Credentialing & Enrollment Services in Nevada

CapitalMed Solutions offers seamless provider credentialing and enrollment support for practices across Nevada streamlining Medicaid onboarding, ensuring compliance, and minimizing claim denials.

Why Nevada Providers Trust Our Credentialing & Enrollment Services?

All-Electronic Enrollment via Provider Flex & OPE Tools: Nevada Medicaid requires enrollment, re-enrollment, and updates to be submitted exclusively through electronic platforms: the Provider Flex tool (as of July 8, 2025) and the legacy Online Provider Enrollment (OPE) system. Paper applications are no longer accepted.

Multi-Factor & DocuSign Security: Provider Flex features secure e-signature workflows (via DocuSign), including front/back ID license images and a liveness video validation, to enhance authentication.

Centralized Credentialing for MCOs: Starting February 2025, Nevada Medicaid adopted a centralized credentialing process: a contracted Credentialing Verification Organization (CVO) performs primary credentialing for all Managed Care Entities (MCEs), eliminating the need for separate submissions to each plan.

Mandatory Revalidation Every 5 Years (3 for DMEPOS): Standard providers must revalidate every five years, whereas DMEPOS suppliers have a three-year cycle. Applications may be submitted up to one year in advance but not earlier—early submissions will be expired or returned.

Credentialing & Enrollment Services We Offer in Nevada

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Nevada—including Las Vegas, Henderson, Reno, North Las Vegas, Paradise, Spring Valley, Sunrise Manor, Enterprise, Sparks, and Carson City. 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 Nevada-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 Nevada

We guide you in choosing the correct portal—Provider Flex or OPE (until fully phased out)—and support secure login setup with multi-factor authentication.

We assist with compiling required enrollment documents (e.g., original-signed forms, W-9, license, background checks) and via Provider Flex, ensure all electronic verification steps (DocuSign, liveness video) are completed correctly.

We help submit your CAQH profile and turn it into the centralized CVO stream to streamline onboarding across all Nevada Medicaid MCE networks.

Track enrollment progress, manage revalidation deadlines, and resolve portal errors or system outages. Nevada’s portal may have maintenance periods; we stay on top of these to maintain your progress.

We alert you ahead of revalidation windows, ensuring timely resubmission to retain active Medicaid status.

After Medicaid enrollment is complete, we support credentialing with MCOs such as Molina—ensuring contracts and credentialing move smoothly.

Benefits of Choosing Us for Credentialing Services in Nevada

  • Efficient Enrollment Rollout: Modern portals and robust authentication reduce delays and submission errors.
  • Secure & Streamlined Credentialing: Centralized process makes credentialing with multiple MCOs seamless and compliant.
  • Consistent Enrollment Status: Proactive revalidation support keeps providers continuously eligible.
  • Reduced Administrative Workload: We manage all technical and documentation steps so your staff focuses on care.
  • Broader Network Access: Easily transition into Medicaid-approved provider status and gain access to MCO panels.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Nevada

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

Prominence Health Plan Credentialing & Enrollment Services in Nevada
SilverSummit Healthplan Credentialing & Enrollment Services in Nevada
Anthem Credentialing & Enrollment Services in Nevada
United Health Care Credentialing & Enrollment Services in Nevada
Health Plan Credentialing & Enrollment Services in Nevada
Sierra Health & Life Credentialing & Enrollment Services in Nevada
aetna Credentialing & Enrollment Services in Nevada
Cigna Credentialing & Enrollment Services in Nevada
humana Credentialing & Enrollment Services in Nevada
Medicare-Logo Credentialing & Enrollment Services in Nevada

Ready to simplify credentialing in Nevada?

Contact our credentialing team today to get onboarding through Provider Flex, ensure compliance with centralized CVO credentialing, and stay active across Nevada’s payer networks with efficiency and expertise.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478