How does a newly formed company gain approval from insurance companies to complete Paramedical services?

Companies like Exam One, APPS, EMSI and Portamedic already have insurance approvals. How would a new and upcoming company be able to complete these same services and compete for the market offered? This is in reference to performing services to complete the underwriting process for any insurance company for Life, Health, and long Term Insurance coverage. These services usually entail completion of medical exam, biological speciman collection, EKG, TVC, etc.

Marketing! It’s all like any other outside provider. You’re going to have to show that you’ve got the licenses to do what you do, carry the insurance lines on your business (malpractice, general liability, workers comp, commercial auto), and show them that you can do it for less.