Managed Credentialing Services

Why MedTrainer

Managed Credentialing Services

Primary Source Verification

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

Provider Data Portal Maintenance

We validate the information in your provider's CAQH profile.

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).

Document Management & Storage

Access provider documents at any time in MedTrainer Credentialing Software.

License Verifications

We verify all professional licenses, including state, DEA, and more.

Background Checks & NPDB

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

Credentialing & Network Enrollment Analysis

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

Network Enrollments

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

Recredentialing

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

Reminders & Follow-Ups

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

Audit Support & Assistance

We provide provider summaries and reports to aid in board reviews or audits.

"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

"MedTrainer has helped streamline our credentialing data for over 2,000 providers."

Shellee Thomas

Credentialing Supervisor, BlueSprig

"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

"MedTrainer saves us time and money on employee verifications and exclusion checks."

Tish Woodall

Administrator, Tri-State Community Health Center

Credentialing Service FAQs

Do MedTrainer Credentialing Services cover privileging?

Can MedTrainer Credentialing Services manage credentialing in multiple states?

MedTrainer’s credentialing 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 Services access government databases for provider information?

Yes, in instances of primary source verification, we have the ability to verify 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?

MedTrainer’s team of credentialing specialists use MedTrainer Credentialing Software to accelerate the credentialing and enrollment processes for your organization. This also provides our credentialing services clients full visibility to where providers are in the process as we provide clients access to the platform.

Software

Service