Managed Credentialing Services

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Primary Source Verification

Our team gathers the necessary documents from your providers and verifies their credentials.

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Provider Data Portal Maintenance

Our managed credentialing services team validates the information in your provider's CAQH profile.

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Privileging

We handle internal and external privileging, including follow-up to drive a decision.

Exclusions Monitoring

We continuously monitor all exclusions databases at the state and federal levels (including OIG and SAM).

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Document Management & Storage

Access provider documents at any time in MedTrainer Credentialing Software.

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License Verifications

We verify all professional licenses, including state, DEA, and more through our credentialing management services.

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Background Checks & NPDB

Rely on our team for premium verifications such as background checks and board certifications.

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Credentialing & Network Enrollment Analysis

Our managed credentialing services team starts with a network analysis to see if the provider is enrolled and if the enrollment is active.

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Network Enrollments

Let us handle provider, group, and facility enrollments from application to completion.

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Recredentialing

Maintain reimbursements when the MedTrainer team handles all aspects of recredentialing.

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Reminders & Follow-Ups

We take care of tedious follow-ups with providers and payers to keep the process moving.

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Audit Support & Assistance

Get provider summaries and reports to aid in board reviews or audits and streamline your credentialing management process.

What Our Customers Are Saying About Our Managed Credentialing Services

95%

On average, MedTrainer Credentialing customers say payer enrollments are faster with our credentialing management services.

3 weeks

On average, MedTrainer customers save 3 weeks a year on credentialing tasks.

93%

On average, MedTrainer Credentialing customers say primary source verifications and exclusions are faster.

"We are quite happy with MedTrainer's recredentialing service and find the customer support very helpful. We love the way our records are maintained."

Mawish Jaffery
Dental Credentialing, Secure Dental
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"MedTrainer has helped streamline our credentialing data for over 2,000 providers."

Shellee Thomas
Credentialing Supervisor, BlueSprig
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"Using MedTrainer helps us focus on other aspects of our clinic by cutting down on time needed for our credentialing. I would recommend MedTrainer, as they have a great team who is quick to respond to any issues or questions that may come up at any given time."

Dana Eberhard
Credentialing/Billing Specialist, FASA Family Wellness, PLLC
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"MedTrainer saves us time and money on employee verifications and exclusion checks."

Tish Woodall
Administrator, Tri-State Community Health Center
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Managed Credentialing Service FAQs

Do MedTrainer Credentialing Management Services cover privileging?

Can MedTrainer's Managed Credentialing Services cover credentialing in multiple states?

MedTrainer’s credentialing management service works in all 50 states. Our specialists are regionally focused teams who stay up-to-date on requirements for their states and keep all payer applications on file. Because they are focused on specific geographic areas, they can leverage relationships to ensure information is updated quickly.

Can MedTrainer Credentialing Management Services access government databases for provider information?

Yes, in instances of primary source verification, our managed credentialing services team verifies credentials through the original filing government agency.

Do MedTrainer Credentialing Services gather the documents from my providers?

Yes, our team is set up to interact with your team and providers to gather any necessary documents needed to properly credential.

How do I gain visibility into my credentialing process if MedTrainer is managing my credentialing?

This managed credentialing service also provides our clients full visibility to where providers are in the process as we provide clients access to the platform.


What is a credentialing service?

A credentialing service is a professional solution that manages the process of verifying healthcare providers’ qualifications, certifications, and licensure to ensure compliance with payer and regulatory standards. MedTrainer’s managed credentialing services streamline this complex process by handling tasks such as payer enrollments, revalidations, and credentialing updates. This helps providers maintain compliance while healthcare organizations save time, reduce administrative burdens, and keep revenue flowing.

Software
Service

Management

Award-Winning Platform
Dedicated Customer Support Team
Unlimited Technical Support

Files

Document Storage & Tracking
Document Uploading
Document Uploading
Self-manage in software

Data

Enrollment & Provider Reporting Capabilities
Self-manage in software
CAQH Import Profile Management
Self-manage in software
Credentialing Pipeline Data Analysis
Track within software
Provider Data Portal Maintenance (OHP, ADA, etc.)
Self-manage in software

Processes

Automated Exclusions (OIG/SAM)
Automate in software
DEA/NPI Verification in the platform
Automate in software
Payer Recredentialing
Track within software
Professional License Verifications
Track within software
Provider Privileging
Track within software
Network Enrollment Analysis
(Provider Enrollment Analysis)
Track within software
Facility Privileging
Track within software
New Payer Enrollments
Track within software
Premium Primary Source Verifications
Track within software
National Practitioner Data Bank
Track within software
Background Checks
Track within software

See how much you can save. Request a demo today.

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Resources

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