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Get Enrolled. Get Reimbursed. Get Ahead.

Health Provider Credentialing Services to Accelerate Your Practice Growth

Tired of enrollment delays and claim rejections? TrueCare RCM delivers comprehensive provider enrollment and credentialing solutions for Medicare, Medicaid, and commercial payers. We help healthcare professionals join insurance networks faster so they can begin billing sooner, attract more patients, and remain fully compliant without administrative stress.

Our services are tailored for physicians, group practices, and multispecialty clinics, combining expertise in medical billing, coding, and credentialing to simplify revenue cycle management.

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Our Credentialing Process from Start to Finish

We follow a clear, six-step workflow to help providers get enrolled quickly and without errors. Every stage is managed by a certified credentialing specialist and monitored for accuracy, compliance, and speed.

1. Profile Review & Setup

We review your CAQH, NPPES, and PECOS profiles. If information is missing or outdated, we update or create it to ensure you are ready for payer enrollment.

2. Document Collection

All required documents—licenses, malpractice insurance, certifications, and more—are securely gathered and stored in HIPAA-compliant systems.

3. Credentialing Management

Your case is managed by a dedicated credentialing specialist using a secure, trackable workflow designed for healthcare providers.

4. Payer Applications

Applications to Medicare, Medicaid, and commercial insurance plans are prepared and submitted with precision to reduce delays and rejections.

5. Ongoing Follow-Up

We communicate directly with payers, respond to requests, and provide real-time updates, so you don’t waste time chasing information.

6. Contract Finalization

We finalize contracts to ensure they align with payer requirements and complete the credentialing process efficiently.

Why Providers Choose TrueCare RCM

Providers across specialties trust TrueCare RCM because we:

  • Simplify the entire credentialing process
  • Provide expert guidance at every step
  • Deliver real-time status updates for peace of mind
  • Achieve faster enrollments with fewer delays

Talk to a Credentialing Expert

✔ For providers of any size, at any stage
✔ Boost practice growth without extra stress
✔ Never miss deadlines again

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Healthcare
Provider Enrollment & Credentialing Services

Credentialing Support That Keeps You Compliant and Ready

We go beyond standard enrollment and physician credentialing services to ensure your practice stays licensed, certified, and inspection-ready at all times. Our team provides ongoing compliance support tailored to your specialty, with every step managed by a certified credentialing specialist who understands today’s evolving healthcare regulations.

Our compliance support includes:

  • State License Management – Tracking renewals and maintaining valid provider licenses
  • DEA Certificate & Renewal – Ensuring timely setup and renewals for prescribing authority
  • CLIA Registration Services – Assisting with certification for laboratories and diagnostic practices

With TrueCare RCM, you get more than credentialing—you get a long-term compliance partner that keeps your practice running without interruptions.

Billing, Coding & Credentialing Services for Every Healthcare Specialty

At TrueCare RCM, we provide complete provider enrollment and credentialing services for healthcare professionals across all major specialties. Whether you’re starting a new practice or expanding into new networks, our credentialing specialists help you join payers faster, stay compliant, and get reimbursed without delays.

We specialize in the following areas, delivering solutions tailored to the unique needs of every practice:

Family Practice Billing Services

Accurate family practice billing and coding services that maximize claims and reimbursements.

Internal Medicine Billing Services

Streamlined billing for internal medicine providers to reduce denials and boost cash flow.

Pediatrics / Neonatology Billing Services

Pediatric billing experts ensuring compliant coding and faster payments for every claim.

Dermatology Billing Services

Dermatology billing and coding for faster payments and improved revenue cycle efficiency.

Pathology Billing Services

Comprehensive pathology billing ensuring accurate CPT coding and minimal claim denials.

DME Billing Services

Durable medical equipment billing that ensures compliance and maximizes reimbursement rates.

Home Health Billing Service

Home health billing experts delivering compliant claims and seamless cash flow.

Emergency Medicine Billing Services

Emergency billing and coding services built for speed, compliance, and accurate reimbursement.

Anesthesiology Billing Services

Anesthesia billing solutions that improve accuracy and ensure timely, complete reimbursements.

Orthopedic Billing Services

Orthopedic billing specialists handling complex coding, surgery claims, and payer compliance.

Ambulatory Surgical Center (ASC) Billing Services

ASC billing experts managing multi-procedure coding and reimbursement optimization.

Pain Management Billing Services

Pain management billing designed to eliminate denials and accelerate payments.

Sports Medicine Billing Services

Sports medicine billing specialists managing treatments with precision and speed.

Behavioral Health Billing Services

Behavioral health billing with specialized coding for therapy, psychiatry, and counseling.

Physical Therapy Billing Services

Physical therapy billing that reduces denials and accelerates payment turnaround times.

Occupational Therapy Billing Services

Simplify occupational therapy billing with compliant codes and improved reimbursement flow.

And Many More!

TrueCare RCM is your partner in revenue cycle management regardless of your medical specialty. Our experienced credentialing & billing professionals understand the unique challenges and medical coding requirements of each specialty, ensuring accurate medical billing, timely claim submissions, and revenue maximization.

Our Expertise

Patient Scheduling & Registration
Eligibility & Benefits Verification
Authorization & Referral
Enrollment & Credentialing
Medical Billing
Medical Coding
Charge Entry & Payment Posting
Billing & Coding Audits
Financial & Billing Audits
Denial Management
AR Management
Old AR Recovery
Revenue Cycle Optimization
Patient Billing & Statements
Collections Services
Patient Support 24/7
Revenue Cycle Management Services

How We Deliver Credentialing That Actually Works

At TrueCare RCM, we make credentialing simple, accurate, and reliable. Our proven workflow is built to save you time, reduce errors, and keep your practice compliant, so you can focus on patient care instead of paperwork. From PECOS to payer contracts, every detail is managed by experts to ensure faster approvals and uninterrupted reimbursements.

