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600 17th St, Ste 2800, Denver, CO 80202
Email: [email protected]
Tel: 888-938-3491
Credentialing Services
At CoMed, we simplify credentialing by managing everything from initial applications to ongoing maintenance, keeping your practice in-network, compliant, and patient-ready—so you can save time, avoid delays, and stay focused on care.
What is medical credentialing?
Medical credentialing is the process of verifying a healthcare provider’s qualifications, experience, training, and professional history to ensure they meet the standards required to provide medical services and get reimbursed by insurance companies.
It involves checking things like:
- Education and degrees
- Licenses
- Work history
- Malpractice claims and disciplinary actions
Credentialing is essential because it allows providers to:
- Join insurance networks (so they can bill insurers and get paid)
- Maintain compliance with regulations and healthcare standards
- Build patient trust through verified qualifications
It’s a critical step for any doctor, nurse practitioner, or healthcare professional who wants to practice in clinics, hospitals, or private practice and receive insurance reimbursements.
Expert Services for Practices and Facilities
Starting a new practice or adding a physician to your group has never been more complex in today’s healthcare environment. That’s why it’s crucial to have expert support from the very beginning. Whether you’re a multi-specialty group, single-specialty practice, or solo provider, professional credentialing and start-up assistance can make all the difference.
With CoMed’s experienced and dedicated credentialing team, you’ll gain a clear path to faster approvals and a strong return on investment. Explore just a few of the services we offer below, and contact us today for your free, personalized quote!
Facility Privileges – credentialing packages for all providers including physician extenders
Commercial insurance credentialing
Insurance renegotiation services
Physician licensing
Medicare credentialing
Medicaid enrollment services
Practice startup services
Review of current contacts to compare to current reimbursement levels CAQH credentialing
HIPAA: rules, standards and implementation guide
Malpractice and general liability insurance services
EHR/EPM consulting services
Meaningful use requirement management
Steps to re-credentialing
Step 1: Stay compliant with unlimited re-credentialing application support
To stay compliant with legal regulations, it’s essential to fully complete and submit all required re-credentialing applications.
Step 2: Tracking and managing re-credentialing applications through to completion
The next step involves following up on your submitted applications—a necessary part of the enrollment and re-credentialing process, even though it may take some time.
Step 3: Ensuring timely updates of expirables with CAQH and payers
Following submission and follow-up, stay ahead by monitoring expirable items such as: Licenses, DEA, Malpractice Insurance, and Hospital Privileges
Step 4: Managing timely updates to CAQH profiles
Your final step is to actively maintain your CAQH profiles, ensuring your information stays accurate and up to date at all times.
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Consultants
Nathan Bustamante
Senior Consultant
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What Our Clients Are Saying
"Partnering with CoMed has been a game-changer for my practice - claims are processed quickly, reimbursements have increased, and I finally have peace of mind knowing our revenue cycle is in expert hands."
Dr. Amanda Lee
MD
