Elevate your credentials with Midwest Credentialing Consultants – Setting the Standard Nationwide.

We offer various packages with a flexible add-on model to suit all of your credentialing needs.

  • We handle the process of obtaining and maintaining medical licenses, CDS/DEA certifications and CLIA certificates, streamlining credentialing workflows, and keeping track of expiration dates.

  • We assist with the credentials verification process by gathering demographic and credential data; performing required queries with stated boards, peer references, work history, education, and facility privileges.

    We ensure NPDB, OIG, SAM and NPPES are reviewed during verification.

  • Our team continuously monitor compliance requirements, manage data integrity, and run routine exclusion queries through NPDB, SAM, OIG, NPPES.

    Data maintenance can be included: the team maintains provider records including CAQH for the duration of your partnership with MCC.

  • We assist with initial enrollment, regular updates, and ongoing management of your CAQH profile.

  • Nationwide credentialing services for commercial and government payers offered.

    We manage the entire process, from initial applications to renewals, ensuring timely and accurate submission of all required documentation as well as follow up until completion.

  • We handle all aspects of privileging, from initial applications to renewals and updates, ensuring compliance with hospital policies and regulatory standards.

  • We manage the negotiation process, ensuring favorable terms that enhance reimbursement rates and streamline administrative requirements.

  • We manage the setup and integration with payers and clearinghouses, ensuring secure and efficient electronic transmission of claims, remittance and payment.

  • Submission of claims and tracking of claims until completion.

  • We manage claim denials and rejections as well as assist with appeals.