Credentialing Services
Our Philosophy
Clean, Complete, and Correct — The First Time.
Credentialing is the first step to getting paid — and when it’s not done right, the consequences can be costly. At Gateway Medical Solutions, we take the burden off your plate by handling the full credentialing process with precision and expertise.
Whether you're opening a new practice, onboarding a new provider, or need to revalidate with payers, we help you get in network — and stay in network — with minimal disruption to your workflow.
Why Credentialing Matters
Incomplete or delayed credentialing can lead to:
- Delayed or denied payments
- Out-of-network claim rejections
- Increased prior authorization requirements
- Longer wait times for patients
- Frustrated staff and lost revenue
Our team ensures your applications are submitted accurately and on time — reducing costly delays, rework, and rejections from payers.
What's Included
We handle the full credentialing lifecycle, including:
- Initial credentialing with commercial insurers, Medicare, and Medicaid
- CAQH profile setup and ongoing maintenance
- NPI registration (group and individual)
- Contracting and network participation requests
- Hospital privileges and facility applications
- Revalidations, recredentialing, and updates
- Demographic changes and insurance notifications
- Tracking and follow-up with insurance panels
Transparent Pricing
Credentialing services are billed at $150 per contract, with an average of 30 contracts per provider required for most regions and specialties. This typically includes major commercial payers, Medicare, Medicaid, and applicable HMOs or regional plans.
We work efficiently and maintain detailed logs of time spent and work completed — so you know exactly what you're paying for.
Who We Serve
- New and existing physician practices
- Nurse practitioner and behavioral health clinics
- Pain management, primary care, pediatrics, and surgical specialties
- Solo providers and group practices
Ready to Get Started?
Let Gateway Medical Solutions take the credentialing stress off your team’s shoulders. Get enrolled faster and avoid unnecessary denials, delays, and staffing burdens.
📞 Call us today: 888-258-3326 ext. 109
📧 Email: aschwader@gatewaymedicalsolutions.com
📝 Or request a credentialing quote online on our contact us page.