Provider Credentialing

Optimize Your Provider Credential Service with Superior Medical Billing

Trusted Medical Billing Experts

Provider Credentialing Made Easy with SMBT Fast-Track Enrollment in Premium Payer Networks

Credentialing verifies a healthcare provider’s qualifications, licenses, and certifications to ensure compliance with state and federal regulations. Only properly credentialed providers can join payer networks and receive reimbursements from insurers like Medicare, Medicaid, Aetna, and Blue Cross Blue Shield.

At SMBT, we handle the entire credentialing process — from documentation and primary source verification to enrollment with major payers. Our experts ensure fast, accurate, and cost-effective credentialing, so you can focus on delivering quality patient care without administrative delays.

Credentialing made effortless.

Unlock the Full Potential of Your Medical Practice

Priority Reimbursement Advantage

Secure top-tier reimbursement rates, ensuring higher payouts for your services. Boost your revenue and enhance satisfaction with streamlined financial rewards.

Exclusive Privileges for Your Practice

Our efficient process secures vital contracts and privileges, enabling you to join innovative programs and earn performance-based incentives that boost your practice’s success.

Billing-Ready from Day One

Start submitting claims immediately with a unique provider identification number (PIN). Save time with seamless electronic claim submissions and real-time tracking.

Swift Reimbursements

Experience faster claim processing, ensuring steady cash flow for your practice. Payments are typically processed within 15 to 30 days, eliminating lengthy waiting periods.

Insurance Advocacy

We represent your interests with insurance providers, addressing concerns, negotiating terms, and resolving disputes to guarantee fair and timely payments for your services.

Reduce Denials

Say goodbye to denials with our expert support. We ensure accurate claims, verify eligibility, and secure authorizations, streamlining your process and maximizing efficiency.

We Secure Access to Valuable In-Network

SMBT provider enrollment services secure in-network contracts, regardless of how exclusive the payer panel may be.

Our work flow

Our Streamlined Credentialing Process

1. Application Preparation

We collect and organize your credentials, ensuring all documentation meets payer and facility requirements.

2. Primary Source Verification

Our team verifies licenses, certifications, and education directly with issuing authorities to maintain full compliance.

3. CAQH Enrollment

We complete and update your CAQH profile accurately to simplify payer registration and renewals.

4. Payer Enrollment Submission

Your applications are submitted to insurance networks for swift approval and inclusion in payer panels.

5. Follow-Up & Communication

We stay in touch with payers, providing updates and addressing queries to prevent any delays.

6. Approval & Confirmation

Once approved, we confirm your participation details and ensure all information is accurately recorded.

7. Ongoing Maintenance

We monitor credentials, manage renewals, and handle updates to keep your status active and compliant.

Comprehensive Credentialing Services

Streamlined Solutions for All Your Credentialing Needs

Medicare & Medicaid Enrollment

Join major U.S. health programs with ease. We handle full enrollment so you can meet regulations and expand your patient base effortlessly.

Commercial Insurance Credentialing

Get credentialed with top insurers like Aetna and Humana to increase patient access and secure better reimbursements.

NPI Registration

We help providers and organizations obtain or update their NPI for smooth billing, reporting, and compliance.

CAQH ProView Management

We manage your CAQH ProView profile, ensuring accurate provider data for multiple payers. This streamlines credentialing and strengthens your credibility with insurance networks.

Medicare DMEPOS Enrollment

Our team helps providers enroll in the Medicare DMEPOS program, allowing you to supply essential medical equipment to patients and ensure timely reimbursements.

Hospital Privileges Support

We assist physicians in obtaining and renewing hospital privileges, enabling them to admit and treat patients while expanding professional opportunities.

Contract Negotiation

We help healthcare providers negotiate favorable payer contracts, improving reimbursement rates, dispute terms, and network participation.

Revalidation & Re-Credentialing

Our experts manage revalidation and re-credentialing with all insurers to prevent enrollment lapses, maintain compliance, and ensure uninterrupted services.

Reimbursement Audit

We audit and resolve reimbursement issues like denials or underpayments, helping providers recover revenue and maintain healthy cash flow.

State License Management

We guide providers through state license applications and renewals, ensuring compliance and preserving professional credibility.

DEA Certification Renewal

Our team simplifies DEA certification and renewal so providers can legally prescribe controlled substances with full compliance.

