Expert Medical Credentialing Services

Streamline provider enrollment and credentialing with our expert team. Get credentialed faster and start seeing patients sooner.

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What is Medical Credentialing?

Medical credentialing is the process of verifying and assessing the qualifications, training, and experience of healthcare providers to ensure they meet the standards required by insurance companies, hospitals, and healthcare organizations.

This essential process involves collecting and verifying documents such as medical licenses, board certifications, education history, work experience, malpractice insurance, and references.

Without proper credentialing, healthcare providers cannot bill insurance companies for services rendered, making it a critical step in establishing a successful medical practice.

At CareAxis, we understand the complexities and time-consuming nature of the credentialing process. Our team of experts handles every aspect of credentialing, from initial application to ongoing maintenance, ensuring your providers are always properly credentialed.

We stay current with the constantly changing requirements of various insurance payers and regulatory bodies, reducing the risk of delays or rejections in the credentialing process.

Provider Enrollment

Complete enrollment with Medicare, Medicaid, and private insurance companies

Primary Source Verification

Thorough verification of all credentials directly from originating sources

Recredentialing

Ongoing maintenance and renewal of provider credentials every 2-3 years

Our Credentialing Services

Comprehensive solutions for all your credentialing needs

Insurance Panel Enrollment

Complete enrollment with Medicare, Medicaid, and all major private insurance panels. We handle the entire process from application submission to follow-up and status monitoring.

CAQH Maintenance

Full CAQH profile setup, maintenance, and attestation. We ensure your CAQH profile is always up-to-date and complete to prevent delays in credentialing.

Provider Credentialing

Comprehensive credentialing services for new providers, including collection and verification of all required documents and applications.

Recredentialing Services

Proactive management of the recredentialing process to ensure continuous participation with insurance panels without interruption.

Hospital Privileging

Assistance with hospital privileging applications and requirements, including coordination with medical staff offices.

Credentialing Verification

Thorough primary source verification of all credentials including education, training, licenses, board certifications, and work history.

Benefits of Our Credentialing Services

Why healthcare providers choose CareAxis for their credentialing needs

Faster Enrollment

Reduce credentialing time by up to 40% with our efficient processes and expertise.

Revenue Optimization

Start seeing patients and generating revenue sooner with accelerated credentialing.

Reduced Errors

Minimize application errors and rejections with our meticulous review process.

Focus on Patient Care

Free up your administrative staff to focus on patient care rather than paperwork.

Compliance Assurance

Ensure full compliance with all regulatory requirements and payer standards.

Dedicated Support

Personalized support from credentialing experts who understand your needs.

Our Credentialing Process

Streamlined approach for efficient provider enrollment

1

Initial Consultation

We begin with a comprehensive assessment of your credentialing needs and gather all necessary information.

2

Document Collection

Our team collects and organizes all required documents, including licenses, certifications, and insurance information.

3

Application Preparation

We complete all necessary applications with precision and attention to detail to minimize errors.

4

Primary Source Verification

Our team verifies all credentials directly with the originating sources to ensure accuracy.

5

Application Submission

We submit completed applications to insurance panels and follow up regularly to expedite approval.

6

Ongoing Monitoring

We continuously monitor application status and provide regular updates until credentialing is complete.

98%
Success Rate
45
Days Average Timeline
500+
Providers Credentialed
100%
Compliance Rate

Frequently Asked Questions

Common questions about our medical credentialing services

The credentialing process typically takes 45-90 days, depending on the insurance panel. Medicare and Medicaid can take 60-90 days, while private insurers generally take 45-60 days. With our efficient processes and regular follow-ups, we often achieve faster turnaround times than industry averages.

Required documents typically include: medical licenses, DEA certificate, board certification, malpractice insurance, CV, medical school diploma, residency certificate, professional references, and personal information. We provide a comprehensive checklist and assist with gathering all necessary documentation.

Yes, we handle credentialing across all states. Our team is familiar with the specific requirements of different states and insurance panels nationwide. We manage the entire process regardless of your location or where you need to be credentialed.

Most insurance panels require recredentialing every 2-3 years. We proactively manage the recredentialing process for all our clients, ensuring timely submission of all required documents and preventing any lapses in participation status.

CAQH (Council for Affordable Quality Healthcare) is a universal application used by many insurance companies. Most private insurers require providers to maintain an up-to-date CAQH profile. We handle complete CAQH setup, maintenance, and quarterly attestations for all our clients.

We use a proprietary tracking system that monitors each application's status. Our team follows up regularly with insurance panels via phone and email, and we provide monthly status reports to keep you informed throughout the process.

Trusted by Leading Healthcare Organizations

250+
Healthcare Partners
99.5%
Compliance Rate
48h
Avg. Claim Processing

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