Insurance Credentialing
Nationwide Insurance
Credentialing Made Simple
We simplify the insurance credentialing process for healthcare providers across all 50 states. From preparing accurate applications to managing payer communications and ensuring compliance, our credentialing specialists handle everything for you. Whether you’re enrolling with Medicare, Medicaid, or private insurers, we help you get credentialed faster—so you can join more networks and grow your practice with ease.
Why Providers
Trust Us for Insurance Paneling
Our experienced team specializes in provider insurance paneling, ensuring you’re enrolled with the right payers quickly and correctly. We take the guesswork out of credentialing by managing applications, follow-ups, and compliance requirements on your behalf. With our hands-on approach and industry insight, providers trust us to streamline the paneling process, reduce delays, and help expand patient access across insurance networks.
Our End-to-End
Insurance Credentialing Process
From initial application to final payer approval, we manage every step of the insurance credentialing process for you. Our streamlined approach ensures accuracy, reduces delays, and keeps your practice compliant while getting you credentialed with Medicare, Medicaid, and commercial insurance networks efficiently.
Provider Information Collection
We gather all required documents and details, including licenses, NPI, CAQH info, and malpractice insurance.
Credentialing Application Preparation
Our team completes accurate payer-specific applications, tailored for Medicare, Medicaid, and commercial insurers.
Primary Source Verification
We ensure all credentials are verified directly with issuing authorities to meet compliance standards.
Application Submission
Your applications are submitted to each insurance payer, following up-to-date protocols and timelines.
Continuous Follow-Up
We communicate with payers regularly, resolve issues promptly, and track your application status to avoid delays.
Enrollment Confirmation
Once approved, we verify your participation in the payer networks and provide confirmation for your records.
Setup Your CAQH Profile Like a Pro
Let Details RCM handle your CAQH profile setup and maintenance, ensuring a hassle-free credentialing process. Contact us today to get started!
Faster Credentialing. More Coverage.
Details RCM provides end-to-end insurance credentialing services, streamlining the process for healthcare providers to join top insurance networks. We manage everything from application submissions to primary source verifications, CAQH profile updates, and contract negotiations. Our goal is to help providers quickly gain access to major insurance networks like Aetna, Blue Cross Blue Shield, Cigna, Humana, UnitedHealthcare, Medicaid, Medicare, Anthem, Kaiser Permanente, and Tricare, ensuring faster network participation and more patient opportunities.
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Select Service(s)
Services that you need to transform your healthcare RCM
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Free Consultation
Get a no obligation consultation to know your practice needs.
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Onboarding
Onboarding and Strategizing custom tailored solutions best of your practice.
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Execution
Execution of services and assessing growth and reporting.
How We Work
Complete Credentialing
Support
Stay Compliant. Stay Connected.
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Frequently Asked
Questions
Get instant answers to some of the most frequent asked queries about CAQH credentialing.
We Are Here To Help With Your queries !
CAQH (Council for Affordable Quality Healthcare) is a centralized platform that simplifies provider credentialing with insurance payers, reducing paperwork and administrative burdens.
You need to register on the CAQH ProView portal, enter your professional details, upload required documents, and complete attestation for verification.
The process typically takes 30-60 days, depending on document accuracy and payer verification timelines.
While not legally required, many insurance payers mandate CAQH enrollment for network participation and claims reimbursement.
Common documents include medical licenses, board certifications, malpractice insurance, DEA registration, and professional references.
Providers must re-attest their CAQH profile every 90 days and update any changes in licensure, credentials, or practice details promptly.
Yes, CAQH ProView allows providers to share their credentialing information with multiple payers, streamlining the enrollment process.
An incomplete or outdated profile can lead to credentialing delays, claim denials, or removal from insurance networks.
No, CAQH stores and shares your information, but each payer reviews and approves credentialing separately.
We assist with profile setup, enrollment, document submission, attestation, and ongoing maintenance to ensure seamless payer credentialing.
