Best Medical Credentialing Companies in Tampa 

The process of credentialing is what allows Tampa providers to receive compensation, become part of insurance groups, and gain the trust of patients. Whether you’re opening a primary care office in South Tampa, adding a behavioral health site in Brandon, or operating urgent care near Clearwater, credentialing affects how soon revenue begins. 

Without complete or timely provider enrollment, reimbursements are held, payer contracts are slowed down, and even patient referrals are delayed. This is why a reliable credentialing company is one of the best things that a Tampa healthcare practice can invest in. 

The Growing Need for Credentialing in Tampa’s Healthcare  

Tampa is one of Florida’s fastest-growing medical hubs. As the population grows and ages, and its telehealth and behavioral health industries thrive, the need for credentialed providers has never been greater. 

In the counties of Hillsborough and Pinellas, clinics are being established to keep up with patient demand, whether in family medicine, mental health, urgent care, or pain management. 

However, to accept insured patients, all providers must complete credentialing and payer enrollment with large insurers such as Florida Blue, Aetna, UnitedHealthcare, Cigna, Humana, and Sunshine Health (Florida Medicaid). 

Credentialing ensures: 

• Verifies the provider’s education, licenses, and experience. 
• Confirms compliance with state and federal requirements. 
• Enables billing and reimbursement for covered services. 

In brief, credentialing is not a choice; it is the key to earning money and adhering to the authorities in Florida’s competitive healthcare market. 

List of Top Medical Credentialing Companies in Tampa 

1. Credex Healthcare  

Credex Healthcare specializes in: 

• Provider credentialing 
• CAQH setup 
• PECOS/Medicare enrollment 
• Payer-contracting follow-up 
• Recredentialing management 
• Dedicated account managers 
• Transparent timelines 
• Support for behavioral health, home health, private practices, and multi-specialty groups 

Strengths:
Follow-up with local payers; state licensing steps; regular recredentialing reminders; provider data stays current. 

Suitable for: small practices and telehealth teams that need fast payer access. 

How Credex Healthcare helps Tampa providers:
Full CAQH setup and maintenance; PECOS/Medicare enrollment and revalidations; payer enrollment and appeals; primary-source verification and document assembly; recredentialing and continuous monitoring; dedicated account manager. 

2. Medusind Solutions 

Medusind Solutions offers a full suite of medical credentialing and physician privileging solutions across insurance networks (commercial, Medicare, Medicaid) and supports complex enrollments to keep provider files compliant. 

Highlights:
Monthly document collection and maintenance (licenses, malpractice insurance, sanction checks); urgent/temporary privileging support. 

Best for: mid-sized specialty groups or multi-provider clinics. 

3. eProvider Solutions 

eProvider Solutions provides medical billing and credentialing services on a technology-based platform that provides tools and automation of the enrollment process and real-time progress tracking. 

Best for: Clinics with an in-house billing system that are interested in having the credentialing as part of their enrollment system. 

4. PractiSource 

PractiSource is a Florida statewide credentialing company that serves practices in Tampa as well as other parts of Florida. 

Services: insurance panel enrollment, Medicare and Medicaid applications, and provider recredentialing services. 

Best for: Physician groups and multi-specialty clinics desiring credentialing and revenue-cycle services. 

Fee model: Credentialing is different from billing elements. 

5. Portiva 

Portiva offers medical administrative support, medical billing and credentialing, virtual medical assistants, a hybrid remote-support model, dashboards for tracking, no setup fees in some models, flexible for small practices. 

Best for: Telehealth expansion; remote provider onboarding; a virtual-assistant model. 

6. Vee Technologies 

Vee Technologies is a technology-enabled service. 

Highlights:
NCQA CVO certification; enrollment; revenue-cycle optimization; data abstraction; verification; payer follow-up; recredentialing monitoring; robust credentialing workflows. 

Suitable for: Multi-provider clinics or hospital-affiliated groups that expect to scale across multiple payers/states. 

7. Synergy Healthcare Resources 

Synergy Healthcare Resources provides insurance credentialing, provider data management services, CAQH, and Medicare/Medicaid enrollment. 

Best for: Small to mid-sized practices in Tampa, behavioral health providers, therapy clinics, and home health agencies requiring credentialing services. 

8. 365 Healthcare Staffing Services 

365 Healthcare Staffing emphasizes a large staffing pool and support for expansions; it may offer credentialing-adjacent services. 

