Complete Provider Credentialing From Licensure to Final Approval
Most credentialing companies submit applications and wait for responses. We contact state boards and payers directly when applications stall, resolving issues before they turn into delays.
Credentialing applications move through state medical boards, Medicare PECOS systems, commercial insurance verifications, and hospital privileging committees. Each system has different processing timelines and documentation requirements. We know which Medicare PECOS errors delay applications for weeks, which state requirements vary across jurisdictions, and how long each commercial payer takes to verify credentials.
When applications need follow-up or credentials change, we handle it immediately. State licensure, DEA registration, CAQH profiles, Medicare enrollment, Medicaid applications, commercial panels, hospital privileges. Updates happen before they affect your providers' ability to bill.
How We Keep Your Providers Working
Whether you're credentialing one provider or a thousand, working with us means no missed deadlines, no credential lapses, and no providers sitting idle. Just consistent credentialing that keeps your team working.
Getting Started is Easy
Speak to a Credentialing Specialist Now
With our experience managing and revitalizing healthcare practices across the country, SMCG understands how provider credentialing solutions impact your bottom line.
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Provider Credentialing Expertise
Specialized Knowledge Beyond Applications
Most credentialing companies handle applications like paperwork exercises. We treat credentialing as a process that requires deep knowledge and experience with state board timelines, Medicare verification systems, commercial payer requirements, and hospital committee schedules. This specialized knowledge is what speeds up approvals and prevents lapses.
Document Verification That Goes Deeper
Primary source verification confirms credentials directly with issuing bodies. We understand which commercial insurers require verification from specific entities and exactly how long each verification takes. Documentation gaps get resolved before they turn into denials.
Proactive Follow Up With Payers
Our credentialing specialists monitor portal status daily and contact payer representatives directly when applications stall. We know Medicare PECOS errors that delay applications for weeks and track state Medicaid requirements that vary across all 50 jurisdictions.
Committee Schedule Coordination
Hospital credentialing committees meet on fixed schedules. Missing a deadline means waiting another month or quarter. We track committee calendars and submission windows to get providers reviewed at the earliest possible meeting.
Expiration Tracking That Prevents Lapses
Licenses renew on different cycles across states. Malpractice coverage expires annually. Re-credentialing windows open 90 to 180 days before current credentials end. When licenses renew or credentials change, we update every system immediately.
State Specific Requirement Knowledge
Each state medical board has unique application forms, processing timelines, and documentation requirements. Multi-state providers face exponentially more paperwork. We handle state-by-state nuances so multi-location expansion doesn't stall.
Performance Visibility You Can Trust
Real-time status dashboards show where every application stands. Quarterly reports track approval timelines and identify bottlenecks. You get transparency into credentialing operations without spending staff time on status checks.
Verification of Credentials
Credentialing Solutions Scaled to Your Organization
From solo practitioners to hospital systems, SMCG manages insurance credentialing at any scale. Our team has extensive experience with Medicare/Medicaid, NPPES, JCAHO, NCQA, OIG, and NPDB accreditation services.
Small Groups
Core credentialing services for growing practices
- Initial Credentialing And Recredentialing
- Provider Enrollment
- Establishing And Maintaining NPIs
- Establishing And Maintaining CAQH
- Reporting Demographic And Tax ID Changes
- Online Account Portal with Status, Updates, Credentials
Multi-Provider Groups
Everything in Small Groups, plus expanded services
- Hospital And ASC Appointment And Reappointment
- Negotiating And Renegotiating Of Payor Contracts
- Reporting Of Expiring Certifications, Licenses And Liability Insurance
- Record Keeping Of Continuing Education
Enterprise & Hospital Systems
Complete credentialing operations at scale
- All services from Small and Multi-Provider tiers
- Dedicated account management team
- Multi-location coordination
- Custom credentialing dashboards
- Strategic expansion planning support
Monthly Credentialing Rates Per Number of Providers
Special Group Rates Available for Multiple Providers
Discounted Tiers for Established Providers
Book A Free ConsultationCommon Credentialing Challenges We Solve
Healthcare organizations face the same credentialing obstacles. Here's how SMCG addresses them.
Adding a new provider and worried about credentialing delays?
Most credentialing applications take 90 to 180 days when handled internally. SMCG monitors every application daily and contacts boards and payers directly when progress stalls. Our specialists know exactly which state medical boards process applications fastest and which commercial payers require additional documentation. Providers start generating revenue weeks earlier.
Contract renewals coming up and concerned about reimbursement rates?
Payer contracts renew on different schedules. Miss a renewal window and you accept existing terms for another year or longer. SMCG tracks every contract expiration date and opens renegotiation discussions 90 days before renewal. We research current market rates in your region and specialty, then present documented justification for rate increases based on your volume and quality metrics.
Need better negotiating power to secure terms that benefit your practice?
Single providers and small groups have limited leverage with large insurance companies. SMCG represents hundreds of providers across multiple specialties and states. We understand payer contract language, know which terms are negotiable, and recognize when a payer's offer falls below market standards. Our credentialing team negotiates from a position of knowledge and experience.
Allied Health Professionals
SMCG credentials Physician Assistants, Nurse Practitioners, Physical Therapists, and other allied health professionals. Many practices need credentialing support for their entire clinical team, not just physicians. We handle panel enrollment and privileging for all provider types.
Trusted Nationwide
Healthcare Organizations Choose SMCG for Credentialing Expertise
From solo practitioners to hospital systems credentialing hundreds of providers, healthcare organizations trust SMCG to eliminate the delays and administrative burden that come with managing credentialing internally.
All 50 States
State licensure, Medicare/Medicaid, and commercial payer enrollment across every jurisdiction
All Specialties
Physicians, physician assistants, nurse practitioners, physical therapists, and allied health professionals
Every Payer
Medicare, Medicaid, Aetna, UnitedHealthcare, Cigna, Anthem, Humana, Blue Cross Blue Shield, and regional plans
Our credentialing specialists monitor applications daily, contact payers directly when progress stalls, and track every renewal deadline. You get faster provider approvals, better contract terms, and complete transparency into credentialing operations.
Credentialing progress starts with one conversation.
Schedule Your Free Consultation
Speak with an SMCG credentialing specialist about your organization's needs
Schedule A Courtesy ConsultationNo obligation. Most consultations take 20 minutes.
