Credentialing Solutions Built for Health Plans

Take the complexity out of credentialing.

PMG Credentialing partners with health plans and payers to deliver fast, accurate, and fully compliant credentialing services. From provider onboarding to ongoing monitoring, we help you maintain a high-performing network, so you can focus on delivering quality care.

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Overview

Scalable Solutions for Your Health Plan

Comprehensive, compliant, and scalable credentialing services tailored for health plans—designed to streamline onboarding and strengthen provider networks.

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End-to-End Credentialing

From initial application to primary source verification, we manage the full credentialing lifecycle—accurately and efficiently.

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Compliance You Can Trust

Stay audit-ready with credentialing processes aligned to NCQA, CMS, and state-specific requirements.

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Scalable for Any Network

Whether you're managing hundreds or thousands of providers, our solutions scale with your growth—without sacrificing quality.

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Faster Turnaround Times

Accelerate provider onboarding with streamlined workflows and real-time status tracking.

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Dedicated Support Team

Our credentialing experts work as an extension of your team, providing responsive, knowledgeable support every step of the way.

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Seamless Integration

Our credentialing platform integrates easily with your existing systems, ensuring smooth data flow and minimal disruption.

Services

Credentialing That Powers Your Mission

Trusted by health plans nationwide, we bring consistency, care, and accountability to every credentialing partnership—because reliability isn’t optional.

Why PMG?

At PMG Credentialing, we don’t just understand credentialing; we understand Health Plans. Our services are purposely built to meet the unique demands of your network’s mission. 

  • NCQA Accredited
  • Scalable Solutions
  • Dedicated Support
  • We Know Health Plans
  • Reduced Administrative Burden
Why PMG (1)
Client Testimonials
“The process you outlined went so well and I wanted you to know that! Thank you for everything you have done for us to make this such a pleasant experience.
Donna, Member Services Manager

PHO in the Northeast

“Before partnering with PMG, frequent staff changes disrupted our credentialing and privileging workflows, leading to inefficiencies. Since partnering with PMG, we have streamlined processes, accurate HRSA-compliant information, and exceptional support from their dedicated team. We couldn't be more pleased with the partnership."
Danielle, Billing Supervisor

Health District in the South

"PMG Credentialing transformed our credentialing process, eliminating backlogs and ensuring efficient, real-time tracking. Their exceptional customer service and streamlined approach have been invaluable to our operations."
Daren, Director of Revenue Cycle

Hospital in the Midwest

Our Library

Resources

Essential tools and insights for providers, facilities, and payers—your hub for smarter credentialing and enrollment.

PMG Credentialing, Inc. Achieves NCQA Accreditation: A New Standard in Credentialing Services

In September 2024, PMG Credentialing obtained Accreditation in Credentialing and Re- Credentialing through the National Committee for ...

Turning Chaos Into Clarity: PMG Credentialing Resolves a Complex Payer Enrollment Challenge

In 2023, PMG Credentialing was brought in to navigate a deeply complex payer enrollment issue for one of our clients—an issue that had ...

Denial Reduction Triumph: FQHC's Path to Cash Flow Recovery

Nearly a year ago we received a call from a concerned CFO with a multi-location FQHC with over 25,000 active patients. Cash flow was ...

A $1M Problem Resolved for a Community Health Center
Too many healthcare leaders think credentialing and enrollment is simply an innocuous item on somebody’s “to do” list. That “someone” may ...
Staff Reductions at Community Health Centers: A Call to Protect Every Dollar

Community Health Centers (CHCs) have long been pillars of equitable healthcare—offering essential ...

Provider Enrollment & Credentialing: Solving Enrollment Issues

We at PMG Credentialing have never seen an FQHC that is not working tirelessly to obtain maximum reimbursement. You found the right ...

Credentialing and Enrollment: Diligence & Expertise Wins the Day

For more than 25 years working with health centers to optimize reimbursement, persistent adherence to a diligent process trumps the most ...

Operational Site Visit - A Credentialing Crisis Averted

A HRSA Operational Site Visit (OSV) is an annual event and to health centers finding themselves ill-prepared, can be daunting if not ...

The Top 3 Dental Enrollment and Credentialing Issues for FQHCs

Now more than ever, it is important for your FQHC to be paid for all services rendered.  As we’ve talked about in prior blog posts, ...

What is Locum Tenens and Why Health Centers Can be Misinformed

For the past 25 years working in/around the health center marketplace, I have been amazed, perplexed, and most often baffled at the ...

Optimize Your Credentialing Team's Performance

Is Your Credentialing Team Performing at Its Best?

Credentialing teams play a vital role in ...

In the News

News & Press

Explore our latest announcements, media coverage, and industry insights.

PMG Credentialing, Inc. Achieves NCQA Accreditation: A New Standard in Credentialing Services

In September 2024, PMG Credentialing obtained Accreditation in Credentialing and Re- Credentialing through the National Committee for ...

Turning Chaos Into Clarity: PMG Credentialing Resolves a Complex Payer Enrollment Challenge

In 2023, PMG Credentialing was brought in to navigate a deeply complex payer enrollment issue for one of our clients—an issue that had ...

Denial Reduction Triumph: FQHC's Path to Cash Flow Recovery

Nearly a year ago we received a call from a concerned CFO with a multi-location FQHC with over 25,000 active patients. Cash flow was ...

A $1M Problem Resolved for a Community Health Center
Too many healthcare leaders think credentialing and enrollment is simply an innocuous item on somebody’s “to do” list. That “someone” may ...
We’re Here to Help

Contact Us

Have questions or need support? Our team is here to help—reach out anytime.