Medical credentialing is a critical process for healthcare providers in New York, ensuring physicians, therapists, and clinics meet strict state and payer requirements. With constantly changing regulations, expanding telehealth services, and complex insurance enrollment rules, credentialing has become increasingly challenging for providers across the state. 

As a result, many healthcare professionals now choose to outsource credentialing to specialized companies that manage provider enrollment, CAQH profiles, and Medicare and Medicaid compliance. 

To help you choose the right partner, we’ve compiled a list of the 8 best medical credentialing companies in New York for 2025, based on experience, service quality, turnaround time, and client satisfaction, with Credex Healthcare being the most recommended for its reliability, personalized service, and proven results. 

How We Selected the Best Credentialing Companies in New York 

We made our choice based on many important factors, including years of experience, response times, pricing transparency, feedback from past customers, as well as telemedicine credentialing, Medicare and Medicaid enrollment, and CAQH administration. 

1. Credex Health Care – Best Credentialing Company in New York

Credex Healthcare is a highly regarded medical credentialing business in New York. Solo doctors, group offices, and healthcare organizations from all over the state trust them. The company has been in business for over ten years and handles the full credentialing process. This means that providers stay compliant and credentialed without any delays.   

They help with provider registration, CAQH management, Medicare and Medicaid credentialing, mental health credentialing, and re-credentialing. Credex Healthcare’s personalized service is what makes it truly unique. Each client is given their own account manager who keeps a close eye on timelines and contacts with payers.   

Healthcare workers in New York who are having trouble with insurance companies or compliance often get in touch with Credex Healthcare because they know they can get reliable help with credentialing. 

2. MedUSA Revenue Cycle

MedUSA Revenue Cycle in New York offers customized medical licensing services for small and medium-sized healthcare offices. Insurance registration, re-credentialing, and ongoing compliance tracking are all things that their credentialing team helps providers with. 

Many family medicine and mental health offices appreciate the company for its honest prices and useful help. MedUSA’s main goals are to help new medical offices get in with big insurance networks and keep their credentialing records up to date. 

3. MedConverge

In New York, MedConverge helps with licensing for big healthcare groups, hospitals, and offices with more than one field. They help with physician registration, continued licensing upkeep, and compliance with Medicare and Medicaid. 

As telehealth services have grown in New York, so too has MedConverge’s reputation as a safe pair of hands for telehealth provider credentialing. This makes them a good choice for groups that do both in-person and virtual care. 

4. Synergy MSO

Synergy MSO is located in New York City and focuses on licensing services for mental and behavioral health businesses. Their team helps with managing CAQH, getting Medicaid credentials, and joining insurance panels.   

Synergy MSO has a great deal of knowledge about New York’s unique payment requirements. This lets them help solo therapists and small counseling centers do what they need to do, especially when it comes to compliance checks and revalidation processes. 

5. Practolytics

Practolytics provides certification and revenue cycle services across the country and has many clients in New York. Because their credentialing department works on telemedicine and private mental health doctors, they are a popular choice for virtual care services.  

The company offers customized credentialing packages that include registration, recredentialing, and compliance tracking. Digital dashboards that help practices easily track progress and dates support these packages. 

6. Physician Practice Specialists

Physician Practice Specialists is a long-standing healthcare advising company that helps solo and small group offices in New York get the credentials they need. Their team helps people sign up for Medicare, Medicaid, and private health insurance.  

They are especially useful for practices that want to do compliance checks or are planning to add new fields, as their consulting-based method helps find and fix credentialing gaps early on. 

7. MedBill Solutions

Hospitals and private offices across New York can use MedBill Solutions to verify and identify their providers. They have managed complicated certification needs in fields like orthopedics, heart, and mental health.   

Along with managing CAQH ProView, the company also helps with telemedicine provider registration and getting hospital privileges certified. This helps practices meet insurance and government requirements quickly. 

8. GroupOne Health Source

GroupOne Health Source does both billing and licensing, so it is a beneficial choice for busy healthcare offices that want to work with just one company. Meanwhile, their credentialing team handles the initial registration, re-credentialing, compliance tracking, and payment follow-ups. 

They are especially useful for group offices with more than one address in New York. Their regular credentialing checks are necessary to maintain registration and revenue. 

Why Choosing the Right Credentialing Company Matters 

Choosing the right credentialing company in New York affects how easily compliant a provider is, how quickly they can get paid, and how well their business runs overall. An experienced credentialing partner knows the rules for specialty-based credentialing and how different states’ payer work. This helps providers avoid delays, rejections, and gaps in enrollment.   

The use of technology to automate some parts of credentialing is also an important factor in picking your credentialing partner. EHR integration, live dashboards, and denial analytics are ways that top businesses make things more efficient and easier when it comes to paperwork.    

Another thing to think about is how clear the pricing is. Try to find businesses that make it easy to understand how much you will pay by using a pricing plan with no hidden fees. This ensures that their costs remain consistent and predictable. 

Lastly, taking care of customers is critical. For a certain amount of time, having an assigned account manager can save your team time because they can quickly deal with problems and proactively send messages to keep your enrollments from lapsing.  

If your practice is struggling with delayed enrollments, payer rejections, or CAQH maintenance, working with an experienced New York credentialing company can save time and prevent revenue loss. 

FAQs 

What is medical credentialing, and why is it required in New York? 

Healthcare credentialing verifies a provider’s qualifications, licenses, and insurance panel eligibility. In New York, credentialing is essential for legal compliance, insurance reimbursements, and building patient trust. 

How long does medical credentialing take in New York? 

Credentialing typically takes 60 to 120 days, depending on the provider type, insurance panel, and the accuracy of the documentation. 

What’s the difference between credentialing and provider enrollment? 

Credentialing involves verifying qualifications and conducting background checks. Provider enrollment, on the other hand, specifically entails registering with the insurance companies. 

Can I outsource my medical credentialing? 

Yes, many providers in New York outsource credentialing to companies like Credex Healthcare to save time and reduce administrative burdens.  

Conclusion 

Selecting the appropriate credentialing partner in New York can simplify the challenging approval process and ensure your continued approval. An experienced credentialing company can help you focus on your patients instead of paperwork, whether you are a single practitioner, a mental health provider, or a multi-specialty clinic. 

Credex Healthcare is the best choice because it knows a lot about the business, offers personalized service, and has a strong understanding of how to get credentials in New York. 

Start your credentialing journey with confidence. Contact Credex Healthcare today and let experts manage your medical credentialing needs in New York.