Our Credentialing Delivery Includes:

  • 24/7 Dedicated Credentialing Team – Always available to answer questions and resolve issues quickly.
  • PECOS & CAQH Setup – Complete profile management to ensure readiness for payer enrollment.
  • Data Accuracy & Contract Review – Prevents errors and ensures agreements align with payer requirements.
  • Consistent Follow-Ups – We stay in touch with payers until your application is approved.
  • Full Compliance Assurance – Every step follows healthcare credentialing standards to protect your practice.

With TrueCare RCM, credentialing isn’t just paperwork—it’s a streamlined process that keeps your revenue cycle moving without delays.

Our Medical Credentialing Services

At TrueCare RCM, we deliver complete medical credentialing and provider enrollment solutions to help healthcare professionals stay compliant, join payer networks, and get reimbursed on time. Our services cover every stage of credentialing and re-credentialing, so nothing slows down your revenue cycle.

Credentialing & Enrollment Services

  • Medicare & Medicaid Enrollment
  • Commercial Insurance Credentialing
  • Provider Enrollment & Setup
  • NPI Registration (Type I & Type II)
  • CAQH Registration & Ongoing Maintenance
  • Medicare DMEPOS Enrollment

Compliance & Practice Support

  • Hospital Privileges
  • Contract Negotiation with Payers
  • State License Management
  • DEA Certificate Issuance & Renewal
  • CLIA Registration Services

Ongoing Maintenance & Audits

  • Revalidation & Re-Credentialing
  • Credentialing Audit Services
  • Reimbursement Issues Review & Audit

TrueCare RCM Provider Credentialing Service Packages

We offer flexible credentialing packages designed to fit the needs of practices of all sizes. Whether you’re looking for essential enrollment support or a full-service solution that includes billing, scheduling, and payer management, TrueCare RCM has you covered.

Basic Package

Ideal for providers who need essential credentialing support and payer enrollment.

Includes:

  • PECOS Management
  • CAQH Maintenance
  • Demographic Updates
  • Provider State License Management
  • NPI Registration (Type I & II)
  • DEA Certificate & Renewal
  • Provider Credentialing
  • Revalidation & Re-Credentialing
  • Contract Negotiation
  • CLIA Registration
  • Enrollment with up to 5 Payers
  • 24/7 Support
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Advanced Package

Designed for growing practices that need expanded enrollment and operational support.

Includes everything in Basic, plus:

  • Software Setup
  • Clearinghouse Enrollment
  • Enrollment with up to 15 Payers
  • Medical Billing & Coding Services
  • Scheduling Services
  • Enrollment with State Payers (Unlimited)
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Premium Package

Best for practices and groups seeking complete coverage with credentialing, billing, and state-level enrollment.

Includes everything in Advanced, plus:

  • Unlimited Credentialing Maintenance
  • Extended Compliance Management
  • Priority Credentialing Assistance
Full Coverage Support

Choose the package that fits your practice and let TrueCare RCM handle the credentialing, so you can focus on delivering patient care.

Nationwide Medical Billing & Credentialing Services Near You

TrueCare RCM delivers accurate, compliant, and technology-driven medical billing, coding, and credentialing services to healthcare providers across the United States. Whether you’re a solo physician or a multi-specialty practice, we help you increase revenue, reduce denials, and stay fully compliant—with expert support available in every state.

📍 States We Proudly Serve:

California (CA)

North Carolina (NC)

Texas (TX)

Arizona (AZ)

Florida (FL)

Illinois (IL)

Michigan (MI)

Maryland (MD)

Georgia (GA)

New York (NY)

Virginia (VA)

Minnesota (MN)

View All States We Serve

Frequently Asked Questions

Physician credentialing is the process of verifying a provider’s qualifications—such as licenses, education, training, and work history—and submitting them to insurance companies so the provider can join payer networks and bill for services.

Without credentialing, providers cannot bill Medicare, Medicaid, or commercial insurance plans. Credentialing ensures compliance, opens access to more patients, and allows providers to receive timely reimbursements.

Typical documents include state medical licenses, DEA certificate, malpractice insurance, board certifications, work history, education details, CAQH profile, NPI numbers, and other practice-related information.

On average, credentialing takes 60–120 days, depending on the payer and completeness of documentation. Using a credentialing company can reduce delays and speed up approvals.

  • Credentialing verifies a provider’s qualifications.
  • Enrollment is the process of joining a payer’s network so you can bill and get reimbursed.

Both steps are required to start seeing patients under insurance plans.

We manage the entire setup and maintenance of your CAQH and PECOS profiles, ensuring all information is accurate and up to date—reducing errors and payer rejections.

Yes.

  • NPI Type I is for individual providers.
  • NPI Type II is for group practices or organizations.

Most practices need both for billing and enrollment.

If denied, TrueCare RCM identifies the cause, corrects errors, resubmits applications, and works directly with the payer to get your enrollment approved.

Recredentialing is the process of updating and re-verifying provider information with payers. Most insurers require recredentialing every 2–3 years to maintain active network status.

Credentialing requires time, precision, and payer follow-ups. Outsourcing saves staff hours, reduces costly errors, accelerates enrollment, and ensures compliance—while letting your team focus on patient care.

  • Medical billing focuses on claim submission, coding, and payment collection.
  • Credentialing ensures providers are enrolled with payers so claims can be billed in the first place.

Both are essential for a successful revenue cycle.

Credentialing certification validates expertise in provider credentialing. Professionals often earn it through organizations like the National Association Medical Staff Services (NAMSS). TrueCare RCM employs certified credentialing specialists to ensure accuracy and compliance.