Credentialing & Enrollment Services in Pennsylvania
CapitalMed Solutions provides expert provider enrollment and credentialing support for healthcare practices across Pennsylvania—streamlining Medicaid PROMISe™ onboarding, ensuring compliance, and reducing claim denials.
Why Pennsylvania Providers Trust Our Credentialing & Enrollment Services?
Secure Portal-Based Enrollment via PROMISe™: Enrollment, revalidation, and reactivation are managed through Pennsylvania’s Online Provider Enrollment portal, allowing applicants to upload documents directly and track submission status efficiently.
Mandatory Background Screenings by Risk Level: Providers categorized under “high-risk” must submit criminal background checks (FBI and PA State Police), including individuals with a substantial ownership stake.
Proactive Compliance for Behavioral Health Providers: Pennsylvania operates five Behavioral Health Managed Care Organizations (BHMCOs)—each with its own credentialing standard for autism and behavioral health services.
Rigorously Defined MCO Requirements: Managed care health plans (MCOs) in PA may require provider contract updates, including organizational details, credentialing systems, grievance processes, and quality assurance practices.
Credentialing & Enrollment Services We Offer in New Pennsylvania
At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Pennsylvania—including Philadelphia, Pittsburgh, Allentown, Erie, Reading, Scranton, Bethlehem, Lancaster, Harrisburg, and York. 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 Pennsylvania-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 Pennsylvania
Benefits of Choosing Us for Credentialing Services in Pennsylvania
Major Insurances Companies
Insurance Networks We Work With for Credentialing in Pennsylvania
At CapitalMed Solutions, we partner with major insurance carriers across Pennsylvania 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.
Ready to streamline credentialing in Pennsylvania?
Contact our credentialing experts today we’ll manage your enrollment via PROMISe™, coordinate risk-level screenings, support behavioral health credentialing, and ensure smooth ongoing compliance so that you can focus on delivering exceptional care.
Working Hours
Monday – Friday 09 AM To 05 PM
Our Location
77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478