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Insurance Credentialing Services Designed to Eliminate Delays and Rejections

Facing Insurance Credentialing Roadblocks? Missing credentialing deadlines can lead to denied participation, revenue loss, and patient dissatisfaction. Yet, navigating complex enrollment processes and keeping credentials up to date is time-consuming and challenging for healthcare providers.

With 22 years of experience, we help medical professionals get credentialed with insurers quickly and accurately. Our strong relationships with major healthcare carriers ensure seamless verification and compliance, reducing administrative burdens.

Using Lean Six Sigma methodologies, we optimize workflows, eliminate errors, and accelerate insurance credentialing services—so you can focus on patient care without delays or disruptions.

Partner with us for fast, compliant, and hassle-free insurance credentialing.

Reliable Insurance Credentialing Services Tailored to Your Needs

Provider Enrollment

Swift and accurate payer enrollment reduces disruptions in your revenue cycle. Our team handles documentation and submissions to position you as a preferred provider. This streamlines onboarding and improves payer network participation.

License Verification

We verify provider licenses to ensure compliance and avoid regulatory penalties. By staying ahead of expirations and discrepancies, we help maintain uninterrupted operations. This safeguards your practice and builds long-term credibility.

Contracting Services

Payer contracts are reviewed and negotiated to optimize your reimbursement structure. Our team identifies financial opportunities and strengthens your market position. Strategic contracting directly improves your practice’s bottom line.

Credentialing Audit

Detailed audits uncover inconsistencies in credentialing records that could impact revenue. We provide actionable insights to fix gaps and maintain compliance. Routine audits support continuous improvement and minimize delays.

Re-credentialing

Ongoing credentialing is essential for uninterrupted participation with payers. Our team tracks deadlines, handles resubmissions, and ensures compliance. This reduces risks of service denial or payment issues.

Primary Source Verification

Verification through original sources confirms the validity of professional credentials. It enhances your practice’s reliability and supports regulatory compliance. We ensure all data is accurate and up to standard.

Network Management

Effective network management expands your access to payer programs and patients. We help optimize relationships and improve market positioning. This builds sustainable growth and long-term stability for your practice.

Claims Management

We manage the full claims lifecycle, from submission to reimbursement. Denials are minimized, follow-ups are timely, and payments are expedited. Efficient claims handling protects revenue and reduces administrative load.

Additional Insurance Credentialing Services

Medicare Credentialing

Medicaid Credentialing

Telehealth Provider Credentialing

Behavioral Health Credentialing

Addiction Treatment Facility Credentialing

Dental Provider Credentialing

CAQH Registration & Management

State Medical Licensure Assistance

Our Streamlined Insurance Credentialing Process for Providers

Practice Evaluation & Payer Coordination

Assess the provider’s needs and contact insurance carriers to confirm credentialing requirements.

Application Preparation & Submission

Accurately complete and submit insurance credentialing services applications with all necessary documentation.

CAQH Profile & Credential Management

Create or update CAQH profiles and manage all supporting credentials and documents.

Follow-Up & Communication Handling

Track application status, follow up with payers, and address additional information requests.

Contract Review & Record Delivery

Review payer contracts, clarify terms, and provide copies of all finalized documents.

Ongoing Monitoring & Data Security

Monitor credential expiration dates and ensure secure handling of sensitive provider data.

The Benefits of Outsourcing Insurance Credentialing Services to Flatworld Solutions

Flatworld Solutions helps healthcare providers, medical groups, and insurers simplify credentialing. With a focus on accuracy, compliance, and efficiency, our services reduce admin burden and boost revenue.

Cost-Effective Solutions with Scalable Flexibility

Competitive pricing and customizable credentialing options align with your operational goals. End-to-end support—from document collection to application tracking—ensures smooth scalability as your organization grows.

Experienced Credentialing Specialists

Credential verification is handled by experts proficient in licenses, certifications, malpractice insurance, and payer-specific requirements. Background checks and enrollment tasks are managed to reduce administrative strain.

Real-Time Credentialing Management and Tracking

Credentialing progress is fully visible through advanced dashboards and tracking tools. Proactive management of CAQH updates and application stages prevents delays and revenue disruptions.

Compliance-Driven and Always Available

Global delivery centers provide 24/7 support to meet time-sensitive credentialing needs. Every process is aligned with HIPAA, NCQA, Medicare, and Medicaid regulations for full compliance.

Faster Turnaround with Fewer Denials

Credentialing workflows are streamlined to reduce errors and accelerate approvals. Direct coordination with insurance networks minimizes rejections and speeds up provider onboarding.

Secure and Confidential Data Handling

Sensitive information is protected through encrypted systems, multi-level authentication, and strict access control. HIPAA-compliant protocols ensure confidentiality at every touchpoint.

Ongoing Monitoring and Renewal Alerts

Credential expirations and renewal deadlines are tracked automatically. Proactive alerts help avoid service disruptions and maintain continuous payer participation.

Dedicated Account Managers for Personalized Support

A single point of contact oversees your credentialing journey from start to finish, ensuring smooth coordination, timely updates, and quick issue resolution.

Other Services
You Can Benefit From

Insurance Back Office Management Services

Insurance Services for MGAs

Insurance Claims Management Services

Insurance Claims Administration Services

Client Success Stories

Back-office Insurance Operations for US Client

Read the case study where our team at Flatworld Solutions provided end-to-end back-office insurance operations for a US-based client.

Flatworld Helped a Chicago-based Consulting Firm with COI Services

A leading Chicago-based brokerage consulting firm was looking for a partner who could help them with COI services. Our team delivered cost-effective services to the client.