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Medical Billing & Credentialing

Billing and Credentialing Support That Keeps Your Revenue Moving

Getwell Healthcare Solutions helps healthcare providers submit cleaner claims, work denials to resolution, and get enrolled with the payers their patients use, so your team can stay focused on care.

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  • End-to-end billing and A/R follow-up
  • Credentialing, CAQH and payer enrollment
  • HIPAA-conscious workflows and secure file exchange
  • Transparent, practice-level reporting
Medical billing specialist reviewing claim paperwork beside a laptop
Practice administrators working on laptops in a medical office

Overview

One Partner for the Business Side of Your Practice

Getting paid for patient care depends on a long chain of tasks: verifying coverage, coding accurately, submitting claims in the right format, posting payments, and following up on anything that stalls. Before any of that can happen, each provider has to be credentialed and enrolled with the payers they bill.

Getwell Healthcare Solutions supports both sides of that chain. We work alongside your front desk and clinical staff, using your practice management system or clearinghouse where possible, and we keep you informed with clear reporting on where claims stand and why.

  • Claims submission, follow-up and appeals
  • Provider credentialing and re-credentialing
  • Medicare, Medicaid and commercial payer enrollment
  • Eligibility checks and prior authorization support
  • Payment posting, A/R management and reporting
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Our Services

Revenue Cycle and Credentialing Services

Engage us for the full cycle or for the specific areas where your team needs support.

Medical Billing

Charge entry, coding review, claim creation and submission, with follow-up until each claim is paid or resolved.

Provider Credentialing

Primary source documentation, application preparation and payer follow-up for new and existing providers.

Insurance Enrollment

Medicare (PECOS), Medicaid and commercial payer enrollment for individual providers and groups.

CAQH Management

Creating, updating and re-attesting CAQH ProView profiles so payers always see current information.

Claims Submission

Scrubbed electronic claims sent through your clearinghouse, with rejections corrected and resubmitted promptly.

Claims Follow-Up

Systematic follow-up on unpaid and underpaid claims before filing deadlines become a problem.

Denial Management

Denials categorized by root cause, corrected or appealed, and fed back into prevention.

Eligibility Verification

Coverage and benefits checks before the visit, including copays, deductibles and authorization requirements.

Payment Posting

ERA and manual payment posting with adjustment review and reconciliation to deposits.

Accounts Receivable

Aging reviews and prioritized work queues to address older balances and reduce write-offs.

Revenue Cycle Management

Front-to-back support from scheduling and registration through final payment and reporting.

Billing Consultation

A review of your current billing workflow, payer mix and problem areas, with practical recommendations.

Who We Serve

Built for Independent Practices and Growing Groups

Each specialty has its own coding patterns, payer rules and credentialing requirements. We adapt our process to yours.

Physicians

Solo and independent physicians in primary care and specialty practice.

Clinics

Multi-provider clinics, urgent care and community health settings.

Group Practices

Single and multi-specialty groups adding providers and locations.

Behavioral Health

Mental health and substance use treatment practices and programs.

Therapists

Psychologists, counselors, social workers, and physical, occupational and speech therapists.

DME Suppliers

Durable medical equipment suppliers with documentation-heavy claims.

Laboratories

Clinical and reference labs managing high claim volumes.

Allied Health

Nurse practitioners, chiropractors, podiatrists and other allied professionals.

How We Work

A Clear Onboarding and Working Process

We start by understanding your current state, then build a workflow your team can rely on.

  1. Discovery call

    We learn about your specialty, providers, payer mix, systems and the issues you want solved.

  2. Workflow and A/R review

    We look at open claims, aging, denial patterns and credentialing status to set priorities.

  3. Onboarding and access

    We set up secure access to your PM/EHR and clearinghouse and agree on hand-offs and communication.

  4. Daily billing and follow-up

    Claims go out, payments are posted, and denials and aging balances are worked on a set schedule.

  5. Reporting and review

    You receive regular reports and we meet to review trends, open items and next steps.

Start With a Consultation

Why Getwell Healthcare Solutions

Why Practices Work With Us

Billing and credentialing together

Enrollment gaps are a common cause of denials. Having one team handle both helps catch those issues early.

Reporting you can act on

We report on claim status, aging and denial reasons so you can see what is happening and why.

Root-cause denial work

We track denials by reason and payer, then address the upstream step that caused them.

HIPAA-conscious processes

Role-based access, secure file transfer and a signed business associate agreement before any PHI is shared.

A consistent point of contact

You work with a named account contact who knows your practice and your payers.

Flexible scope

Choose full revenue cycle support or targeted help with credentialing, A/R cleanup or denials.

FAQs

Medical Billing Questions

Common questions from practices considering outsourced billing and credentialing.

Ask Us a Question

Still have questions?

Talk with a licensed insurance professional.

(445) 300-7597 Mon–Fri 8am–8pm ET

Getwell Healthcare Solutions helps healthcare providers manage the revenue cycle, including charge entry, claim submission, payment posting, denial management, and accounts receivable follow-up. We tailor our services to your practice’s specialty and workflow. Our goal is to help you get paid accurately while reducing administrative burden.

We work with a range of healthcare providers, including independent physicians, group practices, and specialty clinics. Each practice has unique billing needs, so we begin by understanding your specialty, payer mix, and current processes. Contact us to discuss whether our services are a good fit.

We review denied claims to identify the cause, correct errors, and resubmit or appeal when appropriate. We also look for patterns in denials so that recurring issues can be addressed at the source. This helps reduce future denials and improve cash flow.

Yes. We provide regular reporting so you can see claim status, collections, and outstanding balances. Transparency is central to how we work, and we are available to walk you through reports and answer questions.

In many cases, yes. We can often work within your current practice management or EHR system. During your consultation, we will review your technology setup and discuss the best approach.

We follow HIPAA requirements and use secure processes to handle protected health information. Access is limited to the team members who need it to perform their work. We are happy to discuss our privacy and security practices and sign a Business Associate Agreement.

Next Step

Want a Second Look at Your Billing or Credentialing?

Tell us where things stand today. We will review your situation and outline practical options, with no obligation.

  • Mon–Fri 8am–8pm ET
Request a Consultation Call (445) 300-7597

Consultation

Request a Billing & Credentialing Consultation

Share a few details about your practice and a member of our team will follow up.

Whether you need full revenue cycle support, help with a credentialing backlog, or a review of aging A/R, we will start by listening. Please do not include patient information in this form.

  • A short call to understand your practice
  • Review of your current workflow and pain points
  • Recommended scope and next steps

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