Credentialing & Enrollment Services in Arizona

CapitalMed Solutions offers comprehensive credentialing and provider enrollment services tailored to healthcare practices throughout Arizona, ensuring seamless revenue cycles and minimized claim denials.

Why Arizona Providers Choose Our Credentialing & Enrollment Services?

Expertise in Arizona’s AHCCCS System: We’re specialists in navigating Arizona’s Medicaid program (AHCCCS), from using the APEP portal to managing provider screening levels and enrollment fees—ensuring full compliance with state-specific requirements.

Streamlined Credentialing & Contracting: Credentialing with AHCCCS is just one step—our team also helps secure payer contracts with health plans, aligning credentialing and contracting for faster network access.

Statewide Coverage with Local Understanding : Whether your practice is in Phoenix, Tucson, Mesa, Chandler, Scottsdale, Glendale, or Tempe, we tailor services to Arizona’s payer landscape.

Full-Service Credentialing Expertise : From CAQH and Medicare PECOS to insurance contracts and payer paneling, we manage everything—including primary source verification, license checks, and NPDB inquiries.

Credentialing & Enrollment Services We Offer in Arizona

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Arizona—including Phoenix, Tucson, Mesa, Chandler, Scottsdale, Glendale, Gilbert, Tempe, Peoria, and Surprise. 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 Arizona-specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. As a trusted Medical Billing Services Company in Arizona, we provide tailored credentialing solutions for each specialty—reducing delays, preventing denials, and streamlining your revenue cycle.

Our Credentialing & Enrollment Process in Arizona

Determine provider type—individual, group, FAO—and assess AHCCCS screening risk (limited, moderate, high)

Use APEP for provider enrollment, submit application fees, W-9, NPI, and Provider Participation Agreement for Medicare and Medicaid

Manage credentialing process and secure contracts with Arizona health plans simultaneously

Monitor APEP application status, updates, revalidations, and manage modifications as needed

Confirm paneling, provider IDs, EFT enrollment, and ability to submit claims.

Handle revalidation every four years, track expirations, and update provider details proactively

Benefits of Choosing Us for Credentialing Services in Arizona

  • Faster Payer Enrollment: Expertise in AHCCCS and private insurer timelines reduces delays and denials.
  • Administrative Relief: Free your staff to focus on patient care instead of paperwork.
  • Compliance Assurance: Stay current with evolving Arizona and federal credentialing regulations.
  • Expanded Network Access: Gain seamless entry into Medicaid, Medicare, and private payer panels.
  • Improved Cash Flow: Credentialed and contracted providers see cleaner claims and faster reimbursements.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Arizona

At CapitalMed Solutions, we partner with major insurance carriers across Arizona 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.

humana Credentialing & Enrollment Services in Arizona
aetna Credentialing & Enrollment Services in Arizona
Cigna Credentialing & Enrollment Services in Arizona
United Health Care Credentialing & Enrollment Services in Arizona
Medicare-Logo Credentialing & Enrollment Services in Arizona
UnitedHealthcare Community Plan Credentialing & Enrollment Services in Arizona
Banner – University Family Care Credentialing & Enrollment Services in Arizona
Mercy Care Credentialing & Enrollment Services in Arizona
Arizona Complete Health Credentialing & Enrollment Services in Arizona
BCBS Credentialing & Enrollment Services in Arizona

Ready to simplify credentialing in Arizona?

Connect with our credentialing specialists to simplify provider enrollment, secure contracts, and start billing smoothly across Arizona’s payer networks.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478