Rx Credentialing – Medical Billing and Credentialing Services for US Providers
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Affordable and Reliable

credentialing for nurse practitioner

Stop Losing Revenue: Our Specialized NP Credentialing Secures 99% First-Pass Approval Rates

Medicare & Private Payer Enrollment

Streamlined Credentialing for Nurse Practitioners

Get Enrolled with Major Payers in 60-90 Days, Guaranteed.

No upfront fees. Pay only after approval

starting from

$ 140

PER insurance application

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Revenue cycle management Serchen reviews
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credentialing for nurse practitioner

NP credentialing

credentialing for nurse practitioner

We Handle CAQH, Medicare, Medicaid & Commercial Payer Enrollment So You Can Focus on Patients

Avoid Billing Delays: Expert Credentialing Services Tailored for Nurse Practitioners & Advanced Practice Providers.

Credentialing Engineered for Nurse Practitioners: Avoid 6+ Month Delays with Our Payer-Specific Application Systems

Virtual care provider enrollment

Credentialing Engineered for Nurse Practitioners
Get Medicare enrollment quickly
End-to-End Credentialing for New NP Practices
HIPAA-Compliant

99% Approval Rate

Maximize Your NP Earnings: Get Optimized Fee Schedules During Credentialing with UnitedHealthcare, Aetna & BCBS

Specialty-Specific NP Credentialing: Psychiatry, Pediatrics, Gerontology & Acute Care Payer Requirements Mastered

Your CAQH is Never Outdated: Our NP Credentialing Team Manages Quarterly Attestations & Expiration Alerts

Insurance credentialing for NP Practices

Services We Offer

New NP Enrollment & Contracting

We handle your complete enrollment with Medicare, Medicaid, and commercial payers (Aetna, BCBS, UnitedHealthcare), including CAQH setup, NPI registration, and payer-specific applications. Avoid common mistakes that delay approvals by 3-6 months.

CAQH ProView Management & Attestations

We fully manage your CAQH profile—initial setup, quarterly attestations, and expiration alerts—ensuring your credentials are always active. Most NP credentialing denials stem from outdated CAQH data—we eliminate this risk.

Telehealth Credentialing (Multi-State)

We streamline multi-state licensing (via Nurse Licensure Compact) and telehealth enrollment with insurers like Optum, Cigna, and Humana. Includes PSV (Primary Source Verification) for faster credentialing.

Specialty-Specific Credentialing (Psych, Peds, etc.)

We optimize applications for high-demand specialties, ensuring psychiatry NPs meet Medicare’s "incident-to" billing rules, pediatric NPs align with Medicaid EPSDT requirements, and acute care NPs document hospital privileges correctly.

Re-Credentialing & Expiration Management

We track all re-credentialing deadlines (typically every 2-3 years) for Medicare, Medicaid, and private insurers, submitting applications 120 days early to avoid gaps.

Denial Rescue & Appeals

If your credentialing was denied due to missing documents, incorrect taxonomy codes, or CAQH errors, we resolve it within 30 days. Includes peer reviews for difficult cases (e.g., BCBS requiring "attestation of need").

Medicare credentialing for NP

Benefits of our service

Maximize Reimbursement with Fee Schedule Audits

We don’t just get you credentialed—we ensure optimal rates by: Comparing your specialty’s fee schedules across 5+ payers Flagging undervalued CPT codes (e.g., 99214 vs. 99213 for established patients) Negotiating add-ons like telehealth parity before contract signing

Biweekly Tracking & Compliance Alerts

Countdowns to CAQH attestation deadlines (every 120 days) License expiration alerts by state (including compact states) Instant notifications when payers update requirements (e.g., BCBS’ 2024 telehealth documentation rules)

90% Faster Payer Enrollment (30 Days vs. Industry 6+ Months)

We use proprietary checklists for each major insurer (Medicare, Aetna, UHC) to avoid the 83% of NP applications delayed for missing documents like collaborative agreement samples or CAQH attestations. Includes same-day electronic submissions.

First-Pass Approval Guarantee or We Fix It Free

98% of our NP applications are approved on initial submission by pre-verifying: State license numbers match NPPES records Malpractice coverage meets minimum payer requirements (e.g., $1M/$3M for Medicare) Taxonomy codes align with specialty (e.g., 363LP0808X for Psych NPs)

Insurance credentialing for NPs

Credentialing Process

Pre-Credentialing Documentation Review (Days 1-2)

We verify all required documents (NPI, state licenses, CMS-855S forms, and facility details) to identify gaps before submission, preventing 99% of common application errors.

Payer-Specific Application Submission (Days 3-10)

Our team submits complete enrollment packages to Medicare MACs and private payers, tailored to each network’s requirements and fee schedules.

Active Enrollment & Billing Setup (Days 11-120)

Upon approval, we activate your PTAN/Provider IDs and integrate them with your billing system for immediate claims processing.

Benefits of Outsourcing

Credentialing for Nurse Practitioner

Outsource NP Credentialing - 9 Key Benefits

60-Day Medicare Approval

Average 60-day turnaround for Medicare vs. 6+ months when self-filing with pre-verified 855I forms.

CAQH ProView Management

Complete CAQH profile setup and quarterly attestations with error resolution.

Fee Schedule Optimization

Get optimal rates for NP-specific codes (99213-99215) before contract signing.

Specialty-Specific Filing

Tailored applications for Psych NPs, Pediatric NPs, and other specialties.

