Medical credentialing services from AMS Solutions help physicians and group practices get enrolled with Medicare, Medicaid, BCBS, and commercial payers — without the delays that disrupt billing and revenue. Physician-founded in 1986, AMS has 39 years of experience managing provider enrollment and insurance credentialing across all 50 states. Our dedicated specialists handle individual and group NPI credentialing, facility privileging, CAQH profile maintenance, and payer follow-up with no upfront fees. When providers are not correctly credentialed, claims can be denied or paid out-of-network — costing practices thousands in lost revenue. AMS keeps your credentialing on track so your clinical staff can stay focused on patient care.
Credentialing accuracy is especially important for specialty and primary care groups, including practices that also need OB/GYN medical billing services, neurology medical billing services, or family practice billing services coordinated with payer enrollment.
Provider Enrollment Across Medicare, Medicaid and Commercial Payers
Provider credentialing verifies a clinician’s education, licensing, work history, malpractice coverage, NPI information and other qualifications. Provider enrollment uses that verified information to apply with payers so the provider or group can participate in payer networks and receive reimbursement.
AMS supports both sides of the workflow. We help practices prepare applications, review CAQH and payer profiles, submit enrollment information, and follow up with payer representatives until enrollment is confirmed. This includes Medicare, Medicaid and commercial insurance credentialing where applicable.
Credentialing Services That Help Prevent Revenue Delays
Credentialing gaps can create out-of-network billing problems, delayed claims and preventable staff work. AMS helps practices reduce those risks with a structured medical credentialing process:
Credentialing timelines vary by payer, provider specialty, documentation quality and payer backlog. AMS does not guarantee approval dates, but our process is designed to reduce avoidable delays by preparing documentation correctly and following up consistently.
Which Payers Can AMS Help With?
AMS helps with Medicare, Medicaid, BCBS and other commercial payer credentialing where applicable. We also support billing and credentialing services coordination, facility privileging, individual NPI enrollment and group NPI enrollment.
Why Practices Choose AMS for Credentialing
Practices choose AMS because they get dedicated specialists, all-payer support, transparent service with no upfront fees, and a credentialing partner that understands how enrollment affects billing, collections and practice cash flow. AMS can also coordinate credentialing with medical billing services, practice management consulting, and medical collections support.
Medical credentialing verifies a provider’s qualifications — education, licensure, malpractice history, and certifications. Provider enrollment uses that verified information to apply with payers so the provider can join a network and submit claims for reimbursement. AMS supports both: we verify credentials, prepare applications, and follow up with each payer until enrollment is confirmed. Learn more about the medical credentialing process in healthcare.
Credentialing timelines vary by payer, specialty, and documentation quality. Medicare enrollment typically takes 60–90 days. Commercial payer enrollment can range from 30 to 120 days depending on the payer’s process. AMS works to reduce avoidable delays by preparing documentation correctly and following up consistently throughout the process.
AMS charges no upfront fees for credentialing services. Our services are bundled into a transparent percentage-based arrangement tied to your practice’s collections performance. There are no setup costs, software fees, or hidden charges. Contact us for a free consultation to discuss your practice’s specific needs.
Common requirements include provider NPI details, active medical licenses, education and training history, work history for the past 5–10 years, malpractice insurance coverage details, CAQH information, DEA registration, and group or organizational NPI and tax details. AMS will walk you through a complete documentation checklist at the start of the engagement. Understand why credentialing matters for medical assistants and all clinical staff.
Yes. AMS handles Medicare and Medicaid provider enrollment, including initial applications, documentation preparation, and follow-up with the Medicare Administrative Contractor (MAC) or state Medicaid agency. We also support PECOS (Provider Enrollment, Chain, and Ownership System) updates as needed.
If a provider sees patients before enrollment is confirmed, claims may be denied or paid at out-of-network rates. AMS helps practices plan the enrollment timeline before a provider starts seeing patients, and we track application status to minimize gaps. In some cases, retroactive billing may be possible after enrollment is approved — AMS will advise based on the specific payer.
Read our step-by-step credentialing process guide to understand how provider credentialing works and what to expect during the enrollment process.
