Credentialing & Enrollment Services in Virginia

CapitalMed Solutions delivers expert provider enrollment and credentialing support across Texas leveraging the PEMS portal, ensuring regulatory compliance, and minimizing claim denials.

Why Virginia Providers Trust Our Credentialing & Enrollment Services?

Modern Enrollment via the MES/PRSS Portal: Virginia providers enroll through the Medicaid Enterprise System (MES) via the Provider Services Solution (PRSS)—a modular, online platform supporting all enrollment, revalidation, and provider services tasks.

All-Inclusive Enrollment Tools & Resources: The MES portal provides comprehensive training, the latest provider manuals, Medicaid memos, bulletins, and robust online support tools.

Revalidation Required Every 5 Years: Providers must revalidate their enrollment at least every five years. DMAS sends notifications 90, 60, and 30 days before the revalidation deadline via email or mail.

Risk-Based Screening Protocols: Virginia categorizes providers into “limited,” “moderate,” or “high” risk levels. Higher risk providers may undergo site visits or background checks; screenings are also conducted monthly and at each revalidation cycle.

Credentialing & Enrollment Services We Offer in Virginia

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Virginia—including Virginia Beach, Richmond, Norfolk, Chesapeake, Arlington, Newport News, Alexandria, Hampton, Roanoke, and Portsmouth. 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 Virginia-specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. As a trusted Medical Billing Services Company in Virginia, we provide tailored credentialing solutions for each specialty—reducing delays, preventing denials, and streamlining your revenue cycle.

Our Credentialing & Enrollment Process in Virginia

Determine your provider type and support your access to the PRSS portal via MES modules.

Assist in gathering NPI, licensure, disclosures, ownership data, and complete submission through PRSS.

Facilitate site visits or fingerprint checks where required based on risk classification.

Monitor application/ revalidation progress via the “Manage Revalidation” panel in PRSS and support timely updates.

Track deadlines and ensure your revalidation is completed within the 90-day window avoid lapses in status.

Once Medicaid enrollment is active, prepare your practice for paneling with Virginia MCOs.

Benefits of Choosing Us for Credentialing Services in Virginia

  • Faster Enrollment & Renewals: Guided submissions ensure quick, error-free processing.
  • Full Compliance: We align your application with PRSS, risk level screening, and revalidation mandates.
  • Lower Administrative Overhead: We handle portal setup, document submission, tracking, and updates so your team focuses on care.
  • Sustained Eligibility: Proactive revalidation management maintains your active provider status and claims continuity.
  • Enhanced Network Access: Eligible for both Fee for Service and MCO participation streamline your payer integration.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Virginia

At CapitalMed Solutions, we partner with major insurance carriers across Virginia 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 Virginia
Select Health Credentialing & Enrollment Services in Virginia
molina Credentialing & Enrollment Services in Virginia
humana Credentialing & Enrollment Services in Virginia
aetna Credentialing & Enrollment Services in Virginia
blue-cross Credentialing & Enrollment Services in Virginia
Cigna Credentialing & Enrollment Services in Virginia
United Health Care Credentialing & Enrollment Services in Virginia
Medicare-Logo Credentialing & Enrollment Services in Virginia
Tricare Credentialing & Enrollment Services in Virginia

Ready to simplify credentialing in Virginia?

Reach out to our credentialing specialists today we’ll manage your enrollment through PRSS, guide risk-based screening, ensure timely revalidation, and prepare your practice for seamless integration into MCO panels so you can stay focused on delivering care.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478