CLIA Registration

We manage CLIA registration for laboratories, ensuring adherence to federal testing standards and supporting accurate diagnostic care.

Nationwide Credentialing Made Simple

Top-Rated Provider Credentialing Services Across the USA

SMBT provides expert credentialing services tailored to your practice needs. With over a decade of experience, we assist healthcare providers across all 50 states in meeting payer and state-specific requirements.

Our process includes assessing your needs, compiling and verifying key documents, and submitting them for swift approval. Backed by strong payer relationships, we streamline credentialing for faster enrollment.

From verifying medical licenses to managing re-credentialing, expedited processing, and locum tenens applications, SMBT is your trusted partner for complete enrollment and compliance.

Streamlined Credentialing for Healthcare Organizations

Payer Enrollment and Credentialing Services for Healthcare Providers

Streamlined Credentialing for Physicians

Our service ensures physicians quickly join insurance networks, enabling seamless patient care while enhancing credibility and trust with patients and peers.

PAs and NPs Credentialing

Streamline credentialing for Physician Assistants (PAs) and Nurse Practitioners (NPs) with our expert services. We help expand their practice scope, ensuring they’re authorized to deliver critical medical care independently and compliantly.

Hospitals

Our credentialing services enhance hospital efficiency by streamlining insurance claims processing and fostering collaboration across medical staff, ensuring smoother operations and improved patient care.

PT/OT/SLP

Our credentialing services empower physical, occupational, and speech therapists to join insurance networks, enabling them to provide essential rehabilitation services while ensuring consistent revenue streams.

Podiatrists (DPM)

Our credentialing services support podiatrists in gaining recognition within insurance networks, allowing them to provide specialized foot care and strengthen their standing as trusted experts in their field.

Chiropractors (DC)

Our credentialing services enhance chiropractors’ integration into insurance networks, ensuring greater access to patients and solidifying their role as vital contributors to holistic healthcare.

Ambulatory Surgery Centers (ASC)

Our credentialing services help ASCs build patient confidence by showcasing compliance with stringent quality standards, essential for delivering safe and effective surgical care.

Urgent Care Facility Credentialing

We streamline credentialing to ensure your urgent care facility is in-network with insurers, enhancing access to timely and affordable care for a wider patient base.

Diagnostic Testing Facility Credentialing

Our credentialing services help diagnostic facilities and clinical labs secure insurance approval, driving patient referrals and ensuring timely diagnosis and treatment.

Optometrist & Audiologist Credentialing

Our credentialing services expand the reach of optometrists and audiologists, enabling them to provide vital eye and ear care to a broader range of patients.

Behavioral Health Provider Credentialing

We assist behavioral health providers in joining insurance networks, ensuring critical mental health services are accessible to those who need them most.

Seamlessly enroll with your preferred payer through SMBT.

Government Payer Enrollment

We assist with enrollment for government payers, including Medicare, Medicaid, and TRICARE.

Commercial Payer Enrollment

We handle enrollment with leading commercial payers, including Blue Cross Blue Shield, Kaiser Permanente, Anthem, United Healthcare, Aetna, Cigna, and Humana.

Our Service packages

SMBT Provider Credentialing Solutions

Basic

Features:

Gather and validate all necessary documents and information.
Prepare and submit applications and forms to your selected payers.
Track progress and follow up until approvals and contracts are secured.
Provide regular updates on your credentialing status.
Issue your credentialing certification upon completion.

Advanced

Features:

Verify and attest to your information on payer portals as needed.
Manage your CAQH profile, Availity account, and Optum ID.
Update your documents and information promptly when required.
Handle periodic re-credentialing and re-enrollment.
Ensure compliance with all relevant rules and regulations.
Monitor and adapt to changes in payer requirements and policies.

Premium

Features:

Offer a tailored, specialty-specific EHR system for your practice.
Provide training for you and your staff on using the EHR system effectively.
Integrate the EHR system seamlessly with payer portals.
Manage all aspects of your medical billing processes.
Optimize your revenue cycle management for maximum efficiency.
Perform claim scrubbing and denial management to reduce errors and delays.
Provide 24/7 dedicated support to address any issues promptly.

Simplify Your Credentialing Process with Ease

Credentialing doesn’t have to slow you down. With our expertise, tools, and industry connections, we’ll handle the process and get you credentialed and enrolled with any payer you choose. Regardless of your specialty or location, we’ll help you access the full benefits of being in-network!