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Trusted Insurance Credentialing Services

Credex Healthcare is based in Jacksonville, Florida, and provides reliable medical credentialing and enrollment solutions for insurance companies. We simplify the whole process of insurance credentialing. With over 12 years of experience, we are committed to delivering rapid credentialing and enrollment turnaround times. We help you focus more time and energy on your patients and less on your administrative staff.

As your credentials are highly crucial in enrolling in insurance panels, our insurance credentialing services will help you streamline every process.

YOUR TRUSTED PARTNER

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What Sets Us Apart

12+ years

Solo provider practice and hospital credentialing & enrollment experience.

7000+

Providers assisted with credentialing and insurance enrollment.

99%

Success rate of payer approvals on the first submission.

120,000+

Applications submitted, and contracts received.

Our Practice

Credentialing Services for Insurance

Credex Healthcare provides comprehensive insurance credentialing expertise that simplifies the complex enrollment process of healthcare providers throughout the United States. It doesn’t matter whether your practice is small or solo, medium, or large-we have the right solution for your credentialing needs. Our insurance credentialing specialists take care of provider enrollment, payer applications, and recredentialing in this regard. Our team has deep expertise in essential healthcare business functions, including:

Insurance Credentialing Services

We are one of the highest-rated insurance credentialing companies in the USA, with dozens of 5-star reviews.

Credentialing Compliance Management

We reduce the risk of legal problems by constantly updating provider credentials and making them current on a timely basis.

Contract Negotiations

Securing favorable terms and reimbursement rates with insurance networks.

Network Participation Strategy

We help you identify and join the right insurance networks to maximize your revenue, accelerate reimbursements, and build a stable patient base from the start.

Insurance Credentialing

Benefits of Insurance Credentialing Credex Healthcare

Credex Healthcare specializes in making medical insurance credentialing easier and more accessible for healthcare professionals. We help you enhance your practice growth through professional insurance credentialing and provider enrollment, allowing you to focus on your patients.

End-to-End Credentialing

We provide seamless, end-to-end insurance credentialing services, from provider enrollment through hospital privileges.

Faster Turnaround Times

Our efficient team works to make the turnaround time faster with reduced delays and effective follow-ups.

Solution to Every Practice

We analyze your practice’s unique requirements and make a solution that perfectly aligns with your needs.

Trusted by Nationwide Providers

We partner with all providers of all specialties throughout the nation, developing trust with them and credibility with payers and licensing boards.

Stats

Our Achievements

Credentialed Healthcare Professionals
0 +
States Covered with Our Services
0
Client Satisfaction Rate
0 %
On-Time Credentialing Submission Rate
0 %

Customized Credentialing

Provider Enrollment and Payer Credentialing

Fast, accurate enrollments with Medicare, Medicaid, and commercial insurance companies.

Insurance Verification Services for Smooth Reimbursements

We verify eligibility and benefits in order to prevent delays in reimbursement.

CAQH, NPI & PECOS Setup and Maintenance

Our expert will handle complete setup, attestation, and ongoing updates to make sure your profiles are always current.

Recredentialing Process and Expiration Tracking

Keep yourself in compliance through auto-reminders and document management for timely recredentialing.

Credentialing Denials & Appeals Support

We handle denials and file appeals to minimize disruptions to your practice.

Strategic Insights

Insurance Credentialing Services by Credex Healthcare

Credex Healthcare’s insurance credentialing services ensure you achieve in-network status with the right insurance providers at the right time. This helps you enhance your revenue and optimize your practice processes. Our insurance credentialing services team ensures minimum turnaround time with a 99% success rate at first-time submission.

Achievement

12+ Years of Experience in Insurance Credentialing Services in the USA.

Turnaround Time

Twice as fast as most in-house teams.

Customization

Personalized support for every provider.

Tracking

Always know where your application stands.

Transparent

Proven success with payer enrollment nationwide.

Alerts

Automated alert for recredentialing.

2X

Reduced time to approve healthcare professionals' credentials and enrollments in various states.

99%

Success rate for first application submission.

100%

Real-time medical board application status tracking.

Results of Credex Healthcare Unique Approach for Insurance Credentialing

7,000+

Certified Healthcare Providers using Our Services.

24/7

Customized Support Available

Specialties

Specialties We Serve

Success Stories

What Our Clients Say

Process

Step-by-Step Insurance Credentialing Process

Step 1

Insurance Panel Applications

The expert reviews all details before submitting applications to Medicare and Medicaid and commercial insurance providers for your organization.

Step 2

Provider Data Verification & Compliance Checks

The credentialing specialists at our company check your documentation to prevent delayed processing and payment rejection.

Step 3

Approval, Recredentialing & Ongoing Support

Our team tracks approval deadlines and performs recredentialing tasks and appeal management for your organization.

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What Makes Credex One of the Best Insurance Credentialing Companies Nationwide

Credex remains one of the leading insurance credentialing companies in the United States because it provides accurate and quick credentialing solutions. At Credex, an experienced team offers quick and hassle-free regulatory compliance services to healthcare providers.

Domestic Operations

Operating from within the United States gives us the ability to keep direct lines of communication and to offer reliable services.

Time & Cost Savings

Through the partnership with us, all administrative work will be taken away, and your operational expenses will be reduced.

Experienced Team

Our organization has over 12 years of active experience in providing credentialing and enrollment services in healthcare.

Proven Excellence

Our company holds the title of top-rated credentialing services provider in the nation based on dozens of 5-star customer reviews.

Book now

Start Provider Enrollment & Credentialing Process Today

Credex Healthcare provides complete insurance credentialing services to all our clients. Our service helps you save time while creating accurate applications that result in quick credentialing approval. Our team provides you with a stress-free credentialing experience that follows all compliance requirements.

Call us at (833) 477-1261 or request a consultation today!

FAQs

Insurance Credentialing Frequently Asked Questions

What do insurance credentialing services include?
Insurance credentialing services provide end-to-end assistance to get enrolled in networks. They help in primary source verification, handle insurance panel applications, and negotiate with payers. They also manage ongoing recredentialing.
The insurance credentialing process usually takes 60 to 90 days. It depends on the payer and how complete the application is. We have a simple approach. Our team of insurance credentialing experts submits accurate applications, avoids any errors, and follows up effectively to complete the credentialing faster than the industry standard.
Medical licenses, board certifications, malpractice insurance, updated CV, education transcripts, and work history are the required documents. You also must submit your NPI numbers and specific payer enrollment forms.
Pricing for insurance credentialing services will vary based on the type of provider and number of payers. We offer complete transparency, with fixed pricing per application and no hidden fees. Connect with our insurance credentialing experts today for custom quotes tailored to your needs.
The majority of the insurance companies require recredentialing every two to three years, although it can be annually. Our recredentialing services provide timely notification for recredentialing through a proactive enrollment process that will ensure that your credentials will not lapse in service.
Yes, there are specialized insurance credentialing companies that help behavioral health providers. They are aware of the various mental health credentialing requirements. They also help with telehealth enrollment and payer credentialing for psychiatric and counseling services.

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