CAQH • PECOS • NPPES  |  All Payers

Fast, Accurate Medical Credentialing Services That Get Providers Paid Sooner

Dr Care Services delivers the best medical credentialing services for practices of every size. From initial payer enrollment to ongoing re-credentialing, our certified credentialing specialists handle everything so your providers can see patients — not paperwork.

NCQA-Aligned Processes All 50 States No Upfront Fees
Credentialing Snapshot
Industry avg. turnaround
90d+
Our avg. turnaround
<30d
First-submission approval
>98%
Payers in our network
500+
<30d
Average credentialing turnaround
↓ 3x faster than industry avg
>98%
First-submission approval rate
↑ Top accuracy nationwide
500+
Payers credentialed with
Medicare, Medicaid & commercial
$0
Revenue lost to enrollment gaps
↑ Full coverage from day one
Why Dr Care Services

Three things that make our credentialing different.

Our medical credentialing services are built on speed, accuracy, and proactive follow-up — eliminating the delays that cost practices thousands in lost revenue every month.

01

Faster Provider Onboarding

The average credentialing timeline is 90+ days. Our dedicated credentialing specialists complete the process in under 30 days for most payers — getting your providers enrolled, contracted, and billing in a fraction of the time.

02
📄

Zero Application Errors

Incomplete or inaccurate applications are the number one cause of credentialing delays. Our medical credential management service includes a multi-step QA review before every submission — ensuring >98% first-pass approvals.

03
📋

Proactive Re-Credentialing

Expired credentials silently interrupt your billing. Our team monitors every expiration date and initiates re-credentialing 90 days in advance — so your providers never face an unexpected billing suspension or revenue gap.

How It Works

Your complete medical credentialing process, step by step.

From collecting provider data to confirming approval, our credentialing specialists manage every touchpoint so nothing stalls your enrollment. Click any step to explore it.

01
Provider
Data Collection
02
CAQH / NPPES
Profile Setup
03
Primary Source
Verification
04
Application
Submission
05
Payer
Follow-Up
06
Approval &
Ongoing Monitoring
Step 1 of 6  •  Medical Credentialing

Provider Data Collection

Our credentialing specialists begin by collecting all provider information required for payer applications — licenses, DEA certificates, malpractice history, education, training, and work history. Accurate data collection at this stage prevents delays at every step that follows.

  • License & DEA certificate collection
  • Malpractice history documentation
  • Education & training verification
1 / 6
Step 2 of 6  •  Medical Credentialing

CAQH, NPPES & PECOS Profile Setup

We create, update, or attest the provider's CAQH ProView profile — the universal credentialing database used by most commercial payers. We also handle NPPES NPI registration and PECOS enrollment for Medicare participation, ensuring every profile is complete, accurate, and current.

  • CAQH ProView creation & attestation
  • NPPES NPI registration & updates
  • PECOS Medicare enrollment setup
2 / 6
Step 3 of 6  •  Medical Credentialing

Primary Source Verification

Before any application is submitted, we conduct thorough primary source verification — confirming every credential directly with the issuing authority. This includes state medical boards, medical schools, residency programs, and malpractice carriers. No assumptions, no shortcuts.

  • State medical board verification
  • Education & training confirmation
  • Malpractice carrier verification
3 / 6
Step 4 of 6  •  Medical Credentialing

Application Submission

Once verified, we prepare and submit credentialing applications to all target payers — Medicare, Medicaid, and commercial insurers. Every application goes through our multi-step QA review before submission, achieving a greater than 98% first-pass approval rate across all payers.

  • Medicare & Medicaid enrollment
  • Commercial payer applications
  • Multi-step QA before every submission
4 / 6
Step 5 of 6  •  Medical Credentialing

Payer Follow-Up

Submitted applications don't manage themselves. Our credentialing specialists follow up with every payer on a regular basis, respond to additional documentation requests within 24 hours, and escalate delays before they impact your provider's billing timeline.

  • Regular payer status check-ins
  • 24-hour response to payer requests
  • Escalation of stalled applications
5 / 6
Step 6 of 6  •  Medical Credentialing

Approval & Ongoing Monitoring

Once approved, our medical credential management service doesn't stop. We track every expiration date — licenses, DEA, malpractice, and payer contracts — and initiate re-credentialing 90 days in advance. Your providers stay continuously enrolled and billing without interruption.

  • Approval confirmation & documentation
  • 90-day proactive re-credentialing alerts
  • Ongoing expiration date monitoring
6 / 6
Our Core Services

Comprehensive medical credentialing services under one roof.

From initial payer enrollment to long-term credential management, Dr Care Services handles every aspect of provider credentialing for practices of all sizes and specialties.

01

CAQH, PECOS & NPPES Management

We build, maintain, and attest your provider's CAQH profile, register and update NPI records in NPPES, and manage PECOS enrollment for Medicare participation. Accurate profiles are the foundation of successful credentialing — we keep every record current, complete, and compliant at all times.

CAQH ProView NPI Registration PECOS Enrollment Profile Attestation
02

Medicare & Medicaid Enrollment

Enrolling with Medicare and Medicaid is a complex, document-heavy process that can stall for months without expert management. Our credentialing specialists submit complete, compliant applications, track every status update, and respond to CMS requests within 24 hours — getting providers enrolled fast.

