Medical Credentialing Services

Medical Credentialing and Enrollment Services That Work While You Sleep
Get Yourself The Backstage Pass To Payer Networks With the Fastest TAT

Medical credentialing services that help you get into insurance networks in less than 45 days. With BilNow by your side, get accelerated payer enrollment and secure your spot in Aetna, UnitedHealthcare, Medicare, and 200+ insurance networks. Let’s bypass red tape and be a part of the payer network that pays what you deserve!

We are ready to trade your enrollment hassles with Guaranteed In-network status. Are you?

Potential Roadblocks to the Credentialing Process

The pitfalls of the credentialing process can derail even the most organized practices. Most significant credentialing challenges are:

Problems

Missing or Expired Documents

A single expired license, unsigned form, or misplaced document can cause 30+ days of delays or trigger outright denials.

Payer Backlogs

Some insurers take 6–12 months to process applications, leaving you in a never-ending cycle. Inconsistent state licensing rules can create legal risks for you.

Ghosted Rejections

Payers may "lose" your application, deny it for vague reasons, or never respond, leaving you guessing.

Licensing Delays

Slow state licensing boards delay credentialing and can cost you around $10k+/month in lost reimbursements.

Solutions

Bilnow’s Solution

Our Document GPS tracks every file, sends renewal alerts 90 days early, and error-proofs submissions by cross-checking them several times.

BilNow's Solution

We bypass generic portals with direct payer contacts, escalate stalled apps to managers, and align submissions with state mandates to dodge compliance audits.

BilNow’s Solution

We file apps with trackable barcodes, demand written denial reasons, and re-submit within 24 hours.

BilNow’s Solution

We prefetch state requirements, submit applications during the least busy cycles, and nag boards daily until your license is approved.

Our CMS Compliance shields healthcare providers from fines up to $50k. Because, It’s not about losing money to fines but losing trust and credibility.

Full Suite of Credentialing and Enrollment Services
Across 50+ States in the USA
Medical Credentialing services We offer

Payer Enrollment & Contracting

Secure in-network status with private insurers, Medicare, and Medicaid, and we will ensure you get the highest reimbursements.

CAQH Profile Management

Automated updates, attestations, and audit-proofing so your CAQH profile stays flawless 24/7.

Medicare/Medicaid Enrollment

Skip the 6-month backlog. We fast-track government program approvals with zero paperwork errors.

Credentialing Revalidation

Never miss a renewal.  We track deadlines, refile documents, and keep your credentials active.

Hospital Privileging & Affiliation

Get credentialed at hospitals and ASCs faster and seamlessly without chasing chiefs.

DEA & State License Renewals

Timely renewals with compliance checks so you never face a “license expired” surprise.

NPI Registration & Management

Secure your National Provider Identifier (NPI) and keep it synced across all platforms.

Insurance Panel Expansion

Add new payers to your network without waiting 90 days.

Credentialing Audits & Gap Analysis

Spot hidden risks in your current credentials and fix them before payers do.

Locum Tenens & Temp Credentialing

Ideal for staffing surges. Get temporary providers approved in days, not weeks.

Denial Resolution Support

We untangle credentialing-related claim denials and scale your revenue.

Compliance Monitoring

OIG, SAM, and sanctions checks to keep your practice audit-ready.

Grow your Payer Network in no time, because NOW in BilNow stands for RIGHT NOW!

Provider Credentialing Service (Step-by-Step)
Here’s how BilNow did it for 200+ Healthcare Providers

Collecting Provider Documentation for Credentialing

We gather licenses, DEA certs, CVs, and malpractice insurance in 48 hours.

Primary Source Verification (PSV)

Our team cross-checks every license, education, and work history with issuing boards in 72 hours.

CAQH Credentialing or PECOS Enrollment

CAQH Credentialing: Automate attestations, uploads, and audits. 98% of clients get 40% faster approvals. PECOS Enrollment: Skip Medicare’s 6-month backlog. We file error-free apps with 100% CMS compliance.

Insurance Panel Credentialing Service

We submit apps to 250+ private and government payers, negotiate terms, and reduce approval times by 70%.

Follow Up with Payers

Our team does daily calls/emails to insurers until you’re approved. Resulting in 80% fewer “processing delays”.

Provider Contract Negotiation Services

We audit fee schedules, demand 12-22% higher reimbursements, and ensure contracts align with your specialty’s worth.

Continuous Monitoring & Recredentialing

Our system tracks expiring licenses and payer rule changes and revalidates credentials 90 days early, keeping you always audit-ready!

