Streamline your practice's insurance enrollment and compliance. We take the hassle out of medical credentialing, ensuring Tucson and Southern Arizona providers remain compliant and get properly enrolled with insurance networks.
Medical credentialing is essential for providers who want to accept insurance, remain in good standing with payers, and build trust with patients. Without proper credentialing, insurance claims may be denied, leading to revenue loss and operational setbacks.
Our expert team handles every step of the process — from gathering documentation to completing applications and tracking deadlines — so you can focus on providing quality patient care.
Avoid claim rejections due to incomplete or outdated credentials.
Patients prefer in-network providers, leading to more appointments.
Stay compliant with state, federal, and insurance company requirements.
Expand your reach by getting approved with more insurance panels.
We manage the entire process on your behalf — here's what to expect from start to finish.
We collect your licenses, DEA certificate, malpractice history, education records, and work history.
We create or update your CAQH profile, which most payers use as the foundation for credentialing.
We complete and submit applications to each payer you want to join — Medicare, AHCCCS, and commercial plans.
We track every application, respond to payer requests, and chase down missing items so nothing stalls.
Once approved, we confirm your effective date and make sure you're ready to bill from day one.
Typical timeline: 45–150+ days depending on the payer. Medicare and AHCCCS tend to take longer; commercial payers vary. We keep you updated throughout so there are no surprises.
Whether you're a new provider seeking initial enrollment or an established practice needing recredentialing, we've got you covered.
We assist providers in enrolling with Medicare, Medicaid, and private insurance networks, ensuring all documentation is accurate and submitted on time for seamless onboarding.
Avoid lapses in network participation by keeping your credentials up to date. We track expiration dates and manage all paperwork on your behalf.
Many insurance providers require a CAQH profile for credentialing. We handle setup, maintenance and reattestation to keep your profile active and current.
CAQH requires providers to reattest — confirm and update their profile — every 120 days. It sounds simple, but missing the window causes your profile to go inactive, which can delay claim processing and trigger re-credentialing requirements with payers who rely on CAQH for ongoing eligibility checks.
Many providers don't realize their profile has lapsed until a claim is denied or a payer flags them as inactive in their network. By then, the fix can take weeks.
We monitor reattestation deadlines for all of our clients and handle the update before the window closes — so your profile stays active and your billing is never interrupted.
What we do at every reattestation:
CAQH (Council for Affordable Quality Healthcare) maintains a centralized provider database used by most major insurers. Every 120 days, providers must log in and confirm their information is still accurate — this is called reattestation. If you miss the deadline, your profile is marked incomplete and payers can no longer access your credentialing data.
We wrote a full guide breaking down what's required, common mistakes, and how to stay ahead of deadlines.
Read the full guide →Local expertise combined with a dedicated, personalized approach.
Based in Tucson, AZ, we understand Arizona's unique payer landscape and credentialing requirements.
Over four years in business providing medical billing & credentialing services to local providers.
We handle the paperwork, deadlines, and follow-ups so you don't have to worry about a thing.
Dedicated account managers to guide you through every step of the credentialing process.
We proudly assist a wide range of healthcare professionals across Tucson and Southern Arizona.
Answers to the questions we hear most often from providers.
Let AW Medical Billing LLC take care of the process for you. Contact us today to get started.