Credentialing & Enrollment Services in Louisiana

CapitalMed Solutions offers expert provider credentialing and enrollment services tailored for healthcare practices across Louisiana—streamlining your revenue cycle and reducing claim denials.

Why Louisiana Providers Choose Our Credentialing & Enrollment Services?

Streamlined Provider Enrollment via Louisiana’s Medicaid Portal: We navigate the web-based Louisiana Medicaid Provider Enrollment Portal, which centralizes enrollment for all provider types—including Fee-for-Service, MCO, DBPM, and CSoC providers—to meet CMS screening mandates.

Timely Invitation-Based Enrollment (Rebaseline Process): Louisiana Medicaid initiates provider enrollment via bi-monthly rebaseline invitations. Once you receive the invitation letter, you have a 120-day window to complete enrollment to avoid claim denials and potential program deactivation.

Automatic Pre-Population & Portal Tools : The portal comes pre-populated with state and payer data and supports multi-user accounts per provider, e-signature submissions, and a tracking lookup tool to monitor application status.

Managed Care Enrollment Remains Separate: Provider enrollment with Medicaid is mandatory and distinct from MCO credentialing. While MCO credentialing and contracting (with plans like AmeriHealth Caritas, Aetna Better Health, Healthy Blue, Humana Healthy Horizons, Louisiana Healthcare Connections, UHC Community Plan) remain essential, enrollment via the state portal is federally required for claims processing.

Credentialing & Enrollment Services We Offer in Louisiana

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Louisiana—including New Orleans, Baton Rouge, Shreveport, Lafayette, Lake Charles, Kenner, Bossier City, Monroe, Alexandria, and Houma. 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 Louisiana-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 Credentialing & Enrollment Process in Louisiana

Monitor Louisiana Medicaid rebaseline invitation cycles, assist with completing enrollment within the 120-day window after invitation.

Navigate the Medicaid Provider Enrollment Portal, set up user accounts, and prep for a streamlined electronic application.

Complete the portal application using pre-populated data, submit via e-signature, and finalize your provider registration.

Utilize the Provider Portal Enrollment Lookup Tool to monitor application status—options include “Enrollment Complete,” “Action Required,” “In Process,” or “Not Required.”

Simultaneously support credentialing with MCOs—AmeriHealth Caritas, Aetna Better Health, Healthy Blue, Humana, Louisiana Healthcare Connections, UnitedHealthcare Community Plan—by guiding through separate credentialing protocols.

Assist with ongoing re-enrollment—required every five years to remain in good standing with Louisiana Medicaid. ([turn0search1]

Benefits of Choosing Us for Credentialing Services in Louisiana

  • Adherence to Federal Requirements: Enrollment via the state portal ensures compliance with CMS mandates and prevents reimbursement disruptions.
  • Efficient Onboarding: Pre-filled data and user-friendly portal functions reduce paperwork and processing time.
  • Proactive Enrollment Management: We guide providers through invitation timelines, avoiding denials and inactive statuses.
  • Comprehensive Credentialing Support: We manage both Medicaid portal enrollment and MCO credentialing—keeping your practice fully credentialed and ready to bill.
  • Ongoing Compliance: We’ll remind and assist you through re-enrollment cycles to sustain billing eligibility.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Louisiana

At CapitalMed Solutions, we partner with major insurance carriers across Louisiana 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 Louisiana
aetna Credentialing & Enrollment Services in Louisiana
Cigna Credentialing & Enrollment Services in Louisiana
United Health Care Credentialing & Enrollment Services in Louisiana
Medicare-Logo Credentialing & Enrollment Services in Louisiana
UHCC Credentialing & Enrollment Services in Louisiana
Ameri Credentialing & Enrollment Services in Louisiana
Healthy Blue Credentialing & Enrollment Services in Louisiana
LHC Credentialing & Enrollment Services in Louisiana
BCBS Credentialing & Enrollment Services in Louisiana

Ready to simplify credentialing in Louisiana?

Contact our credentialing specialists today to manage your Medicaid rebase line enrollment, complete profile setup in the portal, and secure credentialing with major MCOs bolstering smoother billing and revenue flow.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478