Credentialing & Enrollment Services in Washington

CapitalMed Solutions offers tailored provider enrollment and credentialing support across Washington State leveraging the ProviderOne portal, ensuring regulatory compliance, and minimizing claim denials.

Why Washington Providers Trust Our Credentialing & Enrollment Services

Secure Enrollment via ProvideOne Portal: Providers enroll in Apple Health (Medicaid) using the ProviderOne portal, accessible through the OneHealthPort SSO platform. This unified portal supports billing, provider information updates, eligibility verification, authorizations, and claims management.

Support Across All Provider Types: Washington’s Medicaid enrollment supports various provider roles billing, rendering, non billing, billing agents, and facilities with specific submission workflows for each type.

Application Fees for Institutional Providers: Enrollment may require an application fee aligned with CMS regulations (e.g., $730 for 2025), particularly for institutional enrollment.

Robust Revalidation Process: Federal regulations require every provider to revalidate enrollment at least every five years. Providers are notified via mail and must complete revalidation via Provider One within specified timelines to avoid deactivation.

Credentialing & Enrollment Services We Offer in Washington

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Washington, including Seattle, Spokane, Tacoma, Vancouver, Bellevue, Kent, Everett, Renton, Federal Way, and Kirkland. 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 Washington-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 Washington

Assist providers in registering via OneHealthPort and accessing ProviderOne with appropriate security profiles.

Help compile and submit required documentation including Core Provider Agreement, debarment statement, W-9, and provider-specific files.

Track your enrollment using the application ID, support corrections flagged in real time, and enable resume-edit features.

Monitor revalidation notices and deadlines; manage timely completion through the “Manage Provider Information” wizard in ProviderOne.

Utilize the Business Process Wizard to update contact info, locations, provider affiliations, and maintain accurate directory listings.

Benefits of Choosing Us for Credentialing Services in Washington

  • Faster Enrollment & Fewer Delays: ProviderOne’s validation tools and systematic workflows significantly reduce enrollment processing time.
  • Regulatory Confidence: We ensure your practice meets version-specific submission requirements, including application fees and timely revalidation.
  • Less Administrative Burden: From portal navigation and document prep to monitoring and responding to notifications, we simplify every step.
  • Reduced Risk of Disruption: Proactive revalidation support prevents service interruptions and maintains active Medicaid status.
  • Broader Managed Care Access: Proper ProviderOne enrollment primes you for credentialing with Washington’s MCOs streamlining payer network access.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Washington

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

Community health plan  Credentialing & Enrollment Services in Washington
Ambetter Credentialing & Enrollment Services in Washington
Molina Credentialing & Enrollment Services in Washington
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aetna Credentialing & Enrollment Services in Washington
Blue-cross Credentialing & Enrollment Services in Washington
Cigna Credentialing & Enrollment Services in Washington
United Health Care Credentialing & Enrollment Services in Washington
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First choice health Credentialing & Enrollment Services in Washington

Ready to simplify credentialing in Washington?

Contact our credentialing team today we’ll guide your practice through ProviderOne enrollment, ensure smooth revalidation, manage updates, and prepare you for managed care network access so you can focus on delivering superior patient care.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478