{"id":991,"date":"2026-02-26T18:02:03","date_gmt":"2026-02-26T18:02:03","guid":{"rendered":"https:\/\/medibillmd.com\/blog\/?p=991"},"modified":"2026-04-08T12:59:13","modified_gmt":"2026-04-08T12:59:13","slug":"medical-credentialing-companies","status":"publish","type":"post","link":"https:\/\/medibillmd.com\/blog\/medical-credentialing-companies\/","title":{"rendered":"Best Medical Credentialing Companies in 2026"},"content":{"rendered":"\n<p>Let us begin by asking you some simple questions. Why should insurance payers trust you with their money? Why should they refer you to their policyholders? And most importantly, why should patients come to you instead of going to any other healthcare provider?&nbsp;<\/p>\n\n\n\n<p>CREDENTIALS! It is all about the credentials! Only verified, trusted, and credentialed physicians and practices become insurance payers\u2019 in-network providers, securing exclusive benefits and referrals. However, getting credentialed is a minefield of a different sort. Complex credentialing requirements and prolonged delays (sometimes up to <a href=\"https:\/\/aappr.org\/2023\/04\/17\/credentialing-bottlenecks\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">6 months<\/a>) bar providers from delivering patient care and earning an income. That\u2019s why they seek the expertise of professional medical credentialing companies to efficiently manage the process and secure faster enrollments.&nbsp;<\/p>\n\n\n\n<p>If you want to become a trusted partner for insurance payers and collect full and fast reimbursements for your services, explore this year\u2019s 10 best medical credentialing companies that we have shortlisted for you.<\/p>\n\n\n\t\t\t\t<div class=\"wp-block-uagb-table-of-contents uagb-toc__align-left uagb-toc__columns-1 uagb-toc__collapse uagb-block-b81250c8      \"\n\t\t\t\t\tdata-scroll= \"1\"\n\t\t\t\t\tdata-offset= \"30\"\n\t\t\t\t\tstyle=\"\"\n\t\t\t\t>\n\t\t\t\t<div class=\"uagb-toc__wrap\">\n\t\t\t\t\t\t<div class=\"uagb-toc__title\">\n\t\t\t\t\t\t\tTable Of Contents\t\t\t\t\t\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 384 512\"><path d=\"M192 384c-8.188 0-16.38-3.125-22.62-9.375l-160-160c-12.5-12.5-12.5-32.75 0-45.25s32.75-12.5 45.25 0L192 306.8l137.4-137.4c12.5-12.5 32.75-12.5 45.25 0s12.5 32.75 0 45.25l-160 160C208.4 380.9 200.2 384 192 384z\"><\/path><\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uagb-toc__list-wrap \">\n\t\t\t\t\t\t<ol class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#top-10-medical-credentialing-companies-in-the-usa\" class=\"uagb-toc-link__trigger\">Top 10 Medical Credentialing Companies in the USA<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#1-medibillmd\" class=\"uagb-toc-link__trigger\">1. MediBillMD<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#2-bikham-healthcare\" class=\"uagb-toc-link__trigger\">2. Bikham Healthcare\u00a0<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#3-neolytix\" class=\"uagb-toc-link__trigger\">3. Neolytix\u00a0<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#4-medstates\" class=\"uagb-toc-link__trigger\">4. MedStates<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#5-billing-advantage\" class=\"uagb-toc-link__trigger\">5. Billing Advantage\u00a0<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#6-pyramids-global\" class=\"uagb-toc-link__trigger\">6. Pyramids Global<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#7-practolytics\" class=\"uagb-toc-link__trigger\">7. Practolytics<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#8-physician-practice-specialists\" class=\"uagb-toc-link__trigger\">8. Physician Practice Specialists\u00a0<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#9-practiceworx\" class=\"uagb-toc-link__trigger\">9. PracticeWorx<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#10-payrhealth\" class=\"uagb-toc-link__trigger\">10. PayrHealth\u00a0<\/a><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#things-to-consider-when-choosing-a-medical-credentialing-company\" class=\"uagb-toc-link__trigger\">Things to Consider When Choosing a Medical Credentialing Company<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#experience-and-expertise\" class=\"uagb-toc-link__trigger\">Experience and Expertise\u00a0<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#technology-and-turnaround-time\" class=\"uagb-toc-link__trigger\">Technology and Turnaround Time<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#cost-and-compliance\" class=\"uagb-toc-link__trigger\">Cost and Compliance<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#customer-support-and-customization\" class=\"uagb-toc-link__trigger\">Customer Support and Customization\u00a0<\/a><\/li><\/ul><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#bottom-line\" class=\"uagb-toc-link__trigger\">Bottom Line<\/a><\/ul><\/ul><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Top 10 Medical Credentialing Companies in the USA<\/strong><\/h2>\n\n\n\n<p>North America dominated the Global Credentialing Software and Services in Healthcare Market with a <a href=\"https:\/\/finance.yahoo.com\/news\/global-credentialing-software-services-healthcare-123300495.html?guccounter=1&amp;guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&amp;guce_referrer_sig=AQAAAHJeIP9bFCoaN27T1R_Zkg1VdupheA9rzmtU0AQ3cRY4UURjVbB5g4Thcye2q0nWRKvIOi3jjH_vGjBQajrCnuv2OYwgYo61_nO_4B4lK9Awa4tj_xCwMYeMObpr1cWyQbibCW-sQVnF8pkd3YT0YjUT1J9me6ze-wXb5nzaoZkg\" rel=\"nofollow noopener\" target=\"_blank\">39.47%<\/a> share in 2023. There are close to 1,400 <strong><a href=\"https:\/\/medibillmd.com\/blog\/medical-billing-companies\/\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/medibillmd.com\/blog\/medical-billing-companies\/\" rel=\"noreferrer noopener\">medical billing companies in the USA<\/a><\/strong>, and many of them offer professional provider\/ physician credentialing solutions.