Skip to content Credex Healthcare is one of the best companies in the US for value-added insurance credentialing services. We help healthcare practices quickly achieve fulfilling all credentialing criteria by simplifying the procedure.
We have a team of experienced credentialing experts specializing in nationwide insurance credentialing services. Our budget-friendly packages are for every practice, regardless of the size of the practice and the number of providers. We offer customized solutions by dedicated and experienced account managers for each client.
3,200+
Healthcare providers and organizations nationwide use our value-added services.
98%
First-time application acceptance rate for insurance credentialing.
45%
Reduction in credentialing timeline through optimized credentialing processes.
8,900+
Providers are credentialed due to our proven expertise with value-added credentialing services.
At Credex Healthcare, we provide valuable, comprehensive credentialing services. We focus on accelerating the process seamlessly while also staying compliant with the industry requirements. We maintain the integrity of the credentialing process by ensuring that we comply with CAQH and other state regulatory bodies.
Comprehensive Value-Added Services Include:
Our expert verifies compliance with license rules by carefully reviewing all applications. We also ensure adherence to state regulations and prevent any potential audit issues.
By using advanced technology and data analytics, we provide streamlined CAQH management services. We simplify credentialing and data management, enhance operational efficiency, and reduce costs while ensuring compliance.
Comprehensive payer enrollment optimization for healthcare providers that need to work efficiently with various insurance plans.
A strategic delegated credentialing support application that involves managing providers in different places and organizing hospital privileges
Extensive re-credentialing management, from keeping track of renewals deadline to applying and obtaining acceptance with as minimal effect the on practice as possible.
Our experts take care of healthcare providers' participation in Medicare and Medicaid, which includes PECOS registration and state-specific Medicaid forms.
We handle commercial insurance credentialing for managed care plans, which have their own restrictions and administrative obligations.
Our services oversee applications for hospital privileges, as well as the needs of the medical staff office and credentialing processes that are done by other companies.
We verify the principal source and multi-state licenses for providers who operate in more than one state.
The credentialing process is simplified. Our professionals pay special attention to all the necessary details, ensuring accuracy that leads to faster approvals for healthcare providers.
Our expert credentialing specialists ensure accurate applications with zero errors to ensure a higher success rate on first-time application submission.
Personalized credentialing solutions are designed to fit the demands of various practices. Our professionals address every requirement and provide an end-to-end solution.
Credentialing processes are optimized by our team of experts. Overall efficiency improves, and the time to enroll for new providers is reduced.
Outcomes of credentialing are reliable due to the trustworthiness of the results in credentialing processes.
Credex Healthcare specializes in offering healthcare companies a wide range of insurance credentialing services tailored to their needs. To ensure your practice runs more efficiently, our expert provider registration teams implement the best certification processes.
Regulatory Compliance Expertise
A thorough understanding of the requirements imposed by regulatory and safety organizations as well as the criteria required by insurance companies for the approval of license applications.
CAQH Optimization Mastery
Knowledge of all aspects of CAQH and patient registration tools, including how to improve profiles, guarantee the validity of data, and manage procedures for verification.
Management of Payer Relations
A thorough understanding of the requirements of insurance payers such as Medicare, Medicaid, and private plans to facilitate a smooth registration process
Experience Across Multiple Practices
Significant experience obtaining licenses for a variety of healthcare organizations, including hospitals, clinics, solo practitioners, and group practices
Outstanding Documentation
Monitoring the documentation to ensure it adheres to the standards for compliance and verification of the original source
Incorporation of Technology
Utilizing cutting-edge credentialing technology enables you to instantly check the latest status of your provider registration, adhere to deadlines, and effortlessly monitor activities.
Multi-Specialty Group
Thomas
Administrator, Surgery Center
Rebecca
Solo Practitioner
Michelle
Regional Hospital Network
Steven
Primary Care Physician
Karen
Application Preparation & Audit
In this initial step, we verify the documents required for application submission in compliance with the insurance credentialing & enrollment process.
CAQH Profile & Application Submission
Our expert will complete the CAQH profile accurately. They then submit it in the payer-specific application with all the required insurance licensing documents.
Primary Source Verification
Before the approval of the credentials, insurance firms or payers verify primary source, like the person's education, employment history, licenses, and credentials.
Approval & Panel Enrollment
You will be granted approval, to be followed by confirming the start date, following up with payers, and ensuring your practice is ready to serve patients.
Insurance Payer Database Management
Full monitoring of all insurance payers, such as Medicare, Medicaid, and commercial plans, to ensure that everyone in the group is active.
Keep track of all your license renewals, certification expiry, and re-credentialing deadlines using our automated tracking system.
Every three months, CAQH profiles and attestations are systematically updated to keep provider information up-to-date and minimize delays in registration.
Primary Source Verification Coordination
Full monitoring of all insurance payers, such as Medicare, Medicaid, and commercial plans, to make sure that everyone in the group is active.
Outsourcing value-added services for insurance credentialing to Credex Healthcare helps your healthcare organization to enroll additional providers and enables you to focus on patient care. No matter what kind of organization you are—a hospital, a multi-specialty group, or a solo practitioner—our services and registration technologies are scalable to your requirements.
We do not utilize a “one-size-fits-all” approach at our firm since we recognize that every service is different and has its own challenges that need to be addressed. Credex Healthcare’s value-added services for insurance credentialing ensure that your practice signs up with the maximum number of insurance services faster.
Ready to optimize your credentialing process?
Contact Credex Healthcare today for a complimentary consultation and discover our specialized value-added services for credentialing in the USA. Maximize your payer enrollment through expert credentialing support and compliance management.
Schedule Your Free Consultation Now.
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