Skip to content Credex Healthcare offers specialized workers’ compensation credentials by streamlining provider verification, licensing validation, and ongoing compliance monitoring. By carefully simplifying the process, we provide workers’ compensation providers and occupational health facilities with the tools they need to easily comply with all regulatory requirements while still providing the best care for incapacitated workers.
With a team of experienced professionals and cutting-edge technologies, Credex Healthcare provides personalized solutions for worker compensation provider enrollment.
Workers' compensation providers and occupational health clinics credentialed nationwide, establishing participation in a work injury network
Average processing time for workers' compensation credentialing achieved through expert documentation and streamlined verification
First-time approval rate demonstrating a thorough understanding of workers' comp payer credentialing standards
Workers' compensation provider credentials processed, giving specialists confidence in our proven expertise
We put excellent care and compliance first for injured workers at Credex Healthcare, where we provide reliable insurance credentialing for workers’ compensation providers. The entire procedure is guided by a team of credentialing experts. We provide you with the tools you need to navigate the dynamic credentialing process by providing transparent and efficient workers’ comp provider enrollment.
Complete workers’ compensation credentialing services include:
Our expert fully coordinates workers' compensation provider applications with state workers' comp programs, third-party administrators, and managed care organizations.
An expert creates and maintains Council for Affordable Quality Healthcare profiles with workers' compensation-specific details through a CAQH setup for occupational health clinics.
Occupational health clinics and work injury treatment centers are fully enrolled with workers' compensation insurance networks through our insurance enrollment services.
Complete coordination of enrollment with state-specific workers' compensation programs, ensuring state workers' compensation compliance.
Comprehensive coordination of hospital medical staff appointments and workers' comp case acceptance through hospital credentialing for workers' compensation cases.
Strategic enrollment with workers' comp insurance carriers, third-party administrators, and managed care organizations through payer enrollment in workers' compensation networks.
Seamless integration of credentialing with revenue cycle operations, ensuring efficient workers' compensation billing and credentialing processes.
Credex Healthcare has a long history of obtaining insurance credentials for occupational health providers, work injury specialists, and industrial medicine practitioners. Our team of professionals understands the documentation needed for occupational medicine credentialing, insurance coverage required for work injury treatment, and the criteria that must be met for state workers’ compensation compliance. We take care of every part of the workers’ comp payer credentialing process for providers, occupational health clinics, and industrial medicine groups.
Our expert handles the process of enrollment with all state-specific workers' compensation programs and state-run insurance carriers.
We manage every step of credentialing with major third-party administrators handling workers' compensation claims, including Sedgwick, Gallagher Bassett, and Broadspire.
Our services deal with the complex process of credentialing with workers' comp managed care organizations and preferred provider networks.
We provide assistance with Medicare and Medicaid enrollment for work injury treatment when workers' compensation cases involve dual coverage.
Primary source verification (PSV) of current medical licenses from all states where the workers' compensation provider treats injured workers
Review of the provider's eligibility to practice occupational medicine and related subspecialties through board certification
Verification of specialized training in occupational medicine, industrial medicine, or work injury treatment protocols
National Provider Identifier
Coordination with the NPI Registry that recognizes individual physicians and medical groups eligible to operate at workplace health clinics
Workers' Comp Malpractice Insurance
Provide evidence of current malpractice insurance that satisfies the requirements of the state and workers' compensation insurance companies
Occupational Health Competency Documentation
Evidence indicating that the provider has supervised and attended to work-related incidents, work return preparations, and occupational health tests
State Compliance Documentation
Background screening, Office of Inspector General (OIG) exclusion list verification, and state workers' compensation compliance certification
Credex Healthcare is a specialist in providing comprehensive credentialing services for occupational health providers, tailored to the needs of workers’ compensation insurance carriers and state programs. We verify that all of the requirements specified by state regulatory organizations and workers’ compensation insurers are met by the providers. While we take full control of the occupational medicine credentialing process, work injury clinics may concentrate on taking care of patients.
We have a deep understanding of workers' compensation credentialing requirements and the state-specific workers' comp payer credentialing process.
Our specialists understand how crucial it is to have the necessary qualifications to work in occupational medicine and treat work-related injuries.
CAQH Command
CAQH command and specialized knowledge enable our experts to manage the CAQH setup for occupational health clinics,
A full overview of the regulations and requirements for workers' compensation in all 50 states
Industry-aligned expertise on the rules for third-party administrator credentials and provider enrollment in workers' compensation networks
Professionally managing hospital privileges for workers' compensation cases ensures that providers are eligible to treat work-related injuries.
12+
Years of Workers' Comp Credentialing
100% Success
Occupational Health Provider Credentialing Applications
98.5%
Insurance Enrollment Success Rate
24/7 Support
Available for All Your Needs
100%
Customized Workers' Comp Solutions
MD
William
“I had to get credentials from different state workers’ comp programs and third-party administrators before I could start my occupational medicine practice. Credex took care of everything in less than 60 days, including state enrollments, TPA credentialing, and hospital privileges for work injury cases.”