<\/p>\n\n\n\n<p>However, the best medical credentialing companies are those that deliver a combination of reliability, affordability, technology, and customized services with quick turnarounds.<\/p>\n\n\n\n<p>The following top 10 credentialing companies in 2026 will smooth your enrollment process and help you join the insurance panels of your choice.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><thead><tr><th class=\"has-text-align-center\" data-align=\"center\"><strong>Medical Credentialing Company<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>Best For\u00a0<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>The Reason<\/strong><\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\">MediBillMD&nbsp;<\/td><td class=\"has-text-align-center\" data-align=\"center\">Comprehensive RCM Integration<\/td><td class=\"has-text-align-center\" data-align=\"center\">Offers end-to-end Revenue Cycle Management (RCM) across 60+ specialties. Features a centralized project management tool, dedicated account managers, and bi-weekly status updates.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Bikham Healthcare&nbsp;<\/td><td class=\"has-text-align-center\" data-align=\"center\">Global Scale &amp; Experience<\/td><td class=\"has-text-align-center\" data-align=\"center\">A New York-based firm with 4 global offices and 150+ employees. Established in 2006, they serve over 500 clients in the USA across 15+ medical specialties.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Neolytix&nbsp;<\/td><td class=\"has-text-align-center\" data-align=\"center\">Payer Contract Negotiation<\/td><td class=\"has-text-align-center\" data-align=\"center\">Excels at handling complex application filing and negotiating payer contracts. Provides real-time updates and manages the full re-credentialing lifecycle.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MedStates<\/td><td class=\"has-text-align-center\" data-align=\"center\">Government &amp; Commercial Diversity<\/td><td class=\"has-text-align-center\" data-align=\"center\">HIPAA-compliant provider specializing in securing contracts with both government programs (Medicare\/Medicaid) and commercial managed care plans for 23+ specialties.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Billing Advantage&nbsp;<\/td><td class=\"has-text-align-center\" data-align=\"center\">Regional Expertise (East Coast)<\/td><td class=\"has-text-align-center\" data-align=\"center\">Based in Massachusetts, they support over 300 clinicians across 22 states, focusing on delivering high-touch billing and credentialing excellence.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Pyramids Global&nbsp;<\/td><td class=\"has-text-align-center\" data-align=\"center\">Hospital &amp; Large Clinic Focus<\/td><td class=\"has-text-align-center\" data-align=\"center\">Specializes in RCM solutions specifically tailored for hospitals, clinics, and physician offices across 24+ specialties. A 99% client retention rate.&nbsp;<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Practolytics&nbsp;<\/td><td class=\"has-text-align-center\" data-align=\"center\">Data-Driven Practice Management<\/td><td class=\"has-text-align-center\" data-align=\"center\">Combines credentialing with advanced practice management technology to help clinics scale and track provider enrollment data efficiently.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Physician Practice Specialists<\/td><td class=\"has-text-align-center\" data-align=\"center\">Consultancy &amp; Start-up Support<\/td><td class=\"has-text-align-center\" data-align=\"center\">Focuses on healthcare consultancy and medical practice start-up services. Trusted by major EHRs like Athenahealth and AdvancedMD for enrollment with top payers.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">PracticeWorx<\/td><td class=\"has-text-align-center\" data-align=\"center\">Behavioral Health &amp; Small Practices<\/td><td class=\"has-text-align-center\" data-align=\"center\">Known for personalized administrative support, making them a strong fit for smaller outpatient groups and behavioral health specialists.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">PayrHealth<\/td><td class=\"has-text-align-center\" data-align=\"center\">National Network Enrollment<\/td><td class=\"has-text-align-center\" data-align=\"center\">Nationwide availability with deep experience in forging strong relationships between insurance payers and healthcare providers. 