Credentialing & Enrollment Services in Maryland

CapitalMed Solutions offers comprehensive provider credentialing and enrollment services tailored for healthcare practices across Maryland ensuring seamless onboarding, smoother revenue cycles, and minimized claim denials.

Why Maryland Providers Trust Our Credentialing & Enrollment Services?

Primary Platform: ePREP Portal Maryland Medicaid requires all providers to enroll, revalidate, and update their enrollment information through ePREP—the Electronic Provider Revalidation and Enrollment Portal administered by the Maryland Department of Health.

Unified Enrollment & Revalidation Hub: ePREP serves as a one-stop shop: providers use it to initiate enrollment, submit updates, and participate in revalidation every five years to maintain their active status with Maryland Medicaid.

Smooth Onboarding for Behavioral Health Providers: For behavioral health clinicians, after enrolling in ePREP, the next step is connecting with Carelon’s ProviderConnect portal, followed by multi-payer access via Availity Essentials—facilitating authorizations, claims, and eligibility checks across Maryland’s behavioral health networks.

Credentialing & Enrollment Services We Offer in Maryland

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Maryland—including Baltimore, Columbia, Germantown, Silver Spring, Waldorf, Frederick, Ellicott City, Glen Burnie, Gaithersburg, and Rockville. 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 Maryland-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 Maryland

Create your ePREP user profile and associate your practice’s Business Profile using the NPI and TIN, enabling streamlined access for multiple users across the practice.

Submit your provider enrollment or revalidation via ePREP handling all documentation, demographic updates, provider agreement signing, and site management.

ePREP enables continuous maintenance of provider data—phone numbers, location changes, license status, etc. and triggers revalidation every five years.

Post-Medicaid enrollment, connect with ProviderConnect for network engagement and Availity Essentials for billing and authorizations.

Monitor your enrollment status directly in ePREP; use built-in tools and portal support lines to resolve credentialing issues or missing documentation.

Benefits of Choosing Us for Credentialing Services in Maryland

  • Unified Enrollment Experience: ePREP centralizes provider enrollment, revalidation, and updates in one portal—eliminating administrative complexity.
  • Timely Revalidation: Stay compliant with the five-year renewal cycle and avoid billing disruptions.
  • Behavioral Health Access Pathway: Seamlessly transition from Medicaid enrollment to network access via Carelon and Availity.
  • Reduced Administrative Burden: We manage technical workflows, portal access, and follow-ups—empowering your staff to focus on patient care.
  • Improved Billing Success: Maintaining accurate ePREP data means fewer denials and smoother claims processing.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Maryland

At CapitalMed Solutions, we partner with major insurance carriers across Maryland 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 Maryland
Aetna Credentialing & Enrollment Services in Maryland
Cigna Credentialing & Enrollment Services in Maryland
United Health Care Credentialing & Enrollment Services in Maryland
Medicare-Logo Credentialing & Enrollment Services in Maryland
Maryland Credentialing & Enrollment Services in Maryland
MedStar Family Choice Credentialing & Enrollment Services in Maryland
Priority Partners Credentialing & Enrollment Services in Maryland
Kaiser Permanente Credentialing & Enrollment Services in Maryland
CareFirst Credentialing & Enrollment Services in Maryland

Ready to streamline credentialing in Maryland?

Contact our credentialing experts today to set up your ePREP enrollment, maintain revalidation, and gain access to behavioral health networks through ProviderConnect and Availity—for fast, compliant onboarding and smoother billing.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478