- (773)-985-1869
- info@stream-rcm.com
- 14430 Ocean Point, El Paso, TX 79938
Stream RCM offers medical credentialing services in the United States to enable physicians, hospitals, and healthcare providers to gain quicker insurance enrollment and maintain compliance. We ensure constant reimbursement while they deliver quality patient care.
Provider credentialing is a process of verifying a healthcare provider’s qualifications including licenses, certifications and work history, to meet payer and regulatory requirements. It is an important step in provider enrollment and medical credentialing that directly impact revenue flow and patient access. Our physician credentialing and enrollment services are built for accuracy and compliance.
We are medical credentialing specialists who provide full medical insurance credentialing services to hospitals, medical practices and providers in the USA. Our medical credentialing services support all specialties from primary care to surgical specialist and diagnostic fields as well as subspecialties.
Faster provider onboarding achieved through a updated digital credentialing approach.
Significant operational savings by eliminating manual, paper-based credentialing tasks.
Quicker network expansion and fewer enrollment delays by full credentialing support.
Accurate and compliant healthcare provider credentialing services designed to help achieve timely payer enrollment and continuous reimbursement.
All credits that are time sensitive such as licenses, DEA registrations, board certifications and malpractice insurance are tracked and managed by our service. We track expiration, make reminders, and renewals on time. Compliance and lapse prevention mean that providers are able to concentrate on patient care with a high level of confidence.
We complete the entire credentialing of healthcare providers, which includes checking qualifications, license, CAQH profiles, applications to payers and up to the point of approval. Our team of professionals guarantees proper documentation, submission at the right time and proper coordination with the insurance networks.
We also offer re-credentialing and revalidation solutions which are end-to-end to keep providers engaged in the network. This involves assessment of revised documentations, reapplications to payers and monitoring approvals. We avoid loopholes that might create delays in reimbursement, provider status lost, the practices run without administrative bottlenecks.
Our credentialing solutions are designed individually to providers depending on specialty, payer mix, and size of practice. This comprises recognition of tracking systems, priority schedule as well as individual submission strategies. We activate the credentialing to the specific needs of a provider to minimize errors and facilitate approvals.
Complete, end-to-end credentialing and enrollment services to lessen delays, enhance accuracy and enable providers to take part in Medicare, Medicaid, and commercial payment systems across the country with confidence.
The delivery of end-to-end provider enrollment and credentialing of Medicare, Medicaid, and commercial payers, application management, documentation, and follow-ups, corrections, and approvals facilitate the rapid pace of participation, reduced denials and timely reimbursement preparedness across the country.
Our CAQH profiles are created, updated and managed to ensure correct data, timely attestations, payer compliance, less delays, active medical credentialing visibility and active maintenance to facilitate quick provider enrollments and ongoing medical insurance participation access.
Primary source verification of licenses, education, training, employment and work history is done by our team, credentials are validated directly by issuing bodies to cover regulatory standards and other credentialing requirements under our standards and compliance with the same requirements
We help in payer contracting, negotiation, and coordination, aligning credentialing needs, submission schedules, and participation terms to assist providers to attain compliant agreements, an easier and more desirable approval and better network placement results across the country.
We provide multi-state licensing of telemedicine and multi-location practices, state-specific licensing, payer regulations, licensing schedules, and renewals to increase coverage, ensure compliance, and enable scalable growth strategies among providers across the country.
Our services consist of group credentialing, facility credentialing, organizing provider data, coordination of enrollment, roster management and compliance at all locations to enhance efficiency, accuracy as well as payer involvement in healthcare organizations around the country.
Our team accelerates the credentialing lifecycle through proactive follow-ups and payer-specific submission strategies. Our enrollment and credentialing services reduce delays while maintaining payer compliance and accuracy.
