Every Provider In Network. Every Document Current. Nothing Falls Through.
Full credentialing and contracting support built to scale from one provider to an entire group.
MediCommerce manages credentialing and contracting for medical groups, hospitals, and multi location providers, covering provider enrollment, insurance credentialing, group payer contracting, and hospital privilege. A live, centralized record tracks every credential and deadline, with direct communication to payers and facilities, so nothing lapses and nothing depends on someone remembering.
What We Manage For You
Who This Is For
This service fits a solo physician just getting credentialed for the first time as easily as it fits a physician group with a dozen providers spread across multiple facilities. The structure is the same either way, a single provider or a full group, we treat every credential and every deadline with the same level of tracking and follow through.
Why MediCommerce
Most credentialing vendors treat each application as a standalone transaction. MediCommerce treats your provider roster as a living system, since a license renewal, a hospital privileging cycle, and a payer re credentialing deadline are all connected to the same underlying goal, keeping every provider able to see patients and get paid without interruption. Because credentialing sits alongside our Core Billing and Staffing Solutions, we also understand how a delayed effective date or a lapsed credential directly affects your revenue, not just your compliance file.
Our Process
01. Provider database setup
We build a complete profile for every provider in your group, capturing every license, certification, and existing payer or facility relationship.
02. Application submission and follow up
We submit new enrollment, credentialing, and privileging applications, and follow up consistently until each one reaches an approved status.
03. Ongoing monitoring and alerts
Every credential in the database is tracked against its expiration date, with alerts sent to physicians well ahead of any deadline.
04. Renewals and group changes
As contracts come up for renewal or your group adds providers and locations, we manage the update across every payer and facility relationship affected.
FAQ
Do you handle credentialing for an entire physician group, or only individual providers?
Both. We manage credentialing, contracting, and privileging for solo physicians and for full physician groups, and the process scales as your group grows.
What happens if a provider's license or DEA registration is about to expire?
We track every provider’s licensing, DEA registration, malpractice liability coverage, and certifications like ACLS in a centralized database, and we alert the physician well ahead of the expiration date so there is time to renew before it becomes a problem.
Do you handle hospital and facility privileging in addition to insurance credentialing?
Yes. We work directly with medical staff offices to secure and maintain privileges at every hospital or facility your providers are affiliated with.
Is credentialing included with your billing or staffing services?
No. Credentialing and contracting is priced separately from Core Billing Services and Staffing Solutions. Many practices use it alongside those services, while others use it on its own.
We submit and manage credentialing applications for individual providers and full physician groups alike, including CAQH profile creation and ongoing attestation, Medicare PECOS enrollment, and enrollment with commercial payers. Every application is tracked through to an approved, in network status, with regular follow up so nothing sits idle in a payer's queue.