Medicare Part A & B Medicaid by State CMS-855 Forms Revalidation
03

Commercial Payer Credentialing

From national insurers like Aetna, BCBS, Cigna, and UHC to regional and specialty payers, we manage applications, contract negotiations, and re-credentialing cycles across your entire payer mix — ensuring every provider in your practice is enrolled, contracted, and generating revenue.

Aetna / BCBS / Cigna UHC & Humana Regional Payers Re-Credentialing
Outcomes

Before & after Dr Care Services.

See the measurable difference our medical credentialing services make for practices dealing with slow enrollments, application errors, and revenue gaps.

Metric Before Dr Care Services After Dr Care Services
Avg. credentialing turnaround time 90 to 120 days ↓ Under 30 days
First-submission approval rate 60 to 70% ↑ Greater than 98%
Revenue lost during credentialing gap $5,000 to $20,000/mo ↓ Near zero
Re-credentialing managed proactively Reactive / Missed ↑ 90-day advance notice
CAQH profile accuracy & attestation Outdated / Incomplete ↑ 100% current & compliant
Admin hours spent on credentialing 15 to 25 hrs/provider ↓ Under 2 hrs/provider
Social Proof

What our clients say.

★★★★★

"We onboarded three new physicians and Dr Care Services had all of them fully credentialed with our major payers in under 28 days. We were billing from week five. Before, this process took us four to five months and still had errors."

SL
Sandra Lewis
Practice Manager, Family Medicine Group, Ohio
★★★★★

"Our CAQH profiles were out of date and two of our providers had expired payer contracts we didn't know about. Dr Care Services fixed everything, enrolled us with four new commercial payers, and now manages all our re-credentialing on autopilot."

RP
Dr. Ravi Patel, MD
Medical Director, Urgent Care Network, Florida
Case Study — Multi-Specialty Clinic
Credentialing time dropped from 110 days to 24 days

A growing multi-specialty clinic was losing an estimated $18,000 per provider per month during credentialing gaps — with an average enrollment time of 110 days and frequent application rejections. After engaging Dr Care Services for full medical credentialing services, the practice's average turnaround dropped to 24 days, first-submission approval rates climbed above 98%, and the three-provider group saved over $162,000 in revenue that would have been lost during the enrollment window. Their CAQH, PECOS, and NPPES profiles are now continuously maintained with zero lapses.

24d
Avg. Turnaround
98%+
Approval Rate
$162k
Revenue Saved

Is slow credentialing costing your practice revenue?

Our credentialing specialists will review your current enrollment status, identify gaps, and show you exactly how fast we can get your providers billing. Free, no commitment, no pressure.

Book Your Free Credentialing Review

No commitment. No sales pressure. Ever.

FAQ

Common
questions.

Everything you need to know about outsourcing your medical credentialing to Dr Care Services.

Talk to a Specialist
What are medical credentialing services?
+
Medical credentialing services manage the process of verifying a provider's qualifications and enrolling them with insurance payers so they can bill for services rendered. This includes primary source verification, CAQH profile management, Medicare and Medicaid enrollment, commercial payer applications, and ongoing re-credentialing to keep credentials current.
How long does medical credentialing take?
+
The industry average is 90 to 120 days, but Dr Care Services completes most credentialing applications in under 30 days. We achieve this by starting the process with complete, verified data, submitting error-free applications, and following up with payers proactively every step of the way.
What is CAQH and why does it matter for credentialing?
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CAQH ProView is a universal provider database used by more than 1,000 health plans to streamline credentialing. A complete, up-to-date CAQH profile dramatically speeds up the commercial payer credentialing process. Our medical credential management service includes creating, maintaining, and attesting your CAQH profile on an ongoing basis so it is always current.
What is the difference between credentialing and payer enrollment?
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Credentialing is the process of verifying a provider's qualifications, licenses, and history. Payer enrollment is the process of contracting with a specific insurance company so the provider can be reimbursed for services. Both are required before a provider can bill a payer, and Dr Care Services manages both end to end.
Can Dr Care Services handle credentialing for multiple providers at once?
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Yes. Our credentialing specialists routinely manage simultaneous credentialing for multi-provider practices, hospital-affiliated groups, urgent care networks, and large multi-specialty clinics. We assign a dedicated specialist to each provider and track every application through a centralized dashboard to ensure nothing is missed.
What happens if a provider's credentials expire?
+
Expired credentials can result in immediate billing suspension with the affected payer, causing significant revenue loss and patient disruption. Our medical credential management service tracks every expiration date for every provider — licenses, DEA certificates, malpractice coverage, and payer contracts — and initiates re-credentialing 90 days before any expiration occurs.
Do you handle Medicare and Medicaid enrollment as part of credentialing?
+
Yes. Medicare and Medicaid enrollment are core components of our medical credentialing services. We manage PECOS enrollment for Medicare Part A and B participation, handle state-specific Medicaid applications in all 50 states, prepare and submit CMS-855 forms, and manage revalidation cycles to keep government payer enrollment continuously active.
How much does outsourced medical credentialing cost?
+
Dr Care Services offers flexible pricing for medical credentialing services based on the number of providers and payers involved. We offer both per-provider project pricing and ongoing monthly management plans. Contact us for a free quote — most practices find that the cost is recovered within the first month simply by eliminating credentialing-related revenue gaps.