What is physician credentialing?
Physician credentialing is the process of verifying a provider’s qualifications — education, training, licensure, board certification, and work history — and enrolling them with insurance payers so they can be reimbursed for care. MMSM manages the entire credentialing process for providers: CAQH setup, primary source verification, payer applications, and re-credentialing, so providers can start seeing and billing patients sooner.
Credentialing delays cost you more than paperwork
Every day a provider isn’t credentialed is a day they can’t bill. For a new hire or a growing practice, that’s lost revenue you never get back — and the in-house alternative means chasing CAQH attestations, payer portals, and verification letters across dozens of moving parts.
MMSM owns that process for you. We make sure every application is complete and consistent before it’s submitted, then follow up until your providers are approved and in-network.
What we handle
- CAQH setup, updates, and re-attestation
- Primary source verification of licensure, education, training, and board certification
- Payer applications for commercial plans, Medicare, and Medicaid
- Hospital privileging document coordination
- Re-credentialing and expirable tracking so nothing ever lapses by surprise
Credentialing that connects to getting paid
Because we also handle provider enrollment and medical billing, credentialing with MMSM isn’t a dead-end task — it’s the first step in a revenue cycle we manage all the way through. The moment a provider is approved, we’re ready to bill.
Want your providers earning sooner? Start your credentialing or call (517) 485-0001.
What's included
- CAQH profile setup and maintenance kept complete and attested.
- Primary source verification of licenses, education, and board certifications.
- Commercial, Medicare & Medicaid enrollment applications managed end to end.
- Hospital privileging support and document coordination.
- Re-credentialing & expirable tracking so nothing lapses unexpectedly.
- Status reporting so you always know where each application stands.