50,000+ negotiated contracts and $23 billion of net patient revenue.&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">1. <strong>MediBillMD<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" width=\"388\" height=\"85\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/06\/medibill-667574826b0c1.webp\" alt=\"MedibillMD Logo\" class=\"wp-image-735\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/06\/medibill-667574826b0c1.webp 388w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/06\/medibill-667574826b0c1-300x66.webp 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/><\/figure>\n\n\n\n<p>Headquartered in Dallas, Texas, <a href=\"https:\/\/medibillmd.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">MediBillMD<\/a> is one of the best medical credentialing companies for physicians and healthcare practices. It offers tailored <a href=\"https:\/\/medibillmd.com\/services\/medical-credentialing-services\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>insurance credentialing services<\/strong><\/a> across 60+ specialties.&nbsp;<\/p>\n\n\n\n<p>The company only charges a small percentage of your monthly collections for its proven credentialing solutions. Its experienced team rigorously follows each step of the process, from information gathering to contract negotiation, to ensure its clients join the networks of the nation\u2019s top-ranking insurance payers like Medicare, Medicaid, UnitedHealthcare, Cigna, and more.&nbsp;<\/p>\n\n\n\n<p>MediBillMD is HIPAA-compliant and ISO-certified. Its medical credentialing team follows all the regulatory standards to safeguard your personal information and ensure top quality. You can schedule a free consultation with a MediBillMD credentialing specialist to understand the process for enrolling in an insurance network.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. <strong>Bikham Healthcare&nbsp;<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" width=\"388\" height=\"85\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/bikham-healthcare-66b360f865a69.webp\" alt=\"Bikham Healthcare\u00a0Logo\" class=\"wp-image-996\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/bikham-healthcare-66b360f865a69.webp 388w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/bikham-healthcare-66b360f865a69-300x66.webp 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/><\/figure>\n\n\n\n<p><a href=\"https:\/\/www.bikhamhealthcare.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Bikham Healthcare<\/a> is a New York-based revenue cycle management (RCM) firm offering a range of medical billing and coding solutions to over <a href=\"https:\/\/www.linkedin.com\/company\/bikham\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">500<\/a> clients in the USA. The company was formed in 2006, and since then, it has expanded to 4 global offices, 150+ employees, and 15+ specialties. Now, it is an established leader in laboratory billing services.<\/p>\n\n\n\n<p>Their medical credentialing solutions include network research, application filing\/ follow-up, appeals for closed networks, information updates, annual credentialing, and maintenance of&nbsp; PECOS and CAQH profiles.&nbsp;<\/p>\n\n\n\n<p>With Bikham Healthcare, you get credentialed by private and government insurance payers in no time. Some of the payers they target include Medicare, Tricare, Aetna, Kaiser Permanente, and Wellcare. You can contact this medical credentialing company to inquire about their \u201cfixed price per application\u201d.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. <strong>Neolytix&nbsp;<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" width=\"388\" height=\"85\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/neolytix-66b360fa1c93f.webp\" alt=\"Neolytix\u00a0Logo\" class=\"wp-image-997\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/neolytix-66b360fa1c93f.webp 388w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/neolytix-66b360fa1c93f-300x66.webp 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/><\/figure>\n\n\n\n<p>Represented by its cute mascot Doctopus, <a href=\"https:\/\/neolytix.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Neolytix<\/a> offers remote non-clinical support to private healthcare practices and physicians. It positions itself as the No.1 management services organization (MSO) solutions provider for healthcare organizations.&nbsp;<\/p>\n\n\n\n<p>Neolytix, operating from Chicago, Illinois, excels at medical credentialing and enrollment. It handles information verification, application filing, payer contract negotiation, real-time updates, and re-credentialing on behalf of its clients.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Its advanced provider onboarding portal, inCredibly\u2122, streamlines the enlisting process for large healthcare organizations and offers innovative solutions like secure cloud storage, automatic status updates, expiration alerts, form library, etc.&nbsp;<\/p>\n\n\n\n<p>You can visit this medical credentialing company\u2019s website to request a free quote and explore their physician credentialing solutions across 16 specialties.