Credentialing Shouldn’t Hold Back Your Practice

Bringing on a new provider should mean more access for your patients—not weeks of paperwork and stalled revenue. Unfortunately, every payer has their own process, timeline, and requirements—and if even one step is missed, the whole application can be delayed.

That’s where MBM steps in. We manage the entire credentialing process, start to finish, so your providers can get to work faster and without the administrative drag.

The Problem Practices Face

Credentialing isn’t hard—but it’s incredibly time-consuming. For each new provider, you need to apply with every payer your practice accepts. For growing groups, that can mean 10–20 separate applications, each with different forms, follow-up requirements, and timelines. Even when everything is submitted correctly, it often takes 60–90 days for approvals to come through.

Until then? The provider is in limbo. Services can’t be billed to that payer—or may need to be rendered under another NPI, creating compliance and reimbursement headaches.

What We Handle

We streamline and manage credentialing with:

• Commercial payers (e.g., Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare)

• Medicare & Medicaid

• Managed Care Organizations (MCOs)

• Behavioral Health Networks and EAPs

• Worker’s Comp & State-Specific Plans

Typical process includes:

1. Gathering provider documents – NPI, licenses, malpractice insurance, CAQH login (or creation), W-9, etc.

2. Application preparation & submission – Including completion of payer-specific paperwork or online portals.

3. Follow-ups & corrections – We track applications weekly, address any delays, and escalate when necessary.

4. Tracking and confirmation – You’ll receive ongoing updates and final confirmation once credentialing is approved.

We also handle re-credentialing and maintenance, so once you’re enrolled, you stay enrolled.

Why It Matters

Delays in credentialing mean delays in revenue—and wasted schedule availability. For every provider sitting in payer purgatory, there’s a loss in productivity, patient service, and financial performance. We help you avoid that.

Built for Growing Practices

Whether you’re onboarding one new provider or scaling a team of 10 across multiple specialties, MBM keeps your credentialing process moving. We track every payer, every deadline, and every piece of paperwork—so you don’t have to.

If credentialing has become the bottleneck in your growth, we’re built to remove it.