Embedded Files
The “Insurances” module in the MedTrainer Credentialing system is designed to manage the entire insurance-network enrollment and credentialing process for providers—enabling organizations to capture and track carrier contracts, in-network status, application workflows, effective dates, and reimbursement eligibility. It’s used to ensure providers are properly sanctioned with insurance payers so services can be billed, revenue captured, and compliance maintained across payers.
FAQs
Where do I set up insurance payers?
All management of insurance payers is handled through the Insurances section under mt | credentialing (as of December 2025).
How do I add insurance payers?
NOTE: this is not enrolling providers with the payer, it is simply adding the insurance for you to add to Provider Profiles.
Navigate to Credentialing → Insurances. To add or configure insurance payers, you have two options:
Add insurance from MT catalog (top right button): Pre-configured insurance products. This will be added to the chart where you can use the View Detail button on the top left to add additional information.
Create custom insurance (top right button): Ability for you to fully customize the payer information. Ideal if you want to maintain naming conventions for your reporting. *What you create is only available to your account.
If you’re enrolling with a network, MCO, or providers will be enrolled in multiple different products under the same insurance, add these as Lines of Business within the insurance.
The insurance will now be available for selection when adding or managing provider enrollments.
How do I edit or update insurance information?
To edit existing insurance records:
Go to Credentialing → Insurances.
Click on the insurance in your list.
Click the View Detail icon (top left, looks like a paper with a magnifying glass).
Update details as needed — for example, payer contact information, status, or notes.
Click Save Changes.
Tip: Set a payer to Inactive rather than deleting it if it’s no longer used, to maintain data integrity in historical enrollment records.
How do I use insurances in provider enrollments?
Once insurance payers are set up, they become available in the Enrollments module when assigning or tracking payer applications for providers.
Admins and credentialing staff can select from the preconfigured list to ensure consistency and avoid data entry errors.
How do I set up notifications and updates?
If payer details change (such as updated IDs or contact info), admins should update them in Insurance Setup to ensure all active enrollments reflect the most current data.
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