What services does MedICD offer?

MedICD is a professional medical billing company offering the USA’s most cost effective and profitable billing services. We are a revenue cycle management company offering affordable billing solutions for the entire RCM life cycle – from Eligibility Verification to Denial Management.

Why outsource with MedICD?

MedICD is a medical billing company offering affordable RCM and billing services near you. Our team combines process enhancement with industry-leading experience. We take partner practices in a new era of quality healthcare. Partnering with us brings your practice to a better financial position, along with meeting top compliance standards.

Services Booking Page

Use one of the following methods to get started with our services.

Download the attached form or fill out the online form provided below. Email us once completed: Info@medicd.com

Download Form

Or fill out the form below

Credential Services Form

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Group Information

Group Legal Name:

Tax ID

Specialty of Group

Group DBA Name:

Group NPI Number

Primary Service Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Fax Number

Secondary Service Address (Optional)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Fax Number

Billing Address (Optional)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Fax Number

Office Contact

Office Contact Name

Office Contact Email

Office Contact Phone

Provider(s) Information

Provider Name

Social Security Number

Primary Specialty

Board Certified:

Yes

Name of Certifying Board

Provider NPI Number

Date of Birth

Secondary Specialty

Provider Type:

PCP

Specialist

Both

Documents Required for Credentialing Purpose

W-9 Form
IRS Letter (CP 575)
State License
DEA Certificate
CDS Certificate (If applicable)
CLIA Certificate (if applicable)
Residency Diploma
ECFMG Certificate (If foreign graduate)
Board Certification (If applicable)
Professional Liability Insurance Certificate
Hospital Affiliation
Collaborative Agreement

Upload Requred Documents in Zip or Seperately

Choose File

Enter Portal Details If Any

PECOS, NPPES, I & A

Username

Password

Associated Email

CAQH

Username

Password

Associated Email

Name the Insurances You Want To Enroll

Insurance Name

Provider ID

All information provided to MedICD is filled out to the best of your knowledge and completely
accurate

Print Name

Role in medical faculty/ Office

Services Booking Page

Use one of the following methods to get started with our services.

Group Information

Office Contact

Provider(s) Information

Documents Required for Credentialing Purpose

Enter Portal Details If Any

PECOS, NPPES, I & A

CAQH

Name the Insurances You Want To Enroll

All information provided to MedICD is filled out to the best of your knowledge and completely
accurate

Quick Links

Services

COMPANY

Follow:

Services Booking Page

Use one of the following methods to get started with our services.

Group Information

Office Contact

Provider(s) Information

Documents Required for Credentialing Purpose

Enter Portal Details If Any

PECOS, NPPES, I & A

CAQH

Name the Insurances You Want To Enroll

All information provided to MedICD is filled out to the best of your knowledge and completelyaccurate

Quick Links

Services

COMPANY

Follow:

All information provided to MedICD is filled out to the best of your knowledge and completely
accurate