Virtual Medical Credentialing Services

Whether launching a new practice, adding providers, or scaling quickly, our virtual credentialing services support your growth every step of the way.

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Key Stats

Explore the numbers that shape our story and success.

350+

Providers Credentialed

700+

Virtual Staff Involved

18+

States Served

60+

Specialties Covered

Benefits Of Pro Claim Expert's Credentialing Services

Credentialing doesn't have to slow you down. Our virtual medical credentialing services can be assigned to any part of the credentialing process to reduce administrative costs and speed things up.

Eliminate errors with our experienced team
Negotiate better rates on your current payer contracts
Manage provider re-credentialing with ease
Reduce administrative workload
Accelerate credentialing approvals with consistent follow-up
Maximize compliance with payer requirements
Stay informed with our real-time credentialing progress tracker

Flexible Medical Credentialing Services Built Around Your Needs

Credentialing chaos looks different for everyone. Fortunately, our virtual credentialing services are tailored to meet your specific requirements, streamlining the process.

Practice Expansion

Growing your practice? Our credentialing services for providers streamline payer enrollment and manage credentialing across locations, helping you scale faster without any delays.

Hospital Credentialing

Stay compliant, get faster approvals, and streamline onboarding with virtual credentialing experts. We also handle hospital affiliation renewals to keep privileges up to date.

Practice Start-Up

Launch confidently with our tailored virtual credentialing services for new providers. Our team helps gather the required documents, guides you on whom to contact, and mediates payer calls so your practice opens on time, fully credentialed, and payer-ready.

Short-Term Projects

Need help with a credentialing project, adding a new provider, or updating demographics, such as changing bank account details or business address? We offer flexible, expert-driven credentialing solutions designed for quick turnarounds and compliance.

Credentialing For Multiple Specialties

We handle credentialing for medical, dental, mental, and vision health providers, managing enrollment and compliance across all specialties with expert support.

Why Choose Us

Why Healthcare Organizations Choose Pro Claim Expert

We're not just a vendor. We're your team. From startup to scale, our virtual credentialing specialists work like an extension of your practice - strategic, responsive, and results-driven.

Proprietary Credentialing Tracker

Access your application status 24/7 with our real-time credentialing tracker, built for total visibility and peace of mind.

Dedicated Credentialing Team

Every project is assigned a team of experienced medical credentialing specialists, providing focused expertise, not generic support.

Comprehensive Services

We cover provider enrollment, payer setup, group linking, payer contract negotiation, demographic updates, ERA/EFT setup, audit preparation for providers and more.

Proactive Follow-Up

We follow up with payers on a weekly basis, keeping your applications moving forward and eliminating unnecessary delays.

Transparent Communication

Our virtual credentialing services include clear and consistent communication so you're never in the dark about the credentialing progress.

Ongoing Credentialing Maintenance

From CAQH updates, re-credentialing, annual renewals, to directory verification we manage the full lifecycle, so you don't have to.

Constant Payer Communication

Our team stays in touch with payers regularly, ensuring nothing slips through the cracks during the credentialing process.

Flexibility

Assign specific tasks or let Pro Claim Expert handle all your credentialing.

Our Expertise

Specialized Solutions For 60+ Specialties And EHRs

Delivering expert medical billing services and healthcare staffing solutions across 60+ specialties.

Your expertise, extended.
Your SOPs and protocols.
Your cost-effective staffing solution.

FAQs

Have questions?
We've got answers.

Credentialing is the process of verifying a healthcare provider's qualifications, education, training, and experience to ensure they meet the standards required by insurance companies, hospitals, and other healthcare organizations. It's crucial for compliance, patient safety, and ensuring providers can bill for services.

The credentialing process typically takes 90-180 days, depending on the payer and complexity of the application. Our experienced team works to expedite this process through proactive follow-up and proper documentation preparation.

Required documents typically include medical license, DEA registration, malpractice insurance, board certifications, education transcripts, work history, and references. Our team will provide a comprehensive checklist and help gather all necessary documentation.