8 Best Credentialing Companies in New York in 2025

Introduction

Medical credentialing is a critical process for healthcare providers in New York. It also makes sure that physicians, therapists, and clinics are qualified on all levels, comply with insurance companies, and are not prohibited from providing care. In states such as New York, where healthcare regulations, insurance plans, and telehealth services are continually evolving, there is an increasing need for high-quality credentialing services.

As insurance requirements tighten and telehealth continues to expand, credentialing is no longer done internally by many providers, as they would rather outsource it to companies that specialize in credentialing. These firms handle provider enrollment, CAQH management, and Medicaid and Medicare credentialing, among other services.

In order to guide healthcare providers to make an informed decision, we have considered and selected the 8 best credentialing companies in New York in 2025. Credex Healthcare occupies the top position as a top-rated company that delivers extensive experience, fast turnaround, and personalized service.

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

Credex Healthcare leads the way as New York’s top medical credentialing firm. With over ten years of experience, the company meets every end-to-end credentialing need—from solo practitioners to large group practices and hospitals. Their expertise even extends to specialized credentialing for mental health clinics across the state.

The company offers all-encompassing services, including provider enrollment, CAQH management, Medicaid and Medicare credentialing, mental health credentialing, and ongoing credentialing. What sets Credex apart is its emphasis on rapid turnaround times, strict compliance, and personalized service. Each client is assigned a dedicated account manager, ensuring a smooth, hassle-free process.

For practices struggling with insurance panel enrollment or revalidation, Credex Healthcare offers a dependable solution. With proven results and strong client testimonials, it is the preferred choice for healthcare credentialing in New York.

Contact Credex Healthcare today for hassle-free credentialing in New York and get your practice up and running with confidence.

2. MedUSA Revenue Cycle

MedUSA Revenue Cycle provides medical credentialing services tailored for small to mid-sized practices in New York. Their team supports insurance enrollment, re-credentialing, and compliance checks. Known for transparent pricing, MedUSA is popular among family medicine practices and groups of mental health facilities.

Their niche strength is helping newer practices integrate into major insurance networks while keeping up with credentialing updates.

3. MedConverge

MedConverge is a credentialing service that provides support to multi-specialty groups and large hospitals. They handle everything from enrollment to ongoing maintenance, with a strong focus on Medicare and Medicaid compliance.

Known for serving a variety of healthcare organizations, MedConverge’s team is also capable of managing telehealth provider enrollment, making them especially relevant after the 2024 telehealth expansion in New York.

4. Synergy MSO

Based in New York City, Synergy MSO provides credentialing services along with medical billing. Their primary focus is on mental and behavioral health clinics. From CAQH management to Medicaid credentialing, Synergy MSO’s team assists smaller practices in navigating the complexities of insurance panel enrollment and compliance reviews. Their local expertise ensures smooth handling of New York-specific insurance regulations, making them a reliable choice for solo therapists and counseling centers.

5. Practolytics

Practolytics offers comprehensive credentialing and revenue management services nationwide, with a notable client base in New York. Their credentialing division specializes in telehealth, making them an ideal partner for virtual care providers and outpatient mental health services. They provide credentialing packages that include enrollment, re-validation, and compliance monitoring, all managed through easy-to-use digital portals.

6. Physician Practice Specialists

Physician Practice Specialists is one of the most well-known names in healthcare credentialing consulting. In New York, they focus on helping independent practices and small group clinics with their enrollment processes for commercial insurers, Medicare, and Medicaid.

Their expertise lies in consulting and process audits, making them especially effective when assisting practices that aim to improve compliance or expand into new specialties.

7. MedBill Solutions

MedBill Solutions provides healthcare credentialing and verification services for hospitals and private practices. Their team has extensive experience managing credentialing for complex medical groups, including orthopedic and cardiology practices. They offer specialized support for CAQH ProView, hospital privileges credentialing, and behavioral health provider enrollment in New York’s growing telehealth sector.

8. GroupOne Health Source

GroupOne Health Source offers both billing and credentialing services, making it an appealing choice for busy clinics that prefer to work with a single partner for both revenue and credentialing. 

Their credentialing team manages all aspects of initiation, compliance monitoring, re-credentialing, and payer follow-ups. They are especially helpful for multi-location group practices operating across New York State.

Why Choosing the Right Credentialing Company Matters

When choosing a company to handle your credentialing, the first factor to consider is its location. The company must have specialized experience, particularly in areas such as mental health, family medicine, or surgery, so that they understand the specific requirements for credentialing in these fields.

Technology also plays a crucial role in the credentialing process. Top companies utilize electronic health record (EHR) integration, live dashboards, and denial analytics to streamline operations and reduce administrative challenges. 

Another important consideration is pricing transparency. Look for companies that offer clear and straightforward pricing models without hidden fees, ensuring that their costs are flat and predictable.

Lastly, customer care is vital. Having an assigned account manager can save your team valuable time each week, as they can quickly address issues and proactively send reminders to prevent your enrollments from lapsing.

FAQs

1. What is healthcare credentialing, and why is it necessary 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.

2. 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.

3. What’s the difference between credentialing and provider enrollment?

Credentialing involves verifying qualifications and conducting background checks, but enrolling in providers specifically means registering with the insurance companies.

4. Can I outsource my medical credentialing?

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

Conclusion

Choosing the right credentialing partner in New York doesn’t have to be overwhelming. Whether you’re a solo therapist, a busy multi-specialty clinic, or a large hospital group, there is a company that can meet your needs. Credex Healthcare stands out with its unmatched experience, personalized service, and excellent compliance support. 

Start your credentialing journey today. Contact Credex Healthcare for reliable medical credentialing services in New York. Focus on patient care and let the experts handle the paperwork.