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CARE CLAIM SOLUTIONS

Credentialing & Enrollment

The first step to faster, compliant reimbursements.

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We Build Your Gateway to Revenue

Credentialing isn't just paperwork—it's your entry pass to getting paid. At Care Claim Solutions, we manage the complex and time-sensitive world of provider credentialing and insurance enrollment, ensuring no delays, no compliance risks, and no lost revenue.

We help providers:

1

Get enrolled faster with all major payers payer-specific CPT/HCPCS rules with ease

From Medicare and Medicaid to commercial insurers, we handle application preparation, submission, and tracking.

2

Maintain credentialing accuracy year-round

We monitor re-credentialing dates, CAQH updates, and payer notifications so you stay active and in-network.

3

Optimise insurance panel participation

We help you join the right plans based on your specialty, location, and patient base—maximising revenue opportunities.

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Credentialing Is More Than an Application—It’s a Strategy

Incomplete credentialing is one of the most overlooked causes of delayed payments and denied claims. Our team treats credentialing as an active part of your revenue cycle—keeping your status updated, compliant, and positioned for steady, uninterrupted reimbursements. Whether you're onboarding new providers, expanding into new locations, or updating existing contracts, we handle the paperwork, communications, and tracking—so you can focus on patients. Whether you're struggling with aging receivables or inconsistent monthly revenue, our team acts as your financial command centre—driving collections while freeing up your staff for patient-facing care. By syncing directly with your imaging workflow (PACS, RIS, EHR), we help reduce billing friction and increase financial performance.

Credentialing Done Right—Because Your Revenue Depends on It

Insurance credentialing and payer enrollment aren't background tasks—they are the foundation for getting reimbursed consistently and compliantly. At Care Claim Solutions, we treat credentialing as a critical first step in your revenue cycle, managing every form, portal, and payer conversation with precision. We don’t just submit applications—we actively monitor, update, and strategically guide your credentialing to keep you in-network, properly reimbursed, and protected from administrative delays. With us, you’re always positioned for faster payments, broader patient access, and long-term operational stability. At Care Claim Solutions, we handle the entire revenue journey—patient intake, eligibility verification, coding, submission, denial resolution, and final collections. Our approach is structured, software-aligned, and custom-built for your practice size and specialty mix. Whether you're a solo provider or managing multi-specialty locations, we make sure every encounter results in accurate billing, faster payments, and clean financial records. Whether you're a standalone imaging centre or part of a larger multi-specialty network, we help you maintain financial accuracy while reducing operational burdens. Our focus is simple: get your claims approved faster, paid quicker, and handled with the accuracy radiology demands.

We manage every part of your enrollment—from gathering documentation to submitting applications and following up until approval.

  • Medicare
  • Medicaid, and Commercial Insurance Panels
  • End-to-end payer communication
  • Status tracking and reporting

We set up and maintain your CAQH profile, ensuring it’s synced with payer portals and kept current with licensure, certifications, and insurance documents.

  • Initial CAQH registration
  • Profile attestation management
  • Payer integration alignment

We set up your secure Electronic Data Interchange (EDI) for claims and Electronic Funds Transfer (EFT) for direct deposit of payer reimbursements—speeding up cash flow.

  • EDI enrollment with clearinghouses and payers
  • EFT setup for faster reimbursement
  • Banking verification and updates

Credentialing isn’t one-and-done. We monitor expiration dates, manage renewals, and respond to payer audits or information requests proactively.

  • Credentialing expiration tracking
  • Automated re-credentialing submissions
  • Compliance support during payer audits

Beyond paperwork, we guide providers on selecting the most profitable insurance panels based on local demographics, specialties served, and practice growth goals.

  • Payer contract evaluation
  • Fee schedule review
  • Strategic payer participation planning