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. <strong>MedStates<\/strong><\/h3>\n\n\n\n<p><a href=\"https:\/\/www.medstates.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">MedStates<\/a> is another medical credentialing company that we have selected for this listicle. With offices in New York City, NY, and Sheridan, WY, MedStates has been providing HIPAA-compliant RCM solutions to more than 23 medical specialties nationwide. Its provider credentialing and enrollment services allow healthcare practitioners to secure contracts with government programs, commercial payers, and managed care plans.&nbsp;<\/p>\n\n\n\n<p>The company\u2019s certified team efficiently manages initial credentialing, payer updates, revalidation, and ongoing maintenance to help providers deliver uninterrupted patient care and steer clear of payment delays and denials.<\/p>\n\n\n\n<p>MedStates pricing model is flexible, and clients are only required to pay for the services they opt for. Meaning, there are no hidden fees or long-term contracts. So, if you decide to terminate the partnership after the first-time credentialing, you can do so without any consequences.&nbsp;<\/p>\n\n\n\n<p>Its representatives are available on call for inquiries and assistance 24\/7, so feel free to reach out to them for details and credentialing costs.&nbsp; &nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5. <strong>Billing Advantage<\/strong>&nbsp;<\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"388\" height=\"85\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/billing-advantage-66b360f8a3366.webp\" alt=\"Billing Advantage\u00a0Logo\" class=\"wp-image-999\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/billing-advantage-66b360f8a3366.webp 388w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/billing-advantage-66b360f8a3366-300x66.webp 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/><\/figure>\n\n\n\n<p>Right from the heart of Amesbury, Massachusetts, <a href=\"https:\/\/www.billingadvantage.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Billing Advantage<\/a> delivers medical billing excellence to over 300 clinicians in 22 states. The company was formed in 2004 and employs billers and coders with more than 20 years of experience in the field.&nbsp;<\/p>\n\n\n\n<p>Under the umbrella of medical credentialing, Billing Advantage manages hospital credentialing, insurance credentialing, physician credentialing, and mental health credentialing. Physicians from various specialties can apply for in-network partnerships with HMOs, PPOs, Medicare, and Medicaid to collect reimbursements for their services.&nbsp;<\/p>\n\n\n\n<p>You can contact Billing Advantage\u2019s customer service representatives to learn more about their provider credentialing fee and process.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">6. <strong><strong>Pyramids Global<\/strong><\/strong><\/h3>\n\n\n\n<p><a href=\"https:\/\/www.pyramidsglobal.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Pyramids Global<\/a> claims to share its clients&#8217; exact visions and values. The company was founded in 2013 in Austin, Texas. Since then, it has delivered RCM and medical billing solutions to hospitals, physician offices, clinics, and solo practitioners across 24+ specialties. The best part? It has an impressive 99% client retention rate.&nbsp;<\/p>\n\n\n\n<p>Pyramids Global\u2019s provider credentialing and enrollment package includes commercial and government health plan enrollment, demographics update, CAQH profile creation and maintenance, EDI and EFT enrollments, insurance web logins, and re-credentialing.&nbsp;<\/p>\n\n\n\n<p>With Pyramids Global as your guide, you can fulfill credentialing requirements, comply with industry standards, secure faster approvals, and contract your practice with maximum (and highly sought-after) payers.&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>7. Practolytics<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"388\" height=\"85\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/practolytics-66b360fb420fa.webp\" alt=\"Practolytics Logo\" class=\"wp-image-1001\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/practolytics-66b360fb420fa.webp 388w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/practolytics-66b360fb420fa-300x66.webp 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/><\/figure>\n\n\n\n<p>With a mission to provide high-quality revenue cycle management solutions to a range of healthcare practices at competitive prices, <a href=\"https:\/\/practolytics.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Practolytics<\/a> is transforming the medical billing sector. It caters to more than 28 specialties and has partnered with over 1,400 active providers to ensure rapid reimbursements for the continuation of quality healthcare.&nbsp;<\/p>\n\n\n\n<p>Along with an array of medical billing and practice management solutions, it offers credentialing services to healthcare providers. The real benefit of choosing Practolytics as your credentialing partner is that it delivers bi-monthly reports on the progress of your application, saving you from unnecessary stress. Moreover, its direct communication with insurance representatives expedites the process as issues causing delays are addressed on time.