Credentialing & Enrollment Services in Tennessee

CapitalMed Solutions offers streamlined provider enrollment and credentialing support across Tennessee guiding you through TennCare’s portal, ensuring compliance, and minimizing claim denials.

Why Tennessee Providers Trust Our Credentialing & Enrollment Services?

Online Enrollment via the TennCare Registration Portal: Providers whether groups or individuals—must register through the TennCare Provider Registration Portal, which integrates with CAQH ProView for streamlined data onboarding.

CAQH Integration for Individual Providers: TennCare requires individual providers to have a CAQH ProView profile in attested status. Enrollment information flows directly from CAQH to TennCare.

Rigorous Revalidation Every Three Years: All TennCare providers must revalidate enrollment every three years. Updates submitted prior to the due date extend the renewal timeline.

Revalidation Compliance is Crucial: Failure to revalidate can result in termination of your TennCare Provider ID, loss of access to the provider portal, ineligibility for payments (including cross-over claims and EHR incentives), and exclusion from MCO networks.

Credentialing & Enrollment Services We Offer in Tennessee

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Tennessee—including Nashville, Memphis, Knoxville, Chattanooga, Clarksville, Murfreesboro, Franklin, Jackson, Johnson City, and Hendersonville. 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 Tennessee-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 Tennessee

Determine whether you’re enrolling as an individual or a group, then assist you in setting up your TennCare portal account.

Guide individual providers in updating and attesting their CAQH ProView profiles to meet TennCare requirements.

Help complete all enrollment or revalidation forms, ownership disclosures, and ensure proper submission via the portal.

Track revalidation dates and guide timely renewals to prevent eligibility disruptions.

Assist with login, password resets, and monitoring application status via TennCare’s online systems.

Support updates such as adding practice locations, updating licenses, or adding ORP credentials.

Benefits of Choosing Us for Credentialing Services in Tennessee

  • Accelerated Enrollment & Revalidation: With expert guidance, your applications are clean and efficient minimizing delays.
  • Full Regulatory Compliance: We navigate portal functions, CAQH requirements, and revalidation schedules so nothing slips through the cracks.
  • Reduced Administrative Burden: Complete enrollment management from documentation to portal navigation handled by our team.
  • No Risk of Credentialing Lapses: Timely renewals preserve your active status and protect revenue streams.
  • Simplified MCO Onboarding: Once enrolled in TennCare, you’re ready to contract with TennCare MCOs and access broader payer networks.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Tennessee

At CapitalMed Solutions, we partner with major insurance carriers across Tennessee to ensure seamless provider credentialing and faster payer enrollment. Our relationships with leading payers help healthcare professionals get credentialed efficiently, stay compliant, and serve more patients with confidence.

DMBA  Credentialing & Enrollment Services in Tennessee
Select Health  Credentialing & Enrollment Services in Tennessee
molina Credentialing & Enrollment Services in Tennessee
humana Credentialing & Enrollment Services in Tennessee
aetna Credentialing & Enrollment Services in Tennessee
blue-cross Credentialing & Enrollment Services in Tennessee
Cigna Credentialing & Enrollment Services in Tennessee
United Health Care Credentialing & Enrollment Services in Tennessee
Medicare-Logo Credentialing & Enrollment Services in Tennessee
Tricare Credentialing & Enrollment Services in Tennessee

Ready to streamline credentialing in Tennessee?

Contact our credentialing specialists today we’ll manage your TennCare enrollment and revalidation, ensure CAQH compliance, and prepare your practice for seamless MCO paneling so you can focus on delivering high-quality care.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478