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Radiology Credentialing & Payer Enrollment Services

Because a single missed deadline can knock a provider out-of-network for months, RBS manages payer credentialing, CAQH profile maintenance, and revalidation tracking for radiologists and imaging centers directly. So a lapsed enrollment never turns into months of unpaid claims.
Where Revenue Stalls Before It Starts

3 Ways Credentialing Gaps Cost You Before You Ever Bill

Credentialing failures don’t usually show up as denials. Instead, they show up as claims that were never payable in the first place.

A Missed Deadline Silently Drops Network Status

Once a provider falls out-of-network, every claim you submit under them stays at risk until enrollment is restored.

CAQH profiles go stale

In fact, an outdated CAQH profile is one of the most common, and most preventable, reasons a payer application stalls for weeks.

New radiologists can't bill until enrollment clears

Every week a new hire spends unenrolled becomes a week of billable reads that can't be submitted.

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Processed Claim Value
$ M+
Avg. A/R Collection Time
0 Days
Turn Around Time (TAT)
0 Hours
Client Retention Rate
0 %
Annual Claims
0 .7M+
First-Pass Claim Rate
0 %
Avg. Revenue Growth
8 - 9 %
Avg. Denial Reduction
0 %
Every Payer, Zero Guesswork

Coverage Confirmed for Every Payer You Work With

From national carriers to regional Medicaid plans, coverage is checked against the exact payer, plan, and product type on file — never a generic match. Every result reflects current payer policy, not outdated data from months ago.
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
DIY Credentialing vs. RBS

Why In-House Credentialing Falls Behind

Because credentialing is such a deadline-driven, paperwork-heavy process, most practices end up managing it reactively — until a lapse finally costs real revenue.

What In-House Credentialing Misses

Revalidation deadlines tracked manually, or not at all

CAQH profile updates fall behind

New enrollment takes months without follow-up.

No single owner when an application stalls with a payer

Cross-state licensure requirements discovered too late.

What RBS Delivers

Every revalidation deadline tracked and filed proactively

CAQH profiles kept current on a fixed schedule

Specialist follows every application to completion.

One team owns payer follow-up until the application clears

State licensure verified before enrollment starts.

Every Credentialing Task Covered

Full Credentialing Lifecycle Management

From a new radiologist’s first payer application to a decade-long revalidation cycle, we track every single step through to completion.

Initial Payer Enrollment

We file and track new provider applications carefully with every commercial and government payer you bill, following each one closely through submission until full enrollment goes active and stays that way for you.

CAQH Profile Management

We maintain and attest your CAQH profile carefully on an ongoing, fixed schedule, so an outdated data point never becomes the reason a payer application quietly stalls for weeks without anyone even noticing.

Revalidation Tracking

Every revalidation deadline gets calendared and filed well ahead of expiration, because catching it early prevents the network lapse that happens when filing only starts after a notice arrives for you.

Group & Facility Enrollment

We manage your imaging center and group NPI enrollment alongside individual provider credentialing, so your facility-level and provider-level records always stay aligned instead of drifting out of sync over time.

Licensure Verification

For teleradiology and multi-state practices, we verify licensure and enrollment against each state’s specific requirements before a reading radiologist ever bills there, instead of discovering a gap later on a claim.
front office

Payer Follow-Up & Escalation

When an application stalls out, we escalate it directly with the payer through a specific named contact person, instead of letting it sit quietly and idly in a queue while your provider stays completely unable to bill.

Wired Into Every System You Already Run

Your EHR, RIS, and PACS stay exactly as they are. We plug our coding workflow directly into what you already use — no migration, no new login for your radiologists, no disruption to how your team already works.
Coded for Your State, Not Just Your Specialty

Trusted by Radiology Practices Across All 50 States

Because credentialing requirements, licensure rules, and payer-specific application processes vary by state, our specialists track each state’s specific rulebook, so your geography never becomes the reason for a delay.
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Frequently Asked Questions

How long does initial payer credentialing usually take?

Timelines vary by payer, typically running 60–120 days. Because of that, we file early and follow up actively, so applications don’t stall in payer queues.
A provider can fall out-of-network, which puts every claim you submit under them at risk until enrollment gets restored. That’s exactly why we built our tracking system, to prevent this before it happens.
Yes. We maintain and attest your CAQH profile on an ongoing schedule, so it’s never the reason an application stalls.
Yes. We verify state-specific licensure and enrollment requirements for every state a reading radiologist bills in.
Yes, alongside individual provider credentialing, so your group NPI and facility enrollment stay aligned with your provider roster.
We take over active follow-up and escalation on existing stalled applications as part of onboarding.

Your Providers Deserve to Stay In-Network, Always

Lapsed enrollments. Stalled CAQH profiles. Missed revalidation deadlines. That’s revenue you can’t even bill yet, and RBS prevents it. Start with the audit — we review your current provider roster and payer status at no cost and with no commitment, so you’ll know exactly what’s at risk before you decide anything.

Tracked within 24–48 hrs of every deadline

CAQH profiles kept current, always

One specialist owns every application

Cross-state licensure verified upfront

Zero lapses from missed paperwork

No setup fee, no monthly minimum

Pay only a percentage of what we collect

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What Our Clients Say?

Rebecca Lawson

★★★★★

Radiology Practice Manager

Since partnering with your radiology billing team, our billing workflow has become much smoother. They understand imaging procedures, payer requirements, coding, and claim follow-ups. Their team is responsive, professional, and always stays on top of outstanding claims.

Dr. Christopher Bennett

★★★★★

Medical Director, Diagnostic Imaging Center

Your team truly understands the challenges of radiology billing. They handle claims accurately, follow up on unpaid accounts, and help resolve billing issues efficiently. Their expertise and communication have made our revenue cycle more organized and reliable.

Dr. Andrew Whitaker

★★★★★

Radiologist & Imaging Center Owner

Our team has been an excellent partner for our imaging center. They understand radiology billing, coding, claim submission, denials, and follow-ups. Their attention to detail and consistent communication have helped streamline our billing process and improve our revenue cycle.

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