Skip to content Credex Healthcare provides family practices with streamlined credentialing services, making it easier for family doctors to join insurance networks. We manage family practice insurance registration, provider credentialing, CAQH profile creation, payer collaboration, and family practice billing optimization. We assist family physicians quickly and easily enroll in the networks of major insurance carriers. We enhance revenue collection by ensuring that every payer is enrolled and practices are fully integrated.
By managing documentation carefully and engaging with payers intelligently, our family practice billing and credentialing services effectively handle these processes, leading to faster enrollment and approval rates.
10,500+
Family physicians got credentials verified across the US, allowing them to join a primary care network and generate revenue
90 Days
Average family practice credentialing processing through expert documentation and streamlined verification
96%
First-time approval rate due to the expertise and professionalism of our experts on payer requirements
22,000+
Family physicians credentialed, making us trusted and reliable among providers of all specialties in the country
Credex Healthcare specializes in the intricate requirements of family practice credentialing for insurance network participation and revenue optimization. We provide comprehensive guidance through every aspect of insurance enrollment, payer credentialing, and practice operations.
Complete Family Practice Credentialing Services Include:
Strategic coordination of family physician credentialing applications with Medicare, Medicaid, commercial carriers, and specialty networks
Expert creation and maintenance of Council for Affordable Quality Healthcare (CAQH) profiles with family medicine-specific details
Negotiation and finalization of family practice-specific contracts establishing fees, reimbursement rates, and billing terms
Comprehensive enrollment across Medicare, Medicaid, commercial carriers, and specialty networks, maximizing revenue coverage
Periodic re-credentialing, coordination, and compliance tracking for family practice network participation maintenance
Complete credentialing services for Medicare participation through CMS and family medicine-specific Medicaid program enrollment in all states
Blue Cross/Blue Shield, UnitedHealthcare, Cigna, Aetna, and local family practice networks all work together to make sure that everyone who wants to enroll is covered.
Experts create CAQH profiles with credentials that are relevant to family medicine so that specialty payers may easily find and accept patients.
Managing all providers' credentials for family medicine facilities with more than one doctor and intricate payment agreements
Primary source verification of current, active medical licenses from all states where the family physician practices or provides services
Verification of American Board of Family Medicine certification confirming primary care expertise and clinical competence.
Documentation of family medicine residency completion from Accreditation Council for Graduate Medical Education (ACGME) programs
CMS National Provider Identifier (NPI) confirmation and Medicare/Medicaid participation status verification for primary care billing
Current malpractice insurance certificate, criminal history, professional disciplinary record, and treatment malpractice investigation
Efficient Approach
A thorough knowledge of the rules that govern family medicine operations for Medicare, Medicaid, and private insurance
ABFM Certification
Expert help in aligning with the American Board of Family Medicine certification and ongoing maintenance of board standing
CAQH Expertise
Proficiency with Council for Affordable Quality Healthcare locations setup and maintenance for family medicine operations
Multi-Provider
Full coordination of credential verification for family practice groups working with multiple physicians and have sophisticated payment arrangements
AAFP Standards
Recognition of the American Academy of Family Physicians' professional standards and practice guidelines integration
Multi-State Support
Providers expanding practice locations across jurisdictions get specialized expertise in multi-state family physician credentialing.
Years of Family Medicine Credentialing Expertise
Family Physician Credentialing Applications
Family Practice Insurance Enrollment Success Rate
Available for All Your Needs
Customized Family Medicine Solutions
Family Medicine
Alece
Family Practice Owner
David
Managing credentialing for our family medicine practice with five providers in three locations was too much. Credex took care of all the credentials, enrollment at multiple locations, and compliance. It was a huge help to run the practice continuously.
Rural Family Medicine
Robert
Multi-Provider Practice Director
Joe
The process of insurance panel enrollment and compliance audits proved difficult to understand. Through their thorough understanding of credentialing standards and complete compliance with regulations, the credentialing specialists at Credex assisted our organization in obtaining approval from multiple payers.
Telehealth Family Medicine
Anderson
Credentialing Application Submission
Compile family medicine credentials, including ABFM certification, residency documentation, and a complete CAQH profile with family practice details.
Primary Source Verification
Insurance companies and Medicare Administrative Contractors require verification from medical schools, training programs, and the ABFM.
Credentialing Review & Investigation
Payer credentialing offices evaluate family physicians' credentials, run background checks, and look at their history of malpractice.
Contract Negotiation & Execution
Family medicine contracts from insurance companies specify how much they will pay, how simple it is to access basic treatment, and how to bill.
Network Activation & Billing Setup
Insurance companies let family physicians join networks easily, establish ways for people to pay their fees for basic care.
CAQH Group Setup
Experts create CAQH accounts for group providers, which lets many family practitioners manage their credentialing information from one location.
Employer Relationship Management
Coordinates with healthcare systems, institutions, and organizations that endorse family medicine group physicians with their credentials.
Multi-Provider Coordination
Simultaneous credentialing for multiple providers ensures synchronized insurance participation across the practice.
Payer Contract Consolidation
Establishing client contracts at the group level that provide standard procedures for payment arrangement and service scope for physicians.
Credex Healthcare’s family practice credentialing services ensure efficient, compliant credentialing across all insurance networks. Whether you are a newly board-certified family physician establishing your first insurance relationships or an established family medicine provider for expanding practice locations, we have a customized solution for everyone and everywhere in the U.S.
Our proven track record in credentialing thousands of family physicians demonstrates our commitment to streamlining family medicine insurance enrollment and maximizing practice revenue. From Medicare enrollment to commercial network participation and multi-provider practice integration, we handle every aspect of family practice credentialing with expertise and precision.
Ready to establish your family practice insurance credentials?
Contact Credex Healthcare today to set up a consultation to see how our specialist family practice credentialing services may help you generate more revenue and speed up the process of credentialing.
Schedule Your Free Consultation Now.
Family practice offers support with wellness checks, vaccinations, and continuing healthcare support across a wide
CAQH credentialing is free via ProView, but indirect costs (staff time, verification, outsourcing) can range
Some of the most crucial things that a healthcare provider has to do before attending
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