Credentialing & Contracting

WHY CHOOSE US

Get Credentialed & Enrolled. 2X Faster and Easier!

OrinSols is a leading provider of Medical Credentialing Services. Our outsourced credentialing solutions reduce administrative hassle, ensure in-network participation, and speed up reimbursement cycles. As a trusted provider credentialing company, we help doctors, nurses, and therapists advance their careers. Experience the benefits of our efficient doctor credentialing and enrollment services. We assist practices of all sizes in correcting lost, delayed, or underpaid claims. Choose OrinSols for reliable support and proven strategies that drive your practice’s financial performance.

Here’s Why Providers Trust OrinSols:

How our Credentialing process works to grow your practice

Initial Application Submission

Credentialing Verification

Background Checks

Review of Credentials and Qualifications

Provider Enrollment

Contract Negotiation

Contract Signing

Enrollment Confirmation

Ongoing Monitoring and Recredentialing

OrinSols Consultancy Features

Benefits of Choosing OrinSols Consultation Services

1st Class Reimbursement

Benefit from priority reimbursement rates, maximizing your financial returns. This ensures higher payments for the same services, boosting both your profitability and satisfaction.

Maximum Privileges

Our streamlined approach not only helps you secure contracts but also grants essential privileges. You’ll gain access to innovative programs and enjoy incentives for delivering quality performance.

Billing-Ready

You’ll be ready to start billing from day one, saving valuable time. With a unique provider identification number (PIN), you’ll be able to submit claims electronically and track them online seamlessly.

Swift Reimbursement

Speedy reimbursements guarantee a healthy cash flow for your practice. No more waiting for months—our process ensures claims are settled within an average of 15 to 30 days.

Payer Support

Our advocacy ensures insurance companies prioritize your needs. We negotiate on your behalf and address any issues that arise, guaranteeing you are paid fairly and on time.

Minimize Denials

With our expertise, denials are a thing of the past, enhancing your efficiency. We handle eligibility verification, authorization approvals, and accurate claim submissions, minimizing errors and rejections.

We Enroll Providers in Premium Payer Networks — Fast and Hassle-Free!

Credentialing—also known as insurance or provider credentialing—is the essential process of validating a healthcare professional’s qualifications, licenses, and certifications. It ensures providers meet the standards required to deliver care and receive payments from payers, while staying compliant with state and federal regulations. Only credentialed providers can join networks like CMS/Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield.

As a provider, you need fast and accurate credentialing to start seeing patients and billing insurers legally and efficiently. Yet, this process is time-consuming and demands detailed documentation at every stage. Even minor errors can cause denials and costly delays. OrinSols delivers expert credentialing services—handling everything from primary source verification to enrollment in top payer networks—quickly, thoroughly, and within your budget.

A Walkthrough of Our Specialist-Vetted Provider Credentialing Process

OrinSols’ provider credentialing process goes far beyond the basics—it’s a proven, expert-reviewed approach built to meet the highest compliance standards. We proudly maintain a success rate of up to 98% in getting providers approved by premium payer networks, with privileges aligned to their unique specialties. Our credentialing process typically includes the following steps: Healthcare providers trust OrinSols for expert solutions in medical billing and revenue cycle management. Our customized services help clinics streamline billing workflows, handle collections efficiently, reduce denials, and optimize accounts receivable. With OrinSols, your clinic is positioned for consistent revenue growth, operational clarity, and financial success.

Our credentialing process starts with a detailed survey conducted by our credentialing specialists. This involves thorough interviews with providers to collect essential information, including license numbers, educational history, demographic details, and professional background.

Our medical credentialing services assist providers in strategically selecting insurance partners that align with their practice goals and license type, while also finalizing insurance panels based on the practice location.

We handle CAQH application submissions, manage ProView accounts, and keep credentials up-to-date for seamless primary source verification. Additionally, we assist with payer credentialing submissions, ensuring swift insurance panel integration and accurate profiles that improve network engagement and enhance the quality of patient care

While the typical timeline is 60-120 days, our provider credentialing experts take proactive measures to speed up the process. Our team maintains weekly communication with payers, advocating for the swift processing and approval of your credentialing applications.

