Medical
Credentialing
DrCare MSO enrolls providers with 500+ payer networks — averaging 30 days for commercial payers — so you capture revenue from day one instead of waiting months for approval.
Application Success Rate
Avg Commercial Enrollment
Providers Credentialed
Payer Networks
Success Rate
Avg Enrollment
Providers Enrolled
Payer Networks
Credentialing Solutions
From a single new hire to a multi-state group practice, DrCare MSO manages the entire credentialing lifecycle so your billing team never waits on an enrollment.
Initial Credentialing
Complete application management for new providers joining payer networks. DrCare MSO handles document collection, CAQH setup, application submission, and aggressive payer follow-up until approval is confirmed.
Get Credentialed Faster
Delays in provider credentialing directly cost you revenue. Every day a provider isn't enrolled is a day of lost billing opportunities. Per DrCare MSO's analysis of over 4,200 credentialing applications processed in 2024, practices that outsource credentialing start billing an average of 38 days sooner than those managing the process in-house.
Our credentialing team manages every step — from CAQH profile setup to payer application submission — with follow-up calls placed every 5 business days until your provider's participation is confirmed in writing.
Never Miss a Renewal
Credential lapses trigger claim denials and can result in network termination. MGMA's 2024 Administrative Burden Survey found that practices without automated credentialing tracking spend an average of 14 hours per provider per renewal cycle on manual follow-up. DrCare MSO's automated tracking system monitors every expiration date and initiates the renewal process 90 days in advance — keeping your providers continuously enrolled with zero administrative burden on your staff.
Complete Credentialing Capabilities
Everything required to get enrolled and stay enrolled — no gaps, no lapses, no revenue left waiting.
Initial Credentialing
Full application management for new providers entering payer networks — CAQH setup through approval confirmation.
Re-Credentialing
Proactive re-credentialing with 90-day advance renewal tracking so no credential expires without timely action.
CAQH Management
Complete CAQH profile setup, data entry, document upload, and quarterly attestation for every provider.
Group Enrollment
Practice and group enrollment with commercial payers, Medicare, and Medicaid across all tax IDs and locations.
Privileges Management
Hospital and facility privileging support and ongoing maintenance across multiple facilities and health systems.
License Monitoring
Automated tracking of medical licenses, DEA registrations, board certifications, and malpractice insurance expiration dates.
The DrCare MSO Credentialing Process
A defined 5-step process — from intake to confirmed enrollment — with status updates at every milestone.
Provider Intake & Document Collection
We collect all required credentialing documents — NPI, DEA certificate, medical license, board certifications, malpractice certificates, and CV — using a secure online portal. Typical intake takes 48 hours.
CAQH Profile Setup & Attestation
DrCare MSO builds or updates your CAQH Universal Provider Datasource profile with complete, verified data and uploads all supporting documents. Accurate CAQH data is the single fastest way to cut payer processing time.
Payer Application Submission
Applications are submitted to your target payer list — Medicare PECOS, Medicaid, and all commercial payers — simultaneously. Each application is reviewed for completeness before submission to prevent processing delays.
Active Follow-Up Every 5 Business Days
DrCare MSO contacts each payer every 5 business days to check application status, respond to information requests, and escalate stalled applications. This follow-up cadence is why our average enrollment time is 30 days.
Confirmation & Ongoing Monitoring
You receive written confirmation of enrollment with each payer's effective date and provider ID. DrCare MSO then monitors your credentials continuously — flagging renewals 90 days before any expiration.
Stop Losing Revenue to Credentialing Delays
Every uncredentialed provider day costs your practice billable revenue. DrCare MSO gets providers enrolled in an average of 30 days — with zero paperwork on your end.
Get a Free Credentialing AuditCredentialing Timelines by Payer Type
Per DrCare MSO's analysis of 4,200+ credentialing applications processed in 2024, these are the average processing timelines by payer category — and where aggressive follow-up saves the most time.
| Payer Type | Industry Average | DrCare MSO Average | Primary Delay Factor |
|---|---|---|---|
| Commercial (UHC, Aetna, Cigna, BCBS) | 45–90 days | 28–35 days | Incomplete CAQH data |
| Medicare (PECOS) | 60–90 days | 45–55 days | NPI/PECOS record gaps |
| Medicaid (state programs) | 60–120 days | 50–70 days | State-specific paperwork |
| Regional HMOs & PPOs | 30–60 days | 20–30 days | Provider directory updates |
| Hospital Privileges | 90–150 days | 75–100 days | Medical staff committee cycles |
Source: DrCare MSO internal credentialing data, 2024. Industry averages per CAQH Index 2024 Report.
Frequently Asked Questions
Questions our credentialing team hears most — answered with specific timelines and process detail.
"Before working with DrCare MSO, our new cardiologist sat uncredentialed for 11 weeks — costing us an estimated $48,000 in deferred claims. DrCare MSO got our next two hires enrolled with all eight of our contracted payers in 31 days. Denial rate on their first month of claims came in at 3.8%. We haven't looked back."
Dr. Marcus Chen, MD
Medical Director, Apex Cardiovascular Associates — Dallas, TX
"We joined a new hospital network and needed 14 providers re-credentialed across three group NPIs simultaneously. DrCare MSO tracked every application, escalated two stalled submissions with the payer directly, and had all 14 confirmed in 38 days. Our AR days dropped from 52 to 26 in the quarter after enrollment completed."
Jennifer Mallory, CMPE
Practice Administrator, Ridgeline Orthopedic Group — Phoenix, AZ
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