Medical billing and credentialing services can feel like a lot when you’re already running a busy practice. The forms, the follow-ups, it all takes more time than it should. That’s why we handle it for you. We keep the paperwork moving, stay on top of approvals, and make sure nothing gets stuck in the process. Your practice stays steady and organized, your payments come in on time, and you don’t have to chase anything. You get to focus on your patients, while we quietly manage everything in the background.
RCM Services
We Bridge the Gap Between Your License and Your Patients.
Here is why more than 25000+ providers have trusted Doctor Management Services with medical credentialing services:
Getting credentialed shouldn’t feel like a full-time job. From gathering documents to following up with payers. DoctorMGT steps in to handle the details and make sure your applications move forward without unnecessary delays.
Let us take the hassle out of your healthcare credentialing, so you can concentrate on growing your practice.
Enrolling your practice as a Medicare and Medicaid provider involves complex rules and regulations of California, and it’s easy to get lost in the paperwork. DoctorMGT, as an experienced medical credentialing company, specializes in helping healthcare providers get Medicaid and Medicare credentials in 3x faster.
For an individual provider as well as a healthcare organization in the USA, having a correct and up-to-date NPI is vital for smooth billing, claims processing, and electronic health records (EHR) exchange. Doctor Management Services’ provider credentialing services assist healthcare providers for both Type 1 (individual) and Type 2 (organizational), in getting and updating their National Provider Identifier (NPI).
Commercial insurance payers have different eligibility requirements and plans in California; the credentialing process might take a while. Experts at a physician credentialing company gather and arrange all necessary paperwork, including licenses, certifications, and training records. We ensure to fulfil all documentation and eligibility requirements of commercial insurance payers such as Humana, Cigna, and Aetna.
Our Doctor credentialing services include reviewing every field, fixing outdated or missing data, and creating new CAQH ProView profiles when needed, ensuring your record is always accurate and enrollment-ready.
In the next step, we collect and upload all provider documents, licenses, and certifications while creating an enrollment file for data consolidation. All our files are password-protected and end-to-end encrypted to ensure compliance with the HIPAA data security rule.
We complete, validate, and submit applications to targeted insurance networks with zero data gaps, accelerating credentialing approvals and network activation.
Our physician credentialing team maintains constant communication with payers, resolves missing information requests immediately, and keeps providers of the USA updated until every application is approved.
We oversee the creation and ongoing updates to the CAQH and PECOS credentialing portals.
We assure compliance with the NCQA standards through our provider credentialing services.
We maintain data integrity & contracting issues through regular audits.
Still waiting for your approvals? Let Doctor Management Service takeover all your headache, so you can focus on patient care
Our Stats
We create or update each provider’s CAQH and PECOS profiles, link their NPI and license details, and sync that information with payers to avoid enrollment delays. This ensures all data in both portals stays accurate and aligned with payer credentialing requirements.
Our credentialing company for physicians follows NCQA-approved verification procedures from primary-source checks to recredentialing reminders to keep your practice compliant with payer and accreditation standards. We also prepare you for NCQA or internal audits by maintaining documentation trails in real time.
Our team of doctor credentialing services makes sure to run automated cross-checks between CAQH, PECOS, and NPPES records to catch address, license, or taxonomy mismatches in credentialing services for providers before submission. This reduces payer rejections and keeps your medical credentialing records fully synchronized.
Yes. Our medical credentialing services for providers cover single-state, multi-state, and multi-location setups. We track every board renewal, DEA registration, and state license update so your file stays active across all jurisdictions.
We, as a medical credentialing company, recommend reviewing provider data every 90 days and performing full recredentialing every 2–3 years, depending on payer policy. Our platform automates these reminders, ensuring your physician credentialing stays current without interruptions.
Our team immediately audits the rejected application, fixes data errors, and resubmits it with the correct supporting documents. This minimizes lost time and ensures faster approval within insurance medical credentialing services workflows.
Absolutely. We monitor each provider’s attestation due date and handle re-attestation on schedule, keeping your CAQH file visible to payers at all times.
All documents are stored in encrypted, access-controlled systems with activity logs. Our credentialing company for physicians follows HIPAA’s Privacy and Security Rules, ensuring full protection of provider and patient-related data.
Yes. Our medical billing and healthcare credentialing services are fully integrated credentialing data flows directly into payer enrollment and claim setup, preventing claim denials due to provider enrollment issues.
Yes. As one of the healthcare credentialing companies in California specializing in multi-specialty providers, we handle state-specific licensing, WC enrollments, and payer network setup for both individual doctors and group practices.
