Affordable and Reliable
Chiropractic Credentialing Services
Done-For-You Chiropractic Credentialing That Actually Understands Spinal Codes
From MCO applications to CAQH maintenance, we speak chiropractic (98940-98943, 97140) fluently – no more denials for incorrect modifier usage
Medicare & Private Payer Enrollment
Get Enrolled with Major Payers in 60-90 Days, Guaranteed.
No upfront fees. Pay only after approval
starting from
$ 140
PER insurance application
First Time Approval
Insurance Payers
Serving Nationwide
Specialities
Chiropractic Insurance Credentialing
chiropractic payer credentialing
We fast-track your first-year credentialing with Medicaid, PIP carriers, and worker’s comp boards while you build patient volume.
Multi-Location Chiropractic Group Credentialing That Scales With Your Practice
We know your unique needs – HVLA coding, maintenance care documentation, and PI attorney networks included in every application package
Stop losing patients to paperwork delays – our DC-focused specialists handle all major payers (Medicare, Blue Cross, UnitedHealthcare) so you can focus on adjustments.
american chiropractic network credentialing
99% Approval Rate
Get Optimized Fee Schedules During Credentialing with UnitedHealthcare, Aetna & BCBS
Includes I&A verification, PTAN renewal, and CMS-855I submission with guaranteed compliance for manual therapy and therapeutic exercise codes.
Your CAQH is Never Outdated: Our Credentialing Team Manages Quarterly Attestations & Expiration Alerts
Smooth transition from private pay to in-network status with our hybrid credentialing strategy – maintain your cash patients while building insurer referrals.
Chiropractic Credentialing
Services We Offer
Medicare credentialing for Chiropractors
Benefits of our service
Faster Approval for Chiropractic CPT Codes
Expertise in Chiropractic-Specific Payer Policies
Avoid Denials for Common Chiropractic Diagnoses
CAQH & OIG Compliance for Chiropractors
Chiropractic Insurance Credentialing
Credentialing Process
Benefits of Outsourcing
Chiropractic Credentialing Services
Medicare SPT/MPT Approval
60-day enrollment for spinal manipulative treatment (CPT 98940-98943) with proper documentation review.
Diagnosis-Specific Credentialing
Optimized for M54.5 (low back pain), M99.01 (segmental dysfunction), and S13.4 (cervical sprain) claims.
Therapeutic Procedure Setup
Proper enrollment for 97140 (manual therapy) and 97530 (therapeutic activities) with major payers.
X-Ray Requirement Navigation
Compliance with BCBS/Aetna policies requiring imaging documentation for certain manipulations.
Maintenance Care Compliance
Proper credentialing for payers with specific maintenance care limitations (e.g., UHC, Cigna).
State-Specific Scope Compliance
Ensures credentialing matches your state's physical therapy/delegation rules.
CAQH Reattestation Alerts
Quarterly reminders with pre-filled chiropractic specialty responses.
Manipulation Denial Recovery
92% success rate fixing 98940-98943 denials from incorrect credentialing.
PI/Work Comp Integration
Specialized enrollment for auto/PI cases requiring S39.012A diagnoses.
Insurances Covered
Chiropractic Credentialing Services
FAQ
Ask us anything
Which CPT codes require special attention during chiropractic credentialing?
We prioritize proper credentialing for high-usage chiropractic codes like:
98940-98943 (Chiropractic Manipulative Treatment codes)
97035 (Ultrasound therapy)
97140 (Manual therapy techniques)
99202-99215 (Evaluation & Management for new/established patients)
How do you handle credentialing for Medicare's unique chiropractic requirements?
We ensure compliance with:
“AT” modifier requirement for active treatment
Diagnosis code restrictions (Only M99.01-M99.09 for subluxation)
Documentation of medical necessity for CMT (98940-98942)
Medicare’s 12-visit threshold monitoring
What's your process for credentialing with workers' comp panels?
We specialize in:
State-specific workers’ comp fee schedules (e.g., California’s OMFS vs Florida’s FFS)
IME/Peer Review panel requirements
Pre-authorization protocols for chiropractic care
Diagnosis coding for occupational injuries (e.g., S13.4XXA for cervical strain)
Do you verify our CAQH profile for chiropractic-specific entries?
Yes, we:
Confirm “Chiropractic Physician” is listed as primary taxonomy (111N00000X)
Cross-check state license numbers with chiropractic boards
Validate malpractice insurance meets minimums ($1M/$3M typical requirement)
Update specialty certifications (CCSP, DACBSP, etc.)
How do you handle denials for "maintenance care" (S8390)?
Our proactive approach includes.
Payer-specific documentation templates for medical necessity
Functional improvement metrics (Oswestry, NDI scores)
Pre-credentialing agreements clarifying coverage limits
Appeal strategies for denied maintenance claims
Do you assist with credentialing for pediatric chiropractic (ICD-10 Z00.129) or pregnancy care (Z34.90)?
We help navigate:
Pediatric adjustment techniques credentialing
Webster protocol certification verification
Prenatal chiropractic payer requirements
Trusted by chiropractors nationwide.
Verified Credentialing Results
We strive to maximize your revenue & reduce expenses with our expertise to get your credentialing done in the minimum possible time.
Get your concerns resolved in real time. Talk to your dedicated manager whenever you want.
What Chiropractors Say About Our Credentialing
"They navigated Medicare's AT modifier requirements perfectly and got me credentialed in 38 days. Their team caught that my CAQH profile needed my chiropractic school details listed differently than MDs - saved us months of delays!"
"For our 12-location chiropractic group, they standardized our credentialing across 3 states. Their team knew exactly how to handle our CCSP certifications and got us 22% higher reimbursement for CMT codes with UnitedHealthcare."
"Their expertise in workers' comp credentialing got us on all major panels in California. They prepped our documentation for S8390 maintenance care approvals and helped us properly link ICD-10 codes like M54.5 to our 98940 adjustments."
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.
Experience team
Lead by Expert
Adam has helped hundreds of healthcare providers start, grow, and sustain medical practices by providing 100% customer-focused, quick-response, and affordable solutions. Get in touch to discuss more.
Contact us
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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