9. Parallon  

Parallon, a credentialing firm, offers provider onboarding for HCA and potentially faster internal credentialing via EMR and facility workflows. 

Best for: Hospital privileging and network requirements with HCA facilities. 

10. MedTrainer 

MedTrainer is scalable for larger provider groups or multi-location groups. They offer managed services, credentialing software, licensure tracking, staff training, and compliance modules. 

Their Florida teams manage CAQH, state licensure, and payer enrollment. 

Best for: Practices that already have internal staff but need a system to streamline. 

11. CredentialingOne 

CredentialingOne has been a credentialing company primarily involved in provider credentialing, payer contracting, Medicare, Medicaid, and commercial enrollments, all with tracking dashboards. 

Best for: The physician groups are small, and behavioral health providers. 

12. STAT MedCare Solutions 

STAT MedCare Solutions is a credentialing company that works nationwide, offering credentialing and enrollment management, PECOS, Medicare, and Medicaid applications, and payer revalidations. 

Suitable for: Multi-specialty clinics and consulting groups. 

13. M‑Scribe Technologies 

M- Scribe Technologies is a credentialing company that provides credentialing and medical billing services, simplifies the insurance enrollment, supports CAQH implementation and Medicare enrollment, and commercial payer contracting. 

Best for: Practices that desire a single vendor in several back-office functions. 

14. Outsource Strategies International (OSI) 

Outsource Strategies International works with clinics and billing firms throughout the country, providing insurance credentialing, updating payers, re-enrollment, and facilitating renewals/licensing of ongoing renewals. 

Suitable for: Dentists, chiropractors, and therapists, as well as other non-physician providers. 

15. Credentialing.com

 Credentialing.com operates nationally, and they have dedicated Florida specialists. 

Highlights: End-to-end enrollment management; CAQH management; Medicare PECOS; Medicaid application; payer contracting; extensive coverage; real-time tracking; digital workflow. 

Best for: Practices that are increasing the types of providers, or cross-state credentialing is required. 

How Credentialing Services Help Tampa Providers 

• Speed up reimbursements 
• Avoid payer rejections 
• Stay compliant with Florida and federal rules 
• Reduce administrative burnout 

Key Features to Look for in a Tampa Credentialing Partner 

When choosing a credentialing vendor, give more attention to Florida-specific compliance experience and knowledge of local payers. 

1. Local payer expertise 

Have an understanding of the Tampa payer landscape, which includes Florida Blue, AvMed, Aetna Better Health, Molina, Simply Healthcare, and Sunshine Health. Local experience makes the contracting quicker, as well as slashes the back-and-forth communication. 

2. On-the-fly reporting and monitoring

Identify dashboards and periodic reports for companies. These demonstrate credentialing advances, outstanding documentation, and payer feedback, so you always know status and next steps. 

3. Meeting Florida regulations 

Account for Board of Medicine requirements, AHCA facility licensing, and Medicaid enrollment. Select a vendor familiar with state-specific timelines and forms. 

4. Full-service offerings 

Select a vendor that handles:
CAQH registration/attestation; PECOS/Medicare enrollment; Florida Medicaid applications; commercial payer contracting and recredentialing. 

Benefits of Outsourcing Credentialing in Tampa 

• Cost savings 
• Faster payer onboarding 
• Reduced claim denials 
• Audit readiness 

Final thoughts

The optimal choice is to work with the correct credentialing agency, and it will enable you to enter payer networks quicker, remain in the mode, and prevent expensive billing interruptions. 

Are you willing to make your provider enrollment easier?
Credex Healthcare keeps your credentialing organized, transparent, and worry-free.
Visit Credex Healthcare and get started. 

FAQs 

Q1: How much is the average cost of credentialing in Tampa? 

Average rates are $200-$400 per payer per provider, which depends on CAQH implementation, Medicare enrolment, commercial payers, and recredentialing. 

Q2: What is the time required to be credentialed with major payers in Florida? 

An average time is 60-120 days; enrollments may be prolonged in the case of Medicare and Medicaid. 

Q3: Who are the payers in Tampa that need CAQH? 

Aetna, Cigna, Florida Blue, Humana, UnitedHealthcare. 

Q4: Are independent nurse practitioners credentialed in Florida? 

Yes. The NPs are allowed to be credentialed independently and should possess: NPI, malpractice insurance, and a supervising-physician agreement (where necessary).