Once credentialing is complete, your application moves to the contract phase, where you may receive an in-network contract, including fee schedules and eligible CPT billing codes. We manage closed panel challenges, advocating through appeals to ensure your inclusion. With successful credentialing, direct billing becomes possible, often with preferred reimbursement rates for in-network providers.

As credentialing concludes, our active support continues. We assist you in securing all necessary hospital privileges, whether it’s for admitting, courtesy, or surgical rights.

Our ongoing oversight ensures your company’s credentials remain up-to-date and uninterrupted. Our experts meticulously track credentialing expirations and conduct thorough daily and weekly reviews to maintain your active status. You can trust that your credentials are in capable hands with us, allowing you to focus on your practice with peace of mind.

Your Success is Our Priority

With OrinSols as your trusted partner, you can stay focused on providing exceptional care while we manage the complexities of medical billing, coding, and revenue cycle operations. Together, we’ll drive greater efficiency, improve patient satisfaction, and build a more financially successful practice.

Helping Health Care Providers With All Their Credentialing Needs

OrinSols delivers comprehensive provider credentialing services tailored for healthcare professionals and organizations. Here’s a summary of the medical credentialing and enrollment solutions we offer:

We enroll providers in Medicare and Medicaid programs, the largest health insurance programs in the US, covering millions of Americans. By joining these programs, providers can broaden their patient base, boost their revenue, and ensure compliance with federal and state regulations.

We credential providers with commercial insurance payers like Aetna and Humana, which are private health insurers offering various plans and networks for their members. By credentialing with these companies, providers can reach a broader patient base and negotiate better reimbursement rates.

Our credentialing solutions assist both individual providers (Type 1) and organizations (Type 2) in obtaining and updating their National Provider Identifier (NPI), a unique 10-digit identification number assigned to healthcare providers by the Centers for Medicare & Medicaid Services (CMS). An NPI is essential for billing, reporting, and electronic transactions.

Payer Enrollment and Medical Doctor Credentialing

Credentialing and Payer Enrollment Services For All Healthcare Organizations

Our credentialing service helps behavioral health providers join insurance networks, ensuring that essential mental health services are accessible to those in need.

Physicians

Our credentialing service ensures physicians gain quick access to insurance networks, expediting patient care. It’s essential for maintaining credibility and trust with both patients and peers.

PAs/NPs

Credentialing through our service helps PAs/NPs expand their practice reach, ensuring they are authorized to provide essential medical services independently.

Hospitals

Credentialing with us streamlines hospital operations, facilitating efficient insurance claims processing and promoting seamless collaboration among medical staff.

PT/OT/SLP

Our credentialing service helps therapists gain inclusion in insurance panels, allowing them to provide essential rehabilitation services while ensuring financial stability.

Podiatrists (DPM)

Credentialing through us enables podiatrists to provide specialized foot care, solidifying their status as recognized experts in their field.

Chiropractors (DC)

Our credentialing service strengthens chiropractors’ standing in the medical community, granting them access to insurance networks and enabling broad patient engagement.

Ambulatory Surgery Centers (ASC)

Credentialing through our service for ASCs boosts patient trust by showcasing adherence to strict quality standards, which are essential for ensuring safe surgical procedures.

Urgent Care Facilities

Our credentialing service ensures urgent care facilities are in-network with insurers, providing timely and affordable medical services to a wider range of patients.

Diagnostic Testing Facilities

Credentialing helps diagnostic facilities and clinical laboratories secure insurance approval, boosting patient referrals and enabling timely diagnosis and treatment.

Optometrists, Audiologists

Credentialing expands the reach of optometrists and audiologists, enabling them to provide essential eye and ear care services to a broader and more diverse clientele.

Behavioral Health Providers