Credentialing & Contracting

Credentialing and contracting form the foundation of every successful healthcare practice. At WNL RCM, we streamline provider enrollment and re-credentialing with precision, helping you build strong payer relationships and secure faster reimbursements.

What Services We offer for Credentialing ?

New Payer Credentialing & Credentialing Maintenance

• Apply for all designated payers and follow-up until a determination by the payer
• Update and maintain CAQH database
• Update and maintain NPI database
• Apply for re-credentialing when due by each payer
• Medical License/DEA Registration/expirations
• Change from one practice to another
• Add a new physician to your existing group
• Want to become a network provider

Documents Required

• All state medical licenses
• Drug Enforcement Agency Certificate
• State Board of Pharmacy/Controlled Substance Certification (if applicable)
• All educational diplomas
• Board Certificate or Letter of Acceptance
• Current Curriculum Vitae
• Any other documentation required by the payer
• Hospital Affiliations Letter
• Bank information and voided check

Provider Enrollment and Credentialing

Documentation

We collect, verify, and securely manage all required documents for hassle-free credentialing.

Payer Submission

We prepare and submit applications to top payers in the exact formats required, ensuring smooth approvals.

Ensure Enrollment

Our team proactively follows up with payers to secure enrollments quickly and efficiently.

Updates / Re-credentialing

We manage periodic updates and handle re-credentialing requirements so your practice stays compliant and active.