ZOO HEALTH

Medical Credentialing Services United States

Medical Credentialing Services That Protect Your Revenue Cycle

Zoo Health provides expert medical credentialing services across the United States to help practices, group practices, and solo practitioners complete provider credentialing, payer enrollment, and insurance credentialing efficiently and accurately. Our credentialing solutions streamline the process, reduce delays, and protect your revenue cycle from enrollment related disruptions.

Why Choose Zoo Health

Dedicated account manager providing white glove credentialing support

Reduced credentialing delays through proactive payer follow up

Primary source verification expertise for licenses and board certifications

Medicare and Medicaid enrollment experience including CMS requirements

Full transparency with reporting on application status and milestones

Credentialing aligned with billing workflows to reduce denial risk

HIPAA compliant document collection and secure data handling

How It Works

01

Consultation and Intake Review

We review provider qualifications, malpractice coverage, hospital privileges when needed, and target payers.

02

Document Collection and Secure Storage

We gather required documents including CVs, licenses, DEA, malpractice coverage, and tax forms using secure handling.

03

Primary Source Verification

We confirm licenses, education, and certifications with issuing bodies to meet payer standards.

04

Application Preparation

We complete payer applications for commercial payers, Medicare provider enrollment, and state Medicaid enrollment.

05

Submission and Payer Follow Up

We submit enrollment forms and manage payer communication to support timely approvals.

Our Services

01

Provider credentialing and initial enrollment

02

Payer enrollment for commercial payers and health plans

03

Medicare provider enrollment and state Medicaid enrollment

04

Insurance credentialing applications and documentation support

05

Primary source verification and compliance tracking

06

Re credentialing cycles and expiring document monitoring

Frequently Asked Questions

What are medical credentialing services and why do I need them?

Medical credentialing services manage provider credentialing, payer enrollment, and insurance credentialing so providers can bill as in network providers. Credentialing verifies qualifications and compliance to help prevent claim denials and lost revenue.

Commercial payer enrollment commonly takes 60 to 120 days. Medicare provider enrollment can take 60 to 120 days or longer depending on payer workload and state requirements.

Yes. We credential physicians, nurse practitioners, physician assistants, behavioral health providers, and specialty practices.

Yes. We track re credentialing cycles and expiring documents to reduce the risk of enrollment lapses.

 

Yes. We provide structured transition support to reduce revenue disruption and keep enrollment work organized.

Yes. Enrollment status affects billing, so we align credentialing milestones with billing workflows to reduce claim denials.