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.

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.

Straight from the Practices We Serve

What Our Clients
Have to Say

From nurse practitioners to physicians across every specialty, our clients share how we've lightened the administrative load, streamlined their operations, and given their practices room to grow. Their experiences speak for themselves:

Contact us

Have a question or want to learn more about our services? Fill out the form below and our team will get back to you within 24 hours.

We serve all 50 states
Contact Rx Credentialing Support