Credentialing & Enrollment Services in Florida

CapitalMed Solutions offers comprehensive provider credentialing and enrollment services tailored to healthcare practices across Florida ensuring smooth revenue cycles and minimized claim denials.

Why Florida Providers Choose Our Credentialing & Enrollment Services

Trusted Expertise with Florida Medicaid (AHCA Enrollment): We specialize in navigating provider enrollment through the Florida Agency for Health Care Administration (AHCA), including use of the Web Portal and Online Enrollment Wizard to enroll in Medicaid, track applications, and manage renewals efficiently.

Streamlined Application Workflow with Risk Management: From navigating provider risk-level categories to handling surety bonds for moderate/high-risk enrollments and collecting ownership disclosures, we guide providers through every requirement to stay fully compliant.

Support for Waivers & Specialty Programs: Whether enrolling as a DME supplier, hospice, clinic, behavioral health provider, or specialist (e.g., BCBA, home health agency), we manage specialized documentation and enrollment distinctions—such as the Group Membership Authorization for behavior analysts or facility requirements for home health agencies.

Full-Service Enrollment & Credentialing: Beyond Medicaid, we handle CAQH and PECOS setup, Medicare enrollment, private payer paneling, primary source verifications, NPDB checks, and credentialing to ensure claims are submitted with valid provider IDs.

Credentialing & Enrollment Services We Offer in Florida

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Florida—including Miami, Orlando, Tampa, Jacksonville, St. Petersburg, Hialeah, Fort Lauderdale, Tallahassee, Cape Coral, and Port St. Lucie. Our specialty credentialing and payer enrollment services cover anesthesiology, radiology, cardiology, orthopedics, primary care, pediatrics, and more—helping practices statewide gain network participation efficiently.

Whether requirements are national or Florida-specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. For each specialty, we deliver tailored credentialing solutions that reduce delays, prevent denials, and streamline your revenue cycle.

Our Florida Credentialing & Enrollment Process

Identify provider type (individual, group, facility, waiver, DME, etc.), and determine Florida Medicaid risk classification and bond requirements.

Gather licenses, NPI, W-9, malpractice, bonding paperwork, CAQH profile, and coordinate PECOS for Medicare enrollment.

Use the Online Enrollment Wizard via the Florida Medicaid Web Portal to submit applications and generate an Application Tracking Number (ATN).

Monitor application progress, respond to requests, and coordinate with AHCA to resolve issues or missing documentation.

Secure Medicaid provider IDs (full or limited enrollment), ensure contracting and access to EDI/EFT billing portals, plus private payer credentialing.

Manage periodic renewals, background screenings, ownership updates, and ensure continued compliance with AHCA policy.

Benefits of Choosing Us for Credentialing Services in Florida

  • Faster Enrollment Turnaround: Efficient portal management speeds up provider approval.
  • Comprehensive Compliance: Thorough handling of bonds, licenses, ownership disclosures, and risk levels avoids costly setbacks.
  • Less Administrative Burden: Your team stays focused on care while we manage nitty-gritty paperwork.
  • Broad Panel Access: Secure Medicaid, Medicare, and private payer access for robust billing readiness.
  • Better Revenue Flow: Clean credentialing leads to fewer claim denials and smoother reimbursements.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Florida

At CapitalMed Solutions, we partner with major insurance carriers across Florida to ensure seamless provider credentialing and faster payer enrollment. Our strong relationships with leading payers help healthcare professionals get credentialed efficiently, stay compliant, and serve more patients with confidence.

Medicare-Logo Credentialing & Enrollment Services in Florida
United Health Care Credentialing & Enrollment Services in Florida
Cigna Credentialing & Enrollment Services in Florida
aetna Credentialing & Enrollment Services in Florida
humana Credentialing & Enrollment Services in Florida
AvMed Credentialing & Enrollment Services in Florida
Molina Credentialing & Enrollment Services in Florida
Simply Healthcare Plans Credentialing & Enrollment Services in Florida
Sunshine Health Credentialing & Enrollment Services in Florida
Florida Blue Credentialing & Enrollment Services in Florida

Ready to simplify credentialing in Florida?

Connect with our credentialing specialists today to efficiently manage Medicaid, Medicare, and private payer enrollment—minimize denials and maximize your revenue flow across Florida’s healthcare payer networks.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478