Physicians (MD & DO) — Credentialing Services

Physician credentialing across every specialty, where the specialty decides what the application will ask for.

Physician credentialing is the same process everywhere and a different application in every specialty. What varies is what has to be collected: sub-specialty board records, facility privileges, case logs, procedure-specific documentation — and which of those a payer asks for depends entirely on what the physician does.

ZechionMed credentials MDs and DOs across primary care, medical specialties, surgical specialties and hospital-based practice: licensure and board verification, primary source verification, CAQH, payer enrollment, and the hospital privileging that several specialties depend on.

The single largest determinant of how long it takes is when it starts. A physician credentialed from their offer date is billable months earlier than one credentialed from their start date, and nothing else in the process comes close to that.

What We Cover

Specialties We Credential

Primary Care

The most straightforward applications, and the ones where volume makes speed matter most.

  • Family medicine
  • Internal medicine
  • Pediatrics
  • Geriatrics
  • Preventive medicine
  • Med-peds and combined training programmes

Medical Specialties

Where sub-specialty certification frequently has to be verified separately from the primary board.

  • Cardiology and interventional cardiology
  • Gastroenterology, nephrology and endocrinology
  • Pulmonology and critical care
  • Neurology
  • Oncology and hematology
  • Rheumatology, allergy and infectious disease
  • Dermatology

Surgical Specialties

Where facility privileging usually sits on the critical path ahead of payer credentialing.

  • General surgery
  • Orthopedic surgery
  • Neurosurgery
  • Cardiothoracic and vascular surgery
  • Ophthalmology and otolaryngology
  • Urology and plastic surgery
  • Obstetrics and gynecology

Hospital-Based Practice

Physicians credentialed through groups and facilities rather than a practice location.

  • Hospitalist medicine
  • Emergency medicine
  • Anesthesiology
  • Radiology and interventional radiology
  • Pathology and laboratory medicine
  • Critical care medicine

How a Physician Gets Credentialed

  1. 1

    Start at the offer

    Credentialing begins when the offer is accepted, not on day one — the months saved here are months the physician is billable.

  2. 2

    Collect and verify

    Licences, DEA, board certification, education and training, malpractice history and a continuous CV, verified with the issuing sources.

  3. 3

    Build the profile

    CAQH created, completed and attested, since that is the record most commercial payers actually read.

  4. 4

    Sequence the payers

    Filed in the order that makes the physician useful earliest, driven by the practice's payer mix and each payer's turnaround.

  5. 5

    Privilege where required

    Facility privileging run alongside payer credentialing for specialties that depend on it, because the two complete in sequence.

  6. 6

    Confirm billable

    Effective dates confirmed, activation verified with each payer, and billing told which plans are live from which date.

Ready to strengthen your revenue cycle?

Let our specialty billing team handle the codes, claims, and follow-ups — so your clinicians can focus on patients.

What Slows a Physician Down

Starting on day one

The single most expensive habit in credentialing. Everything before the start date is time removed from the non-billable period after it.

Sub-specialty certification missing

Payers frequently want the sub-specialty board record. An interventional cardiologist credentialed as a cardiologist can be reimbursed as one.

Work history gaps

Any gap over 30 days needs an explanation. Applications are returned over gaps a single sentence would have covered.

Privileging not started

For surgical and hospital-based specialties, payer credentialing frequently waits on facility privileges. Running them in sequence rather than in parallel adds months.

Malpractice history incomplete

Claims history has to be disclosed and explained. An incomplete disclosure found by the payer is worse than a difficult one disclosed up front.

Frequently Asked Questions

At offer acceptance. It is the one variable entirely within your control, and it moves the billable date more than anything else.

Contact ZechionMed

Billable Months Earlier

Credentialing that starts at the offer, collects what the specialty will actually be asked for, and sequences payers deliberately.

Talk to ZechionMed about physician credentialing.