Credentialing Maintenance Services
At Credex Healthcare, we know how vital it is for healthcare providers to maintain accurate and up-to-date credentials. Ensuring compliance and uninterrupted patient care requires proactive management. Therefore, our credentialing maintenance services take care of all credentialing tasks, allowing you to focus on delivering quality healthcare.
Lost Credentialing = Lost Revenue.
Stay on Top of Payer Requests!
Why Clients Trust Us
Years
12 Years of Provider / Hospital Credentialing and Enrollment experience
States
Extensive experience in all 50 states / State regulations / Rules and Compliance
Applications
Over 120,000+ applications successfully filed and contracts received
Our Provider Credentialing Maintenance Plan
Address Updates & Modifications
Get two address changes per year at no cost, plus a 50% discount on any additional updates.
Expiration Monitoring
We track DEA registrations, state licenses, malpractice insurance, and other time-sensitive credentials to prevent disruptions.
Hospital Affiliation Renewals
We assist with up to one recredentialing application per physician annually, ensuring continued hospital privileges.
Payer Contract Revalidations
Our team handles recredentialing with commercial payers to protect your contracts and revenue flow.
Medicare & Medicaid Compliance
We oversee the entire revalidation process to prevent enrollment gaps and maintain compliance.
CAQH Profile Updates
Our experts manage CAQH attestations and profile maintenance, ensuring effortless interactions with payers.
New Provider Onboarding
We offer discounted enrollment services to simplify the credentialing process for newly hired providers.
Payer Enrollment Audits
For practices with five or more physicians, we provide a free payer audit to verify provider enrollments.
Reach Out to Our Credentialing Team
Who We Serve
Hospitals, including Critical Access Hospitals
Physicians (MDs/DOs)
Occupational Therapists
Nurse Practitioners
Physician Assistants
Physical Therapists
Occupational Therapists
Licensed Clinical Social Workers
Pricing
Our credentialing maintenance services are tailored to fit your organization’s needs. Pricing ranges from $30 to $60 per provider per month. Investing in this service safeguards compliance and protects revenue streams from potential credentialing issues.
Why You Need Credentialing Maintenance Services
Neglecting provider credentialing can lead to denied claims, compliance violations, and even removal from insurance networks. However, by keeping your credentials up to date, you can prevent revenue loss and ensure long-term practice sustainability.
Getting Started
Getting started with our credentialing services is simple. Once we gather the necessary details about your practice and providers, we initiate the process immediately. Furthermore, our flexible agreements accommodate practices of all sizes. Whether you prefer a month-to-month arrangement or a long-term partnership, we have an option for you.
Stay Compliant and Focus on Patient Care
Partner with Credex Healthcare to ensure seamless credentialing management. With our expert support, you can concentrate on what matters most—delivering outstanding patient care.
During the credentialing part, our team assists you as you submit a request of participation to your select health plans, strictly following their application guidelines. As your application is received, staff members set out to verify your details after which your case is forwarded to the credentialing committee for final approval.
All in all, this journey can take around 90 – 120 business days from start to end. And although this seems like a long waiting period, at Credex Healthcare we provide weekly updates to keep you in loop.
WHAT OUR CLIENT SAY
Homecare Agency Owner
As a Homecare agency, navigating credentialing and enrollment can be a headache, but Credex Healthcare made it simple and straightforward. They took care of everything from our NPI management to PECOS enrollment, ensuring compliance at every step. Their expertise in primary source verification and network research helped us expand our network, allowing us to provide care to more patients. Highly recommend!
Pediatric Group
Credex Healthcare has been an invaluable partner for our multi-specialty group practice. They handled all our credentialing and enrollment needs, ensuring every provider was up-to-date across insurance networks and credentialing portals like CAQH and PECOS. Their ability to track and manage multiple providers’ licenses and certifications has saved us a tremendous amount of time and reduced our administrative burden.
Lab Director
Running a lab comes with its own set of compliance challenges, but Credex Healthcare has taken care of it all. They managed our CLIA waiver, credentialing, and enrollment processes, ensuring that we met every regulatory requirement. Their attention to detail and ability to handle complex credentialing issues has allowed us to focus on our operations without worrying about missing deadlines or facing compliance issues. Exceptional service!
HomeHealth agency Owner
Credex Healthcare has been a game-changer for our HomeHealth agency. They managed our credentialing process from start to finish, ensuring all our licenses, DEA registrations, and CAQH profiles were up to date. Their expiration tracking system is incredibly helpful in keeping everything in check. Thanks to them, we can focus on delivering quality care to our patients without worrying about administrative hurdles.
Nurse Practitioner (NP)
Credex Healthcare has been amazing to work with. As a Nurse Practitioner, they took care of everything, from managing my NPI and PECOS enrollment to handling all my licensing and revalidation requirements. Their support has allowed me to concentrate fully on patient care, and their thorough primary source verification ensured that my credentials were always accurate and up to date. I couldn’t ask for a better partner!
Dentist
I’ve had an outstanding experience with Credex Healthcare. They took over my credentialing, managed my CAQH profile, and handled my DEA registration with ease. Their team made sure my practice stayed compliant and helped me with network research and application follow-up. I don’t know what I would do without them handling all the administrative tasks!
