Credentialing & Enrollment Services in Georgia

CapitalMed Solutions provides comprehensive provider credentialing and enrollment services tailored to healthcare practices across Georgia enabling smooth revenue cycles and minimizing claim denials.

Why Georgia Providers Choose Our Credentialing & Enrollment Services?

Seamless Georgia Medicaid Enrollment via GAMMIS: We navigate Georgia’s Provider Enrollment Application using the GAMMIS web portal and Enrollment Wizard. From individual to group enrollment, we ensure your Medicaid provider number is issued with minimal delay.

Centralized Credentialing via CVO for CMO Networks: Georgia leverages a centralized Credentialing Verification Organization (CVO) to streamline provider onboarding across Medicaid Managed Care Organizations (CMOs) like Amerigroup, Peach State, and WellCare—eliminating redundant submissions and ensuring NCQA-aligned credentialing.

Efficient Credentialing Through Shared Verification: After uploading your application to GAMMIS, the CVO conducts primary source verifications (e.g., NPI, NPDB, DEA, malpractice). Once credentialed, you’ll need to separately contract with each CMO for network activation.

Smooth Enrollment into CMO Networks: Upon Medicaid enrollment, you can request participation in CMO networks (Amerigroup, Peach State, WellCare) by submitting network participation forms—separate from Medicaid credentials, but facilitated by the centralized process.

Credentialing & Enrollment Services We Offer in Georgia

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Georgia—including Atlanta, Augusta, Columbus, Macon, Savannah, Athens, Sandy Springs, Roswell, Johns Creek, and Warner Robins. 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 Georgia-specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. As a trusted Medical Billing Services Company in Georgia, we provide tailored credentialing solutions for each specialty—reducing delays, preventing denials, and streamlining your revenue cycle.

Our Credentialing & Enrollment Process in Georgia

Assess provider type (individual, group) and Medicaid needs (FFS and/or CMO), and determine optimal submission pathway via GAMMIS.

Assemble required documents license, W-9, NPI, IRS letters and submit via GAMMIS Enrollment Wizard. Gain an Application Tracking Number (ATN) to monitor progress.

Your information is reviewed through CVO, which conducts credentialing on behalf of DCH and CMOs following NCQA standards.

Once approved, you’ll receive a Medicaid provider number and “Welcome” letter; you can then proceed to contracting with CMOs. Providers must separately initiate CMO contracting to join their networks.

Facilitate network access by submitting participation requests to each CMO (Amerigroup, Peach State, WellCare) once Medicaid enrollment is confirmed.

Monitor status on GAMMIS, respond to portal requests, and follow up on credentialing or network contract updates proactively.

Benefits of Choosing Us for Credentialing Services in Georgia

  • Faster Medicaid Approval: Expert GAMMIS submissions and tracking reduce enrollment turnaround.
  • Simplified CMO Credentialing: Centralized CVO processing means one credentialing process for multiple CMOs.
  • Reduced Administrative Burden: We manage documentation, follow-up, and credentialing you focus on patient care.
  • Expanded Payer Network Access: Efficiently panel with Medicaid and major CMOs for maximum patient reach.
  • Reliable Recredentialing: Stay proactively credentialed via centralized tracking and renewal reminders.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Georgia

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

humana Credentialing & Enrollment Services in Georgia
aetna Credentialing & Enrollment Services in Georgia
Cigna Credentialing & Enrollment Services in Georgia
United Health Care Credentialing & Enrollment Services in Georgia
Medicare-Logo Credentialing & Enrollment Services in Georgia
Dept. of Health & Welfare Medicaid Credentialing & Enrollment Services in Georgia
Pacific Source Medicaid Credentialing & Enrollment Services in Georgia
SelectHealthBlueShield Medicaid Credentialing & Enrollment Services in Georgia
Regence BlueShield Medicaid Credentialing & Enrollment Services in Georgia
BCBS Medicaid Credentialing & Enrollment Services in Georgia

Ready to streamline credentialing in Georgia?

Contact our credentialing specialists today to manage your Medicaid and CMO network enrollment ensuring clean claims, faster reimbursements, and broader payer access across Georgia.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478