CredSolutions

CredSolutions LLC is a U.S.-based company specializing in medical credentialing, provider enrollment, and state licensing support for healthcare providers. Based in Harrisonville, Missouri, the company manages the administrative processes required for healthcare professionals and organizations to become credentialed with Medicare, Medicaid, and commercial insurance payers.

The company serves physicians (MD, DO, PA, NP), behavioral health specialists, clinics, hospitals, laboratories, pharmacies, DME providers, and home health agencies. Their services include complete provider enrollment with major payers like Aetna, Blue Cross Blue Shield, Cigna, and UnitedHealthcare, CAQH profile setup and maintenance, state license applications and renewals, and ongoing recredentialing and revalidations. All processes are conducted with HIPAA-compliant protocols.

CredSolutions positions itself as a turnkey solution for healthcare providers seeking to reduce administrative burden associated with credentialing. The company operates with a team of credentialing specialists who handle documentation, deadline tracking, and payer follow-ups.

CredSolutions may be appropriate for healthcare providers who need reliable administrative support for credentialing and enrollment but don't require enterprise-level solutions. The company's focus on accuracy, compliance tracking, and proactive follow-ups can help practices avoid gaps in insurance participation that impact revenue.

Providers can expect hands-off credentialing management with regular communication throughout the enrollment process. The service is designed for those who prefer to allocate their time to patient care rather than navigating payer requirements and documentation.

CredSolutions operates exclusively in the healthcare credentialing sector, serving multiple verticals including physicians, behavioral and mental health specialists, pharmacies, DME providers, home health agencies, clinics, hospitals, and laboratories. The company demonstrates specific expertise in Medicare and Medicaid enrollment requirements, commercial payer contracting, and CAQH database management—all critical compliance components for healthcare reimbursement.

Their HIPAA-compliant processes and understanding of payer-specific documentation requirements indicate dedicated healthcare administrative focus rather than general business credentialing services.

The ideal client is a healthcare provider or small practice establishing or expanding insurance participation, needing support with initial enrollment, CAQH setup, and ongoing credentialing maintenance. Providers operating across multiple states who require licensing coordination and those in behavioral health, home health, or pharmacy sectors requiring specialized enrollment knowledge would benefit from their services.