<\/p>\n\n\n\n<p>You can reach out to the Practolytics team for more details and to kickstart your credentialing process with Medicare, Medicaid, MCOs, or commercial insurance payers.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">8. <strong>Physician Practice Specialists&nbsp;<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"388\" height=\"85\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/physician-practice-specialists-66b360fa97260.webp\" alt=\"Physician Practice Specialists\u00a0 Logo\" class=\"wp-image-1002\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/physician-practice-specialists-66b360fa97260.webp 388w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/physician-practice-specialists-66b360fa97260-300x66.webp 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/><\/figure>\n\n\n\n<p>Trusted by Athenahealth and AdvancedMD, <a href=\"https:\/\/physicianpracticespecialists.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Physician Practice Specialists<\/a> (PPS) is bringing about real change in healthcare consultancy. Unlike other medical billing and coding companies, PPS focuses on medical credentialing, consulting, and start-up services. It is rated the \u2018best medical credentialing company\u2019, and embodying the Floridian spirit, it is 100% US-based.&nbsp;<\/p>\n\n\n\n<p>PPS was formed in 2008 as a provider of medical credentialing, contract negotiation, and start-up consulting services across the country. Since then, it has managed the applications of over 1 million physicians and helped them get credentialed with government and private payers.<\/p>\n\n\n\n<p>As a credentialing specialist, PPS offers an \u00e0 la carte of credentialing solutions, ranging from insurance credentialing to hospital enrollment and CAQH credentialing to medical licensing. You can even explore their cutting-edge credentialing software for application completion, submission, and tracking.&nbsp;<\/p>\n\n\n\n<p>However, for pricing and details, you will have to connect with their sales team over a call or email.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">9. <strong>PracticeWorx<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"388\" height=\"85\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/practiceworx-66b360fb293ea.webp\" alt=\"PracticeWorx Logo\" class=\"wp-image-1003\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/practiceworx-66b360fb293ea.webp 388w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/practiceworx-66b360fb293ea-300x66.webp 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/><\/figure>\n\n\n\n<p>It seems like the Sunshine State\u2019s specialty is physician credentialing. <a href=\"https:\/\/practiceworx.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">PracticeWorx<\/a> is another company from central Florida that focuses solely on medical credentialing. They position themselves as \u201cinsurance enrollment and credentialing experts for healthcare providers\u201d. Their services are available nationwide, and some prominent insurance payers with which they enlist providers include Aetna, Blue Shield, MetLife, Coventry, UnitedHealthcare, and Anthem BCBS.&nbsp;<\/p>\n\n\n\n<p>PracticeWorx offers insurance credentialing solutions to physicians, dentists, allied health professionals, occupational therapists, behavioral health experts, and lab technicians.&nbsp;<\/p>\n\n\n\n<p>Their comprehensive credentialing process includes verification of documents (licenses, certifications, personal records, resumes, affiliation letters, etc.), management of credentials (demographic updates, courses completed, credits earned, license renewals, etc.), and completion and submission of applications.&nbsp;<\/p>\n\n\n\n<p>You can contact PracticeWorx representatives to get a \u2018no obligation\u2019 quote for pricing and start your credentialing journey with them, or download their whitepaper for more details.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">10. <strong>PayrHealth&nbsp;<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"388\" height=\"85\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/payrhealth-66b360fa8e8c4.webp\" alt=\"PayrHealth\u00a0 Logo\" class=\"wp-image-1004\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/payrhealth-66b360fa8e8c4.webp 388w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/payrhealth-66b360fa8e8c4-300x66.webp 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/><\/figure>\n\n\n\n<p>The last company in our \u2018Best Medical Credentialing Companies\u2019 list is <a href=\"https:\/\/payrhealth.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">PayrHealth<\/a>. It is a payer relationship management firm that offers credentialing and contract negotiation services and manages its clients\u2019 revenue cycles.