Credentialing & Enrollment Services in New Hampshire

CapitalMed Solutions offers comprehensive provider credentialing and Medicaid enrollment services tailored to practices throughout New Hampshire streamlining onboarding, ensuring compliance, and reducing claim denials.

Why New Hampshire Providers Trust Our Credentialing & Enrollment Services?

Dedicated Enrollment via NH MMIS Health Enterprise Portal: All New Hampshire Medicaid providers—including billing groups, solo practitioners, non-billing rendering, and ordering/referring/prescribing (ORP) providers—must enroll through the NH MMIS Health Enterprise Portal. Applications are submitted online, then tracked, and resumed for up to 12 months using your Application Tracking Number (ATN), SSN, or FEIN.

Multiple Service Locations Supported: Enroll additional physical service sites under a single group application. Each location requires a Medicaid provider ID.

Five-Year Revalidation Cycle: Revalidation is required every five years; providers are notified via mail and email before the due date. Completing timely revalidation in the MMIS portal is critical to maintain active enrollment.

Responsive Support & Change Handling: The NH Medicaid Provider Relations Unit is available for support at (603) 223‑4774 or (866) 291‑1674. Updates to contact info, ownership (CHOW), and other changes should be promptly submitted via the portal.

Credentialing & Enrollment Services We Offer in New Hampshire

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across New Hampshire, including Manchester, Nashua, Concord, Derry, Dover, Rochester, Keene, Portsmouth, Laconia, and Merrimack. 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 New Hampshire–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 New Hampshire

Evaluate whether your practice needs to enroll as a billing group, individual provider, rendering, or ORP provider.

Guide access to the NH MMIS Health Enterprise Portal and setup of your provider account.

Prepare and submit required applications—ensuring proper indicators (SSN/FEIN), attachments, and designations for each provider type.

Manage the addition of multiple practice locations under group enrollment efficiently.

Use the ATN, SSN, or FEIN to resume applications for up to 12 months and monitor submission status.

Track your five-year revalidation cycle and submit timely updates to avoid Medicaid deactivation.

Benefits of Choosing Us for Credentialing Services in New Hampshire

  • Smarter Enrollment Process: Navigate provider type selection and documentation with precision.
  • Better Tracking & Flexibility: Save your portal progress, resume as needed, and use ATNs to monitor status.
  • Secure & Compliant Revalidation: Stay enrolled and billing-eligible with on-time renewals.
  • Less Administrative Overhead: We manage portal, tracking, and support so your team can focus on patient care.
  • Streamlined Network Access: Supplemental readiness for MCO onboarding ensures your practice stays network-eligible.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in New Hampshire

At CapitalMed Solutions, we partner with major insurance carriers across New Hampshire 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 New Hampshire
aetna Credentialing & Enrollment Services in New Hampshire
Blue cross Credentialing & Enrollment Services in New Hampshire
Cigna Credentialing & Enrollment Services in New Hampshire
United Health Care Credentialing & Enrollment Services in New Hampshire
Medicare-Logo Credentialing & Enrollment Services in New Hampshire
Harvard Pilgrim Health Care Credentialing & Enrollment Services in New Hampshire
wellsense Credentialing & Enrollment Services in New Hampshire
NH healthy families Credentialing & Enrollment Services in New Hampshire
Ameri health Credentialing & Enrollment Services in New Hampshire

Ready to simplify credentialing in New Hampshire?

Reach out today to let our credentialing specialists manage your Medicaid onboarding via the NH MMIS portal, guide your revalidation, and position your practice for smooth access to NH Medicaid MCO networks while you focus on delivering healthcare excellence.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478