support@rxcredentialing.com

Affordable physician credentialing services

Insurance Credentialing
Service for Physicians

    • Insurance Credentialing for Medicare and Medicaid Enrollments
    • CAQH Registration and Attestations
    • Commercial Insurance Credentialing
    • Contract Negotiations
    • Demographic updates
    • Re-Credentialing Services
    • EFT Setups
    • Hospital Admitting Privileges
    • IPA Enrollments
    • Directory Verifications

zero
upfront fee

Medical Credentialing Services

starting from

$ 140

PER application

0 %

First Time Approval

0 %

Revenue Increase

0 %

Denial Reduction

0 %

Client Satisfaction

Affordable

insurance credentialing services

Get Credentialed with as many insurances companies as you want

NPI registration & Maintenance

CAQH Registration & Maintenance

Medicare , Medicaid & Telehealth Credentialing

Credentialing & Re-Credentialing with PPOs and HMOs.

credentialing services for providers

Insurance credentialing services for Physicians.

99% Approval Rate

Contracting & Negotiations.
Direct deposit setups.
Demographic Updates.
Quarterly Directory Verification.

HIPAA-Compliant
no approval , No fee
No fixed contract
Pay as you go

Insurance Credentialing Service for Physicians

Whats involved

Clinics
&
House calls

Private practices
&
Telehealth Startups

Surgery centers
&
Hospital Privileges

IPA Affiliations
&
Hospitals credentialing

Physician Credentialing Services

Services We Offer

Initial Provider Enrollment & Credentialing

Handles the initial application process for physicians to join insurance networks (e.g., Medicare, Medicaid, and commercial payers like Aetna or UnitedHealthcare). Includes gathering documents (licenses, CVs, malpractice insurance) and submitting applications to ensure eligibility for reimbursement.

Primary Source Verification (PSV)

Verifies the authenticity of a physician’s credentials (e.g., education, training, licenses, board certifications) by contacting original sources like medical schools and state boards. Critical for compliance and reducing fraud risks

CAQH Registration & Maintenance

Creates and updates profiles on the Council for Affordable Quality Healthcare (CAQH) ProView system, streamlining credentialing with multiple payers. Includes regular attestations to keep data current.

Medicare & Medicaid Enrollment

Manages enrollment with government programs, including PECOS (Medicare’s Provider Enrollment System) and state Medicaid portals. Ensures compliance with CMS requirements and retroactive billing eligibility.

Commercial Payer Credentialing

Facilitates contracts with private insurers (e.g., Blue Cross Blue Shield, Cigna). Negotiates favorable reimbursement terms and resolves delays in network participation.

Revalidation & Recredentialing

Updates credentials every 3–5 years (per payer requirements) to maintain active status. Includes demographic updates and reverification of licenses/DEA certifications.

NPI Registration (Type 1 & Type 2)

Secures National Provider Identifiers (NPIs) for individual providers (Type 1) and group practices (Type 2), essential for HIPAA-compliant billing.

Contract Negotiation

Advocates for higher reimbursement rates and favorable contract terms with payers, leveraging industry benchmarks

DEA & State License Managemen

Assists with Drug Enforcement Administration (DEA) certifications and state medical license renewals, including CLIA lab registrations.

Insurance credentialing for Providers

Credentialing Process

Benefits of Outsourcing

Medical Credentialing Services

9 Benefits of Outsourcing Physician Credentialing Services

Faster Enrollment

Reduce credentialing time from 90-120 days to just 30-45 days with expert handling

Higher Revenue

Start billing sooner with accelerated network participation

Compliance Assurance

Ensure adherence to CMS, NCQA, and payer requirements

Reduced Denials

Minimize claim rejections with error-free credentialing

CAQH Optimization

Professional maintenance of your CAQH profile

Document Management

Centralized tracking of licenses and certifications

Staff Productivity

Free your team to focus on patient care

Timely Recredentialing

Never miss renewal deadlines

Payer Negotiation

Leverage data for better reimbursement rates

FAQ

Ask us anything

The standard time frame for physician credentialing application process is 30-120 business days, Some insurances even take more than 120 days and some process applications within 45 days.

Your dedicated account manager will help you evaluate the right payers according to your specialty and location. We help you negotiate contracts in the best possible way. Transparent and timely client communication is the main focus of our medical credentialing service. We send biweekly application status updates.

In general and on average, expect to pay $250-$399 per provider per payer for physician credentialing services.

No, you will have to wait until your medical provider credentialing and contracting application gets approved.

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

Physician.

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

Yes & No.

It depends on your specialty, patient volume, and state you are practicing in, but it is always recommended to complete your Medicare provider enrollment process before applying for other insurances.

It depends on multiple factors such as your specialty, the state you are practicing in, and the insurances you are applying for.

We can help you get your individual or business NPI within 24 hours for FREE.

Yes, you will either get an approval letter via mail or an email from the medical insurance payer on approval of your physician credentialing application.

All Major

Specialties covered

Insurances Covered

Insurance Credentialing Service

Insurance Providers

Trusted by providers 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.

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.

Adam Blake CEO Rx Credentialing

WE LOVE TO HELP

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