Payer Type
Examples
Standard Time Frame
Our Time Frame
Commercial Payers
Aetna, Cigna, BCBS
90–120 days
45–60 days
Government Payers
Medicare
60–90 days
30–45 days
Medicaid Payers
State Medicaid Plans
90–120 days
45–60 days
Commercial Payers
Aetna, Cigna, UnitedHealthcare, BCBS
Aetna, Cigna, UnitedHealthcare, BCBS
Aetna, Cigna, UnitedHealthcare, BCBS
Commercial Payers
Aetna, Cigna, UnitedHealthcare, BCBS
Aetna, Cigna, UnitedHealthcare, BCBS
Aetna, Cigna, UnitedHealthcare, BCBS
Commercial Payers
Aetna, Cigna, UnitedHealthcare, BCBS
Aetna, Cigna, UnitedHealthcare, BCBS
Aetna, Cigna, UnitedHealthcare, BCBS
New credentialing in medical billing establishes a provider’s initial eligibility with payers, whereas expired credentials can disrupt reimbursements which lead to claim denials, and impact patient access if not addressed promptly.
Your New License Starts Here
Accelerated credentialing programs of urgent provider enrollment requirements, prompt licensing, payer requirements, proper documentation procedures and continuous medical billing functions without pauses, refuses and regulatory retaliation across networks.
145+ Providers license in the last 30 days
Extend Your Current License
Proactive credentialing services take care of license renewals, expirations and payer updates, to ensure that providers are continuously enrolled, comply with insurance standards and participate in all Medicare, Medicaid and commercial payer networks.
75+ License Renewed in the Last 30 days
We deliver specialty-specific medical provider credentialing services aligned with payer and regulatory requirements.
Stream RCM is a preferred hospital credentialing company that is ranked as one of the best outsource medical credentialing companies with effective workflow, payer experience, correct submission, proactive follow-up, open communication, and efficacy on hospital and provider credentialing in the country.
Our credentialing services, which are outsourced, assist healthcare providers to unburden and generate revenue, as well as stay active in-network by handling provider enrollment and credentialing, insurance credentialing, renewals, compliance tracking and payer communications in Medicare, Medicaid and commercial plans across the United States
Our structured credentialing process ensures accurate provider enrollment, faster payer approvals, and ongoing compliance across commercial, government, and Medicaid plans
We provide coding services for skilled nursing facilities, rural health clinics and critical access hospitals, and short-term acute and long-term care hospitals. We also review charges entered by hospital departments
Education, training, licensure, and professional history are verified directly from primary sources to meet payer credentialing standards ensuring regulatory compliance and audit readiness.
We create, update, and manage CAQH and payer-specific profiles to ensure accurate data entry and timely attestations supporting ongoing provider credentialing accuracy compliance.
Credentialing applications are submitted accurately to commercial, Medicare, and Medicaid payers, aligned with enrollment requirements for faster approvals and active participation.
Our team actively follows up with payers, addressing additional requests, corrections, or documentation needs to prevent delays and ensure uninterrupted provider enrollment status.
Once approved, we confirm network participation, organize credentialing records, and track re-credentialing timelines to maintain active status across all contracted payer networks.
Medical credentialing services are the process of checking the credentials of a medical provider to ensure compliance with the requirements of insurance companies and regulatory bodies. This includes educational qualifications, licensure, work experience, and compliance credentials.
Proper credentialing is critical for insurance reimbursement and inclusion in insurance company networks in the United States.
The length of time that provider credentialing takes depends on the type of payer and the specialty of the provider. Commercial payers take longer than government payers.
StreamRCM’s provider credentialing and enrollment services help reduce the time it takes by following up with the payers and ensuring that the submissions are clean.
The services such as payer enrollment, CAQH management, credential verification, document tracking, and re-credentialing assistance.
The services help ensure that the providers are in compliance and eligible for reimbursement with all active insurance plans
The cost of provider enrollment and credentialing services varies based on the volume of payers, specialty, and type of providers. Stream RCM has transparent and scalable pricing models with no hidden fees.
Outsourced credentialing services minimize administrative workload, improve approval accuracy, and accelerate payer enrollment.
They allow providers to focus on patient care while credentialing specialists manage compliance without any administrative burden.
Yes, we support commercial, Medicare, Medicaid, and specialty payers nationwide. Our credentialing services in the United States are intended to meet payer-specific requirements across all provider types.
Improve collections, reduce denials, and maintain compliance with proven revenue cycle management services.
