Credentialing/Enrollment Services

Our credentialing and enrollment services cover both government and private payers, ensuring that providers are fully authorized to deliver services and receive timely reimbursements. We handle end-to-end credentialing with Medicare, Medicaid, and a wide range of commercial insurance companies, including BCBS, Aetna, UnitedHealthcare, Cigna, and others.

By leveraging our expertise in payer-specific requirements and using streamlined processes, we ensure faster submissions, accurate documentation, and quicker approvals. Our team proactively manages the entire lifecycle — from initial credentialing and re-credentialing to enrollment updates — minimizing delays and ensuring uninterrupted revenue flow.

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1st Class Reimbursement

Access top-tier reimbursement rates that increase your earnings per claim. You get paid more for delivering the same high-quality services. This maximizes profitability and enhances your practice’s value.

Maximum Privileges

Win better contracts and access exclusive provider networks. Participate in innovation-driven programs and bonus opportunities. We position you for long-term success with payers and partners.

Billing-Ready from Day One

We set you up with a unique Provider Identification Number (PIN). You can begin billing immediately and track claims online. Start generating revenue without unnecessary delays.

Strong Payer Support

We work directly with insurance companies on your behalf. From issue resolution to negotiations, we've got you covered. You’ll always have an expert advocate ensuring fair payment.

Swift Reimbursements

Our claims are processed within 15 to 30 days on average. This keeps your cash flow strong and your practice stable. No more waiting months to receive your payments.

Minimized Denials

We verify eligibility, get pre-authorizations, and submit accurate claims. Our approach drastically reduces denials and rework. You benefit from faster approvals and fewer billing headaches.

Our Expert-Guided Credentialing Process

1. Provider Survey

We begin with a detailed provider interview to collect licenses, education, and background info for accurate credentialing.

2. Choosing The Insurance Company

We begin with a detailed provider interview to collect licenses, education, and background info for accurate credentialing.

3. CAQH Enrollment

We handle CAQH setup, manage ProView, and keep profiles updated for seamless payer integration and faster approvals.

4. Fast Credentialing Approval

Although the typical timeline is 60-120 days, our provider credentialing experts take proactive steps to accelerate the process.

5. In-Network Enrollment

We manage contract review, billing code eligibility, and appeal closed panels to get you preferred in-network status.

6. Hospital Privileges

As credentialing wraps up, our active involvement persists. We help you apply for admitting, surgical, and courtesy privileges to expand your clinical reach.

7. Ongoing Monitoring

Our continuous oversight ensures that your company’s credentials remain current and that you stay credentialed without interruption.

Helping Health Care Providers Complete Credentialing Solutions

CareBR 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 & Medicaid Provider Enrollment

We help providers enroll in Medicare and Medicaid — the largest public health insurance programs in the U.S. Participation boosts your patient reach, increases revenue opportunities, and ensures compliance with federal and state healthcare regulations.

Commercial Insurance Credentialing

Our team manages credentialing with top commercial payers like BCBS, CIGNA, UHC, AETNA and others. Get access to broader patient networks, secure better reimbursement rates, and strengthen your presence across private insurance plans.

NPI Registration (Type 1 & Type 2)

We assist both individual providers (Type 1) and organizations (Type 2) in obtaining and maintaining their National Provider Identifier (NPI). This 10-digit number is essential for billing, reporting, and all electronic healthcare transactions.

Reimbursement Issues Audit

Our specialists audit claim denials, underpayments, and processing errors. We also follow up on outstanding accounts receivable to recover missed revenue. We also follow up on outstanding accounts receivable to recover missed revenue.

MCR DMEPOS Enrollment

CareBR helps providers enroll in the Medicare DMEPOS program to offer essential items like wheelchairs, oxygen equipment, and diabetic supplies to Medicare beneficiaries. This allows providers to improve care and receive Medicare reimbursements.

Hospital Privileges

CareBR supports providers in applying for and renewing Medicare DMEPOS enrollment, enabling them to supply medical equipment and services to eligible patients. Our team ensures required documentation, credentialing, and compliance are met.

Contract Negotiation

CareBR helps providers negotiate insurance contracts to secure better payment terms. We review agreements to ensure fair reimbursement, clear dispute policies, and compliance. Our dedicated support empowers healthcare providers to maintain profitability and minimize administrative burdens efficiently.

Revalidation & Re-Credentialing

We manage revalidation and re-credentialing for Medicare, Medicaid, and private payers. Our team ensures continuous participation and active credential status. This prevents payment interruptions and maintains provider eligibility. We also track deadlines to avoid missed renewals.

CAQH Registration & Maintenance

We register and maintain provider profiles on the CAQH ProView database, ensuring accurate information for credentialing with multiple health plans. This streamlines the process and enhances provider visibility across health networks.

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. Our team ensures timely submissions and helps avoid costly delays.

CLIA Registration

CareBR supports providers in registering labs under CLIA for diagnostic testing. We manage the paperwork and ensure compliance with federal standards. Proper CLIA registration enables accurate testing and better patient care.

DEA Certificate & Renewal

We help providers secure and renew their DEA certificate for prescribing controlled substances. Our team ensures timely submissions and regulatory compliance. This service supports uninterrupted patient care and legal prescribing.