Don’t get yourself caught in this administrative task (credentialing)

How Bilnow Eases Provider Enrollment in Government & Commercial Program

Government Program
Enrollment

(Medicare, Medicaid, Tricare)
Processing Time

Takes 3–6 months (industry average)

Compliance Requirements

Have strict CMS/state mandates

Application Complexity

Complex PECOS enrollment and state-specific forms

Reimbursement Focus

Have fixed fee schedules

Approval Rate

85% first-pass success rate in the industry

Commercial Insurance
Credentialing

(Aetna, United Healthcare, BCBS, etc.)
Processing Time

Takes 2–4 months (varies by payer)

Compliance Requirements

Have Payer-specific rules

Application Complexity

Complicated CAQH profiles and payer portals

Reimbursement Focus

Rates are negotiable.

Approval Rate

75% first-pass success rate in the industry.

BilNow’s Enrollment
Solution

Processing Time

We slash timelines by 70%. We take 45 days for Medicare and 30 days for commercial payers.

Compliance Requirements

We pre-audit apps for CMS and commercial standards.

Application Complexity

We handle both error-free PECOS submissions and CAQH automation.

Reimbursement Focus

We push for 12–22% higher rates with commercial payers.

Approval Rate

BilNow promises a 98% first-pass rate with AI checks and payer relationships.

Our Clients are enjoying a 98% Success Rate in Premium Networks

Because For BilNow “Closed” Doesn’t Mean “Impossible”
We’ve cracked Aetna, UnitedHealthcare, Blue Cross Blue Shield, Cigna, Medicare, BCBS Premier, and 145+ “exclusive” panels and enrolled 9786+ providers in these premium networks. We’ve replaced  “no” with “welcome aboard” for 92% of providers who’d been rejected solo.
But wait, aren’t those panels full?” Nope. They’re just picky.

Limited Slots Open in New York

Wondering Which Is the  Best Insurance Company For You?

Just graduated and aren’t sure where to get credentialed from the extensive list of payors?
Payers are filling up fast, Last two slots left in BCBS enrollment . Payers are filling up fast, Last two slots left in UHC enrollment . Payers are filling up fast, Last one slots left in Cigna enrollment .

State Licensing and Certification for Providers

BilNow understands the regulations and requirements of 50 States
Service
DIY Nightmares
BilNow’s Fix
State License Application
6–9 months of back-and-forth with boards
We provide a 90-day guarantee and insider tips for sticky states (we’re looking at you, CA/NY)
DEA Certification
4-month waits and accidental form rejections.
We take 30 days on average for approval and compliance checks to dodge $15k fines.
CLIA Registration
Confusing waiver levels, failed inspections.
CLIA-waived? Full cert? We navigate tiers, prepare you for surprise audits, and make you lab-ready.

Medical Credentialing Services for Every Specialty Subject to Be Credentialed

‘’Dr. Sarah Jonas, a podiatric surgeon and full-time locum tenens surgeon, enjoys being licensed in 10 states in the USA and, with our help, stays stress-free from credentialing and revalidation processes.’’  Why are you facing credentialing speed bumps when starting your practice in a single state?

Physicians (Phy)

Dentists

Physical Therapists

Mental health provider

Nurse Practitioners

Licensed Practical Nurses

Clinical Psychologists​

Podiatrists​

Physician Assistants (PAs)

Dietitians/ Nutritionists

Chiropractors

Optometrists

Guaranteed Lowest Medical Credentialing Rates In Industry

Still doing credentialing in-house? Here’s a quick math

1 application = 12 hours of staff time
Price of one hour = $45
Total cost = 12 * $45 = $540

BilNow’s fee = $399/month (all-inclusive)

You Choose!

Frequently Asked Questions

The following are some major credentialing requirements to get credentialed: 

  • Education and Training
  • Licensure and Certification
  • Experience
  • Background Checks
  • Malpractice History
  • Professional References
  • Taxpayer Identification Number (TIN) and Medicare Enrollment Forms 
  • Privileging
  • Re-credentialing

The credentialing process usually takes 90 to 120 days, but BiLNow helps you get credentialed within 45 days. 

he credentialing process involves four significant steps: 

  1. Submitting Application and All Required Documents
  2. Primary Source Verifications and Experience Review
  3. Getting privileged, enrolled, and credentialed

Medical licensing provides a practitioner with the legal authority to practice in their field, whereas credentialing verifies a healthcare provider’s qualifications and ensures that they meet all healthcare organizations’ standards. 

It is essential to have Medicare credentials to prove your capabilities as a practitioner. Moreover, most Americans are beneficiaries of Medicare, and being a credentialed provider gives you an upper hand in building trust and increasing patient intake.