Director
Leo
“We needed to get credentialed with dozens of workers’ comp carriers to open our occupational health clinic for multiple providers. Credex did a great job managing all of the state programs, third-party administrators, and managed care organizations.”
MD
Charlie
“Adding workers’ compensation patients to my orthopedic practice required special credentials. Credex understood the specific needs of workers’ comp patients and handled the full enrollment process professionally.”
Administrator
Hannah
“Managing five urgent care centers that treated work injuries required complicated workers’ compensation credentialing in three states. Credex took care of all the locations, handled enrollment in multiple states, and made sure that the workers’ compensation rules were followed in each state.”
DC
James
Application Submission
Get the credentials for workers' compensation, such as a license to practice occupational medicine, treatment records for work-related injuries, and a complete CAQH setup for occupational health facilities.
Primary Source Verification
State workers' compensation programs and third-party administrators contact medical schools, training programs, and certification boards to verify documentation.
State Compliance & Review
Payer credentialing agencies look at providers' records, run background checks, and make sure that the provider is following workers' compensation regulations
Contract Negotiation & Network Activation
Workers' compensation companies send out contracts, determine billing arrangements for occupational treatment, and establish reimbursement rates. They also ensure that payers join up so that workers' compensation networks are activated.
We offer a complete range of credentialing for individual practitioners as well as occupational health group practices. We make it simple for hospital occupational medicine departments and industrial health offices with more than one location to become workers’ compensation providers. We also assist workers’ compensation companies in keeping their credentials up to date. We provide all credentialing solutions for both solo physicians and surgical group offices. Our experts ensure that doctors have the required qualifications to work in hospital surgery teams and multi-specialty surgical groups.
We are experts in covering all areas that address job injuries, including orthopedics, chiropractic treatment, physical therapy, pain management, and industrial medicine.
We perform simultaneous credentialing across multiple state jurisdictions to ensure that workers' compensation regulations and insurance companies are coordinated.
Our specialist sets up and runs the CAQH for workplace health centers with various practitioners, which enables centralized management and monitoring of credentials.
Working with Sedgwick, Gallagher Bassett, Broadspire, and other significant TPAs, as well as regional claims managers, on case management.
Credex Healthcare’s credentialing services for workers’ compensation make sure that all state workers’ comp networks and insurance companies are credentialed swiftly. We have processed applications of various workers’ compensation providers in the past, which demonstrates our vision to simplify provider enrollment in workers’ compensation networks.
We handle the whole credentialing process, which includes enrolling you in the state’s workers’ compensation program, connecting you to managed care networks, and integrating your workers’ compensation billing and credentialing.
Ready to establish your workers’ compensation insurance credentials?
Contact Credex Healthcare today for a complimentary consultation and discover how our workers’ compensation insurance enrollment services can accelerate your credentialing timeline through our streamlined occupational medicine credentialing process and maximize your work injury practice revenue.
Schedule Your Free Consultation Now.
Credentialing for workers’ compensation ensures that healthcare practitioners may treat injured workers and bill workers’ compensation insurance companies. As part of the process for enrolling as a workers’ comp provider, current medical licenses, occupational medicine board certification or relevant specialty certification, training records in providing occupational health service, workers’ comp malpractice insurance, compliance with state workers’ compensation regulations, and a National Provider Identifier are reviewed and submitted.
It normally takes 6 to 10 weeks for workers’ compensation credentials to be successfully processed. During this period, providers must bill state programs and insurance companies. Meanwhile, it normally takes four to six weeks to get into a state workers’ compensation program. It takes 6 to 8 weeks for a third-party administrator to approve the enrollment of providers in workers’ compensation networks. Lastly, it might take 8 to 10 weeks to join a managed care organization, depending on its requirements.
Yes. We set up all CAQH profiles for workplace health clinics and all the payers for workers’ compensation networks. You need to verify your credentials, provide information specific to workplace medicine and work injury care, and keep your CAQH profile updated.
Every two to three years, most state programs and third-party administrators require providers to re-credential. Physicians who provide occupational healthcare in networks make sure that their licenses, board certification, and malpractice insurance are still valid. Additionally, the laws for state workers’ compensation are continuously being followed.
If a provider’s workers’ compensation credentialing expires, they cannot serve injured patients or bill state workers’ comp programs and insurance companies through workers’ compensation billing and credentialing systems. The hospital cannot process workers’ compensation claims anymore if its provider’s credentials expire. If you want to reinstate your expired credentials, you must go through the entire workers’ compensation credentialing procedure again.
To avoid losing money due to complicated billing procedures, ophthalmology practices in the US deal
Unless you are certified by insurance companies, you will be leaving money on the table
When it comes to making sure that people get quality healthcare, credentialing is very important
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