&nbsp;<\/p>\n\n\n\n<p>The Austin-based company was founded in 1994 with a mission to forge strong relationships between insurance payers and healthcare providers. Today, it boasts a track record of 50,000+ negotiated contracts and nearly $23 billion of net patient revenue for its clients. Its suite of credentialing services includes commercial and Medicare\/Medicaid enrollment, primary source verification, medical credentialing management and monitoring, medical licensing, and hospital privileging.&nbsp;<\/p>\n\n\n\n<p>PayrHealth guarantees that with its first-class credentialing support, clinicians can save 21 days of processing time and nearly $94.5K in revenue. To date, it has submitted over 100,000 applications and re-attested 20,000+ CAQH profiles (per year).&nbsp;<\/p>\n\n\n\n<p>You can browse PayrHealth\u2019s website for case studies and details, or request a free consultation for your credentialing needs.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Things to Consider When Choosing a Medical Credentialing Company<\/strong><\/h2>\n\n\n\n<p>With over 1,400 medical billing businesses in the USA and each one offering some kind of physician credentialing solution, finding the best B2B vendor can seem like looking for a needle in a haystack.&nbsp;<\/p>\n\n\n\n<p>However, if you trust our insight and have narrowed down your options to the 10 best medical credentialing companies listed above, pick the one that prioritizes all the 8 factors mentioned below.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Experience and Expertise&nbsp;<\/strong><\/h3>\n\n\n\n<p>When exploring medical credentialing companies, the first thing that you should consider is the staff\u2019s experience and expertise. Ensure that the company employs credentialing experts who have years of experience in the field and can give you names and numbers to prove their medical credentialing background.&nbsp;<\/p>\n\n\n\n<p>Some companies on our list have decades of experience delivering credentialing excellence, while some (despite being emerging companies) have built dedicated credentialing teams with expertise in contract negotiation, licensing, document verification, etc.&nbsp;<\/p>\n\n\n\n<p>So, begin by assessing which specific credentialing service you need and check if the company offers it and has adequate experience and expertise to guarantee proven results.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Technology and Turnaround Time<\/strong><\/h3>\n\n\n\n<p>Using technology for medical credentialing can enable quick turnarounds. By automating the process, medical credentialing companies can save hours of administrative work and reduce the error rate.&nbsp;<\/p>\n\n\n\n<p>Steps like filling out application forms, emailing targeted insurance payers, document verification, and profile creation can easily be automated using advanced credentialing software. Moreover, these systems have inbuilt alerts to notify companies of the looming expiration dates for providers\u2019 licenses, certifications, and insurance credentialing. Hence, they get a headstart on the re-credentialing process.&nbsp;&nbsp;<\/p>\n\n\n\n<p>The good news is that all the names in our \u2018top credentialing companies\u2019 list use some kind of technology for credentialing and can promise quick turnarounds.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Cost and Compliance<\/strong><\/h3>\n\n\n\n<p>Your chosen medical credentialing company should offer industry-compliant services at reasonable rates.&nbsp;<\/p>\n\n\n\n<p>Again, both factors work hand-in-hand because there is no point in paying thousands of dollars to a credentialing company that does not adhere to federal\/ state laws and is non-compliant with insurance payers\u2019 rules. Remember, non-compliance is often considered malpractice and can land you in legal battles.&nbsp;<\/p>\n\n\n\n<p>So, look for a vendor that is 100% HIPAA-compliant, ISO-certified, and committed to ethical conduct. But most importantly, select a credentialing partner that is easy on the wallet. Credentialing is the first step of RCM. So, you have a long way to go before you start earning money.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Customer Support and Customization&nbsp;<\/strong><\/h3>\n\n\n\n<p>Last, but not least, opt for a company that offers premium quality 24\/7 customer support and personalized credentialing solutions tailored to your needs. Your credentialing partner must understand your concerns and provide prompt assistance to resolve them.&nbsp;<\/p>\n\n\n\n<p>Moreover, it should be able to scale the services up or down, depending on your changing requirements. For example, if you are only interested in utilizing the first-time application submission and enrollment service, you should be allowed to opt out of credentialing management and re-credentialing.<\/p>\n\n\n\n<p>Medical credentialing companies that deliver superior customer experience through accessible customer support and tailored services become the epitome of trust, reliability, and top quality.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Bottom Line<\/strong><\/h2>\n\n\n\n<p>To shortlist this year\u2019s 10 best medical credentialing companies, we used metrics like pricing, accolades, reviews and ratings, experience, expertise, technology, turnaround times, compliance certifications, customer support, and success rate.