DME Credentialing – Welltechsolution

DME Credentialing Services

Get your DME supplier number, payer contracts, and HCPCS-aligned credentialing, all in one place. We credential you to bill braces, CPAPs, diabetic supplies, and more, fast and fully compliant. No missing forms. No “still pending” status. Just clean, payer-ready DME credentialing services that start with action.

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Why Most DME Providers Never Make It to the Payer List

Most DME providers assume that once they receive a supplier ID, they’re ready to bill. But when claims start getting denied or stuck in processing, the real problems come to light.
Missing taxonomy codes.
Incomplete payer connections.
HCPCS codes that don’t match approved products.
And no clear explanation of what actually caused the issue.
That’s where WTS steps in.
WTS doesn’t just submit credentialing paperwork. We build your DME profile for clean approvals—ensuring accurate code mapping, payer-matched product alignment, and no hidden gaps in your enrollment.
You don’t get on the payer list by chance.
You get there because every detail is verified, aligned, and locked in.

Why Aetna and Medicare Stop So Many DME Providers — And How We Beat It

Aetna and Medicare DME providers don’t just follow different rules. They each require a completely different language, process, and compliance approach. WTS understands both — fluently.

Payer Behavior

Aetna requires supplier classifications that match your NPI taxonomy

Medicare DME credentialing fails on TIN and PECOS mismatches

Both payers flag when HCPCS categories don’t align with approved services

Re-submitting after a denial takes weeks, sometimes months

What It Really Means for DME Providers

Even fully stocked DME providers get rejected for "not credentialed"

Your application looks fine but fails CMS checks in the background

You can’t bill for CPAPs or orthotics even if you’re in-network

Every missed detail costs real revenue and lost patients

How WTS Handles It

We align your NPI, taxonomy, and DME scope before it hits Aetna’s intake logic

We pre-validate PTAN, NPPES, TIN, and PECOS across your Medicare profile

We credential you by product category and payer-specific billing scope

We build your file right the first time to avoid the Aetna and Medicare DME denial loop

What’s Included in Your DME Credentialing

Step 2: Target the Right Payers

What we do:

✅ Enroll you with Medicare — PTAN + PECOS synced

✅ Structure your Aetna credentialing by product scope and service area

✅ Build payer logic based on your location, specialties, and volume

Why it matters:
This isn’t mass credentialing. We fine-tune every file to pass Aetna and Medicare DME approval logic.

Step 4: File It. Track It. Escalate If Needed.

What we do:

✅ Submit to all targeted payers

✅ Track approval windows + push escalations if timelines stall

✅ Keep you in the loop the entire way

Why it matters:
No “We’ll get back to you.” No 90-day silences. No mystery statuses. You’ll know where every file stands — and what just got approved.

Step 1: Lock In Your Identity

What we do:

✅ Register your NPI

✅ Match your taxonomy with the equipment you actually bill

✅ Set up your Supplier ID — the one most vendors forget

Why it matters:
Payers like Aetna reject you if your supplier classification doesn’t align. Medicare won’t process without a clean NPI + TIN match. We make sure your identity clears every gate.

Step 3: Align You with What You Actually Bill

What we do:

✅ Map braces, CPAPs, diabetic shoes, orthotics, wound care — line by line

✅ Align each product to payer-approved HCPCS categories

✅ Validate that you’re credentialed for every item you submit

Why it matters:
You can’t just “be credentialed.” You have to be credentialed to bill what’s on your shelf.

Why DME Providers Stick With WTS

Credentialed where it counts.

Aetna, Medicare, and commercial networks don’t play fair. Your profile gets built to their rules, not lost in templates.

Every product, billable.

Braces, CPAPs, wound care, diabetic shoes, each HCPCS code tied to payer approval so claims actually move.

Denials defused.

No more “taxonomy mismatch,” “supplier ID missing,” or “not credentialed to bill that item.” Those landmines get cleared upfront.

Paperwork turned into profit.

This isn’t form-filing. It’s infrastructure that keeps the revenue cycle alive and billing on time.

Claim Submission

Claims are submitted promptly and accurately to accelerate reimbursements and minimize rejections.

Approvals, not excuses.

Credentialing done once, done right — efficiently, accurately, so claims don’t sit “pending” while competitors cash in.

What our Client say about us

I have been working with WTS USA LLC since 2016, and their services have consistently exceeded my expectations. They manage billing operations for my primary care and urgent care practice, as well as several nursing homes across New York. Their team handles claim submissions for all locations, provides detailed monthly revenue reports, and supports insurance credentialing efficiently.

Dr. Michael R. Thompson, DO North Shore Medical Group, P.C.

I have been working with WTS USA, LLC for nearly three years, and during this time I have not experienced a single issue related to billing, coding, credentialing, or accounts receivable. Their team is highly knowledgeable, detail-oriented, and responds promptly to every query. They consistently keep my staff and me informed about billing regulations, compliance requirements, and quality programs such as MIPS. The level of expertise, professionalism, and reliability HMS USA, LLC provides is exceptional. I have not encountered another medical billing company that delivers the same standard of service. Their work is truly outstanding.

Dr. Jonathan M. Carter, MD North Orchard Medicine, PC

WTS USA LLC has played a key role in optimizing coding accuracy for my practice and helping us close patient care gaps effectively. Through their regular reports and detailed updates, I now have a much clearer understanding of my practice’s financial performance and overall operational health. Their support allows me to focus more on delivering high-quality patient care while they handle the complexities of billing and reporting with precision. I truly value their expertise and commitment.

Dr. Lauren A. Mitchell, MD Bryant Family Medical Practice, PC

I have been using WTSmedical billing services since 2011, and they have consistently exceeded my expectations. Their expertise has played a significant role in increasing my practice’s revenue and improving overall reimbursement performance. WTS’s professionalism, reliability, and results-driven approach make them a trusted partner. I would confidently recommend their services to any medical professional seeking to enhance their billing efficiency and financial outcomes.

Dr. Robert J. Anderson, MD Advanced Medical Office, PC

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