Rx Credentialing – Medical Billing and Credentialing Services for US Providers

Simplifying Insurance Credentialing for Every Healthcare Provider

From solo clinicians and telehealth start-ups to multispecialty groups and large healthcare systems, we handle full-cycle insurance credentialing, payer enrollment, and contract management so you can focus on patient care and growth.

Starting at $140 per payer application

What We Do

We provide comprehensive credentialing and payer enrollment services for healthcare providers and organizations, handling every step to ensure fast, accurate, and timely participation. From Medicare and Medicaid to commercial payers, we manage all administrative tasks so you can focus on patient care.

Medicare & Medicaid Enrollment

We handle the complete enrollment process for Medicare and Medicaid, from preparing and submitting applications to ensuring compliance, approvals, and timely participation so you can start seeing patients without delays..

Commercial Payer Credentialing

We manage credentialing for private insurance plans, including application submission, follow-ups, and verification, to help you join payer networks efficiently.

Contract Negotiationst

We review and negotiate contracts with payers to ensure favorable terms, clear reimbursement rates, and alignment with your practice goals.

Demographic & Ownership Updates

We handle updates to provider information, including practice location, tax ID, NPI, or ownership changes, keeping all payer records accurate and current.

Electronic Funds Transfer (EFT) Setup

We set up direct deposit with payers, ensuring timely reimbursement and reducing administrative delays for your practice.

Re-credentialing & Revalidation

We manage ongoing credentialing requirements, including provider re-credentialing and revalidation, so you stay compliant and in-network without disruption.

Who We Serve

We work with healthcare providers across all specialties and practice sizes. Whether you are a solo practitioner, a telehealth start-up, a multispecialty group, or a large healthcare system, we provide end-to-end credentialing and payer enrollment support.

Solo & Small Practices

Independent physicians, therapists, counselors, NPs, PAs, nutritionists & outpatient clinicians.

Group & Multi-Location Practices

Scaling practices needing rapid payer contracting for new clinicians or additional service sites.

Telehealth & Hybrid Care Models

National or multi-state virtual practices expanding payer coverage and participation.

How It Works

Our credentialing specialists take full ownership of your payer enrollment process. We complete and maintain your CAQH profile, submit all insurance applications, manage ongoing follow-ups with payers, negotiate contracts and fee schedules, and guide you through every step until your application is approved. With our end-to-end credentialing service, you avoid delays, reduce administrative burden, and get in-network faster.

CAQH Review & Optimization

We begin by reviewing and updating your CAQH profile to ensure all information, documents, and attestations are complete and current, setting a strong foundation for faster payer approvals.

Payer Enrollment Submission

Our team prepares and submits all required paper or electronic applications for your selected insurance panels, following each payer’s specific guidelines to avoid delays and rejections.

Proactive Follow-Ups

We communicate directly with payer representatives to track application status, provide any missing information, and keep the process moving, so nothing falls through the cracks..

Contracting Support & Final Approvals

Once approved, we review each contract with you, clarify reimbursement terms, and assist with next steps so you can confidently sign and start seeing in-network patients.

Specialties We Serve

From primary care to mental health, urgent care to specialty practices, we support providers in nearly every field of medicine. Our services are tailored to the unique challenges of each specialty to help your practice thrive.

Medical Specialties Grid

Have Other Questions? Get in Touch!

Our team is ready to guide you through every step of credentialing, contracting, and payer enrollment, making the process fast, simple, and stress-free.

The industry-standard timeline is 60 to 90 business days in most cases.

You get a dedicated credentialing manager who guides you and keeps you updated at every step.

No. You should wait for contract approvals before seeing patients.

We will need your state license, DEA, board certification, malpractice insurance, EIN Letter and a voided check to begin with the process.

We charge $140 per commercial application and $199 per government payer application. We do not charge any fee for closed panels.

Insurance Companies We Work With

We work with every health plan in the United States, including Medicare, Medicaid, major commercial carriers like Aetna, Cigna, Humana, Blue Cross Blue Shield, UnitedHealthcare, as well as HMO, PPO, POS, state, and regional plans. Our team ensures seamless credentialing and contracting across all payers.

Trusted by Healthcare Providers Nationwide

Rx Credentialing LLC place picture
5.0
Based on 63 reviews
powered by Google
Emily Elandt profile pictureEmily Elandt
01:24 16 Nov 25
Wonderful customer service and quick Credentialing!
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! 😁
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.
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.

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We serve all 50 states.

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