplify the enrollment process and eliminate costly approval delays.
Faster Network Participation
We ensure providers are enrolled with Medicare, Medicaid, and commercial payers efficiently. Our team proactively follows up with insurance companies to reduce turnaround times and prevent application stagnation.
Error-Free Documentation & Compliance
Credentialing errors can delay reimbursements for months. We verify every document, license, certification, and payer requirement to ensure full compliance and accurate submissions.
Ongoing Monitoring &
Re-Credentialing
Credentialing doesn’t stop at approval. We track expiration dates, manage revalidations, and handle renewals to prevent lapses in network participation.
Frequently asked questions
Provider credentialing is the process of verifying a healthcare provider’s qualifications, licenses, training, and professional history to ensure they meet payer and regulatory standards. Without proper credentialing, providers cannot bill insurance companies, which directly impacts revenue flow.
The credentialing timeline typically ranges from 60 to 120 days, depending on the payer and state requirements. Our team works proactively to accelerate the process by submitting complete applications and maintaining consistent follow-ups.
Yes. We complete initial CAQH enrollment, upload documentation, perform attestations, and maintain profiles to ensure payers can access accurate provider data at all times.
Absolutely. We support providers operating in multiple states and handle state-specific licensing and payer enrollment requirements.
We immediately identify the issue, correct discrepancies, resubmit documentation, and follow up aggressively to resolve the denial and minimize revenue disruption.