Telehealth Credentialing

Multi-state licensing and virtual care enrollment with major insurers.

Collaborative Agreement Compliance

Ensure supervisory documents meet state-specific requirements.

License Renewal Alerts

90/60/30-day alerts for state licenses, DEA, and NPI updates.

Denial Recovery

94% success rate fixing NP credentialing denials.

Revenue Cycle Integration

Seamless handoff to billing with proper NP provider numbers.

FAQ

Ask us anything


Our average turnaround is 45-60 days for Medicare (vs. 6+ months when self-filing) because we pre-verify all NP-specific requirements like collaborative agreements and specialty taxonomy codes (e.g., 363LP0808X for psychiatric NPs) before submission.

We handle complete CAQH setup, quarterly attestations, and error resolution – specifically ensuring your education history, malpractice coverage, and state licenses match NPPES records to prevent 83% of common NP credentialing denials.

We audit payer contracts pre-credentialing to ensure proper valuation of NP-specific CPT codes (99213-99215, 99495 for transitional care) and negotiate telehealth parity clauses before you sign.

Yes, we coordinate compact licensing (eNLC) and handle multi-state payer enrollment with specific attention to supervision requirements – like which states require physician co-signatures on NP telehealth charts.

Our denial rescue service fixes 94% of NP-specific rejections (like “missing collaborative agreement” or “incorrect taxonomy code”) within 30 days, including peer-to-peer reviews for difficult cases with insurers like BCBS.

 
 
 
 
 
 

To complete the NP credentialing process, you should have the following documents.

NP

Provider Name, NPI, Specialty, SSN, Date of Birth, Birth Country & State, Contact Number, Home Address, CAQH Username & Password, NPPES Username & Password, Office Hours

Practice.

Practice Name, Tax ID, Practice NPI, Practice Specialty, Service Location, Mailing Address, Practice Phone Number, Practice Fax Number

Owner.

Percentage, Name,  Date of Birth,  SSN, Home Address, Cell Number,  NPPES Username & Password, Birth Country & State

Insurances Covered

Insurance Credentialing Service

Insurance Providers
Medicare Medicaid VA Health TRICARE ACA Marketplace UnitedHealthcare Aetna Cigna Humana Anthem BCBS National BCBS Alabama Florida Blue BCBS Michigan Empire BCBS Horizon BCBS BCBS NC Highmark BCBS BCBS Texas Premera BCBS Kaiser Permanente Molina Centene Oscar Health Health Net CDPHP Capital Blue Independence BC CareFirst Regence BCBS UHC Medicare Humana Medicare Aetna Medicare Cigna Medicare BCBS Medicare

Trusted by nurse practitioners nationwide.

Verified Credentialing Results

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Rx Credentialing LLC
5.0
Based on 63 reviews
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Emily Elandt profile pictureEmily Elandt
01:24 16 Nov 25
Wonderful customer service and quick Credentialing!
MJ Baron, LCSW Consultant profile pictureMJ Baron, LCSW Consultant
15:52 13 Nov 25
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
Marsinah Ramirez Buchan profile pictureMarsinah Ramirez Buchan
20:21 16 Oct 25
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
OGADINMA ONWUKWE profile pictureOGADINMA ONWUKWE
02:45 16 Oct 25
Very reliable.
Steve Walsh profile pictureSteve Walsh
22:16 13 Oct 25
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Marilyn Batista profile pictureMarilyn Batista
15:50 03 Oct 25
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Veronica O'Meally-Tully profile pictureVeronica O'Meally-Tully
17:20 25 Sep 25
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
John Giovanelli profile pictureJohn Giovanelli
15:14 15 Sep 25
Made things much easier for credentialing
Richard WR Garcia profile pictureRichard WR Garcia
13:59 21 Aug 25
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
Ahmad Elherfa profile pictureAhmad Elherfa
14:32 20 Aug 25
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
Stacy Antwi profile pictureStacy Antwi
18:31 15 Aug 25
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
Keisha Asante profile pictureKeisha Asante
17:37 12 Aug 25
David is wonderful very responsive and on top his work. Great experience.
Nicole Ciffone profile pictureNicole Ciffone
20:58 08 Aug 25
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
Takeisha Judkins profile pictureTakeisha Judkins
18:40 04 Aug 25
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
Ehab Waly profile pictureEhab Waly
22:44 31 Jul 25
Tyler is doing good work
Samir Zaqdan profile pictureSamir Zaqdan
00:14 25 Jul 25
Kassandra Barthelemy profile pictureKassandra Barthelemy
05:31 24 Jul 25
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Victoria Boateng profile pictureVictoria Boateng
18:42 23 Jul 25
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
DaniCare Psychiatry profile pictureDaniCare Psychiatry
16:03 21 Jul 25
great service, highly professional. thank you!
Tamara Gordon profile pictureTamara Gordon
23:43 17 Jul 25
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Daniel Montenegro profile pictureDaniel Montenegro
19:21 15 Jul 25
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.

Locations

Serving Nationwide

Enjoy faster credentialing services across the nation! We are now available in all 50 states. So, wherever your practice might be, don’t hesitate to contact our expert team to unburden your administrative staff. 

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Rx Credentialing provides medical billing services to clients across the United States

Rx Credentialing is offering medical billing, Insurance credentialing, medical licensure, Insurance eligibility verification and virtual healthcare assistance services to medical practices across all 50 states.

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