<\/p>\n\n\n\n<p>Our top 10 results include decades-old credentialing companies like PayrHealth and Billing Advantage, as well as disruptors like MediBillMD and Neolytix.<\/p>\n\n\n\n<p>We hope our detailed guide will help you choose the right credentialing services provider for your needs and that the partnership will take you a step closer to financial success.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color has-large-font-size wp-elements-abb47e80fabc22046fdcb7a89e86f1a7\" style=\"color:#045cb4;margin-bottom:var(--wp--preset--spacing--30)\"><strong>Frequently Asked Questions<\/strong><\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-cccf6b6d uagb-faq-icon-row-reverse uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"@id\":\"https:\\\/\\\/medibillmd.com\\\/blog\\\/medical-credentialing-companies\\\/\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"<strong><strong>What do credentialing companies do for providers?<\\\/strong><\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medical credentialing companies assist healthcare providers in getting credentialed with the insurance payers of their choice. They either guide the provider in preparing and submitting an error-free credentialing application or submit the packet on their behalf. After the provider\\u2019s credentials are reviewed and approved by the insurance payer, they are invited to join the payer network and can start treating the beneficiaries of that insurance payer. In simple terms, the credentialing companies help their clients become in-network providers.\"}},{\"@type\":\"Question\",\"name\":\"<strong>How to select the best insurance credentialing company?<\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"When selecting an insurance credentialing company, we recommend that providers analyze the company based on factors like the company\\u2019s experience and expertise, client testimonials, re-credentialing support, turnaround time, compliance and security, ongoing assistance, and credentialing fee. The best credentialing company is the one that ranks high on all these metrics and more.\"}},{\"@type\":\"Question\",\"name\":\"<strong><strong>How much do credentialing companies charge?<\\\/strong><\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The fee structure for provider credentialing varies from company to company. Typically, credentialing companies charge $200 to $500 per application. However, some companies charge per year. The annual fee, which can range from $1,000 to $3,000 per provider, includes ongoing enrollment support, CAQH profile updates, documentation management, and contract consulting.\"}},{\"@type\":\"Question\",\"name\":\"<strong>How long does it take to get credentialed with insurance companies?<\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The credentialing and enrollment process is typically completed within 45 to 90 days, depending on the payer. Whether you decide to get credentialed with government payers like Medicare and Medicaid or private payers like Aetna and UnitedHealthcare, be ready for the credentialing process to stretch to 3+ months.\"}},{\"@type\":\"Question\",\"name\":\"<strong>What documents do I need to share with credentialing companies to start the process?<\\\/strong>\\u00a0\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Most medical credentialing companies will ask for the following to initiate the credentialing process on your behalf:<br><br>1. Educational documents\\u00a0<br>2. Medical licenses and certifications\\u00a0<br>3. Work history<br>4. National Provider Identifier (NPI) number<br>5. W-9 form\\u00a0<br>6. Proof of insurance - liability face sheet<br>7. CAQH ID (if applicable)\"}},{\"@type\":\"Question\",\"name\":\"<strong>Can medical credentialing companies help me bill an insurer while my credentialing application is still pending?<\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. There are several ways that you can get paid for your services while your credentialing application is in process, and medical credentialing companies can guide you about these. For example, they could submit out-of-network claims on your behalf or use locum tenens billing to help you get reimbursed.\\u00a0\\u00a0<br>\"}},{\"@type\":\"Question\",\"name\":\"<strong>Do I still need to pay the credentialing company if my credentialing application is denied?<\\\/strong>\\u00a0\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. Most medical credentialing companies charge a fixed upfront fee for handling your credentialing application. This includes preparing your packet, creating or updating your CAQH profile, managing your references, and following up with the payer on your application status. Also, in case the payer denies your credentialing application, the company will file an appeal on your behalf without any extra charge.\\u00a0\"}},{\"@type\":\"Question\",\"name\":\"<strong>Do credentialing companies manage CAQH as well?<\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. Medical credentialing companies can create and regularly update your CAQH profile, so you don\\u2019t have to worry about re-attestation every 120 days.