Credentialing & Enrollment
Medical Credentialing & Enrollment Services You Can Trust
Get Fast Access to Insurance Networks Without the Hassle
At Prime Edge Medical Billing, we make sure your practice gets in-network and fully credentialed while you focus on patient care. Our streamlined credentialing services help you join top insurers—including Medicare, Aetna, UnitedHealthcare, and 200+ commercial networks in record time. Say goodbye to administrative delays and secure the reimbursements you deserve.
Why Credentialing Can Be Complicated
Even well-organized practices face credentialing hurdles. The most common challenges include:
Incomplete or Expired Documentation
Missing signatures, expired licenses, or misplaced documents can cause 30+ day delays or outright denials.
Insurance Backlogs
Some payers take 6–12 months to process applications, leaving your practice in limbo.
Lost or Rejected Applications
Applications can get "lost," denied for unclear reasons, or ignored entirely.
Licensing Delays
Slow state boards can result in $10k+ per month in lost reimbursements.
Our Solutions
Document Management Made Easy
Prime Edge tracks every file, sends renewal reminders 90 days ahead, and ensures every submission is accurate and complete.
Direct Payer Access
We bypass generic portals, escalate stalled applications, and align submissions with state regulations to avoid compliance issues.
Rapid Follow-Up & Denial Resolution
Every submission is trackable, denials are clarified immediately, and re-submissions happen within 24 hours.
State Licensing Optimization
We submit applications during optimal times, follow up daily, and ensure licenses are approved without delays.
Protect Your Practice
Our compliance system prevents fines up to $50k, safeguarding both your revenue and your reputation.
Comprehensive Credentialing Services Across All 50 States
Prime Edge Medical Billing offers a full range of credentialing and enrollment solutions:
Payer Enrollment & Contracting
Secure contracts with private insurers, Medicare, and Medicaid, maximizing reimbursement.
CAQH Profile Management
Automated updates, attestations, and audit-ready profiles 24/7.
Medicare/Medicaid Enrollment
Fast-track approvals, bypassing months of delays.
Credentialing Revalidation
Stay ahead of renewals with automatic tracking and filings.
Hospital Privileging & Affiliation
Get credentialed at hospitals and ASCs without chasing signatures.
DEA & State License Renewals
Timely renewals with compliance checks.
NPI Registration & Management
Secure and manage your National Provider Identifier across all systems.
Insurance Panel Expansion
Add payers quickly without long wait times.
Credentialing Audits & Gap Analysis
Identify hidden risks before they impact your practice.
Locum Tenens & Temporary Credentialing
Quick approvals for staffing surges.
Denial Resolution Support
Fix credentialing-related claim denials and boost revenue.
Ongoing Compliance Monitoring
Stay audit-ready with OIG, SAM, and sanction checks.
How We Streamline Credentialing for Providers
Prime Edge Medical Billing has helped 200+ healthcare providers get credentialed efficiently:
Provider Documentation Collection
Licenses, DEA certifications, CVs, and malpractice insurance collected within 48 hours.
Primary Source Verification (PSV)
Verification of all credentials with issuing boards within 72 hours.
CAQH & PECOS Enrollment
Error-free applications with 98% faster approvals for commercial payers and Medicare.
Insurance Panel Credentialing
Submission to 250+ payers, negotiation of contract terms, and 70% faster approvals.
Follow-Up With Payers
Daily calls and emails until approval, reducing delays by 80%.
Contract Negotiation Services
Fee schedule audits, 12–22% higher reimbursement advocacy, and contract alignment with specialty value.
Continuous Monitoring & Recredentialing
Automatic tracking of expiring licenses and payer updates to ensure your practice is always compliant.
Why Prime Edge Outperforms Traditional Credentialing
With Prime Edge Medical Billing, credentialing and payer enrollment aren't just administrative tasks they're growth engines. Let us secure your place in every network that matters and maximize your practice revenue.
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