Medical Credentialing Services — All Payers, All 50 States | Rezolv Health MSO

Done-for-you insurance credentialing for independent medical practices, from a physician-founded, physician-led MSO that handles credentialing for its own multi-state clinical network. We handle the applications, the follow-up, and the timeline. You focus on patients.

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What credentialing involves — and why it takes so long

Insurance credentialing is the process by which a provider is approved to bill a payer for covered services. Every payer — commercial insurers, Medicaid managed care plans, Medicare — has its own application, its own documentation requirements, and its own timeline. Most credentialing applications take between 30 and 90 days to complete, and that timeline is largely outside your control once the application is submitted.

What is within your control is the quality of the initial application. Incomplete applications, missing documentation, and incorrect information extend timelines significantly — sometimes by months. Getting it right the first time is the most important variable in the process.

Rezolv Health MSO handles credentialing for our own multi-state clinical network. We understand what payers require, what delays look like, and how to navigate the process efficiently across a large number of applications simultaneously.

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What we handle

• Initial credentialing applications with all major commercial payers
• Medicaid credentialing — all states, all managed care organizations
• Medicare enrollment (CMS-855 and associated forms)
• CAQH ProView profile creation and maintenance
• Re-credentialing and recertification cycles
• New provider onboarding for existing group practices
• Out-of-state credentialing and license verification coordination
• Payer follow-up and status tracking

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Turnaround expectations

Credentialing timelines are controlled primarily by the payers, not by us. Our job is to submit complete, accurate applications immediately and to follow up proactively on every open application. Typical timelines:

Payer type	Typical range
Commercial payers	30–60 days
Medicaid managed care	45–90 days
Medicare	30–60 days
Some state Medicaid programs	60–120 days

We provide status updates throughout the process and flag any issues as soon as they arise.

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Frequently asked questions

Do you credential for all specialties? Yes. We credential providers across all clinical specialties — primary care, behavioral health, surgery, dermatology, pain management, and others.

Can you credential providers in multiple states simultaneously? Yes. Multi-state credentialing is a core part of what we do. If you are expanding to new states or registering a new entity in an existing state, we handle all of it concurrently.

What do you need from us to get started? A completed provider information packet — NPI, DEA number, medical license(s), malpractice history, CV, and education/training verification. We provide a standard intake checklist when you engage us.

Can you take over credentialing for an existing practice that has been managing it in-house? Yes. We do a credentialing audit on intake — reviewing your current payer contracts, expiration dates, re-credentialing cycles, and any outstanding issues — and then take over ongoing management.

How do you charge for credentialing services? Credentialing is priced per provider per payer engagement. Contact us for a quote based on your specific situation — the number of providers, target payers, and states involved.

What happens after initial credentialing is complete? Payer contracts require re-credentialing on a regular cycle — typically every two to three years. We track your re-credentialing dates and initiate the process proactively so your contracts do not lapse.

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