\"}},{\"@type\":\"Question\",\"name\":\"<strong>Can credentialing companies work across multiple states?<\\\/strong>\\u00a0\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Most top-rated medical credentialing companies use remote operability to extend credentialing support nationwide. So, yes. Credentialing companies can work across multiple states and help you get credentialed as a multi-state healthcare practitioner, especially if you provide telehealth services or operate as a multi-location practice.<br><br>This is extremely helpful because even in the case of a single payer, like Blue Cross Blue Shield, credentialing requirements vary by state. For example, Blue Cross and Blue Shield of Montana (<a href=\\\"https:\\\/\\\/www.bcbsmt.com\\\/provider\\\/network-participation\\\/network\\\/how-to-join\\\/credentialing-physician-and-professional\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener nofollow\\\">BCBSMT<\\\/a>) vs. Blue Cross Blue Shield of Arizona (<a href=\\\"https:\\\/\\\/credentialing.azblue.com\\\/\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener nofollow\\\">BCBSAZ<\\\/a>).\"}}]}<\/script><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-c73faff4 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong><strong>What do credentialing companies do for providers?<\/strong><\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Medical credentialing companies assist healthcare providers in getting credentialed with the insurance payers of their choice. They either guide the provider in preparing and submitting an error-free credentialing application or submit the packet on their behalf. After the provider\u2019s credentials are reviewed and approved by the insurance payer, they are invited to join the payer network and can start treating the beneficiaries of that insurance payer. In simple terms, the credentialing companies help their clients become in-network providers.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-61f6783e \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>How to select the best insurance credentialing company?<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>When selecting an insurance credentialing company, we recommend that providers analyze the company based on factors like the company\u2019s experience and expertise, client testimonials, re-credentialing support, turnaround time, compliance and security, ongoing assistance, and credentialing fee. The best credentialing company is the one that ranks high on all these metrics and more.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-6df0d267 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong><strong>How much do credentialing companies charge?<\/strong><\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>The fee structure for provider credentialing varies from company to company. Typically, credentialing companies charge $200 to $500 per application. However, some companies charge per year. The annual fee, which can range from $1,000 to $3,000 per provider, includes ongoing enrollment support, CAQH profile updates, documentation management, and contract consulting.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-f1ada9a3 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>How long does it take to get credentialed with insurance companies?<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>The credentialing and enrollment process is typically completed within 45 to 90 days, depending on the payer. Whether you decide to get credentialed with government payers like Medicare and Medicaid or private payers like Aetna and UnitedHealthcare, be ready for the credentialing process to stretch to 3+ months.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-b4b6f2f4 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>What documents do I need to share with credentialing companies to start the process?<\/strong>\u00a0<\/span><\/div><div class=\"uagb-faq-content\"><p>Most medical credentialing companies will ask for the following to initiate the credentialing process on your behalf:<br><br>1. Educational documents\u00a0<br>2. Medical licenses and certifications\u00a0<br>3. Work history<br>4. National Provider Identifier (NPI) number<br>5. W-9 form\u00a0<br>6. Proof of insurance &#8211; liability face sheet<br>7. CAQH ID (if applicable)<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-e8cbc000 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Can medical credentialing companies help me bill an insurer while my credentialing application is still pending?<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Yes. There are several ways that you can get paid for your services while your credentialing application is in process, and medical credentialing companies can guide you about these. For example, they could submit out-of-network claims on your behalf or use locum tenens billing to help you get reimbursed.\u00a0\u00a0<br><\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-75c9aeed \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Do I still need to pay the credentialing company if my credentialing application is denied?<\/strong>\u00a0<\/span><\/div><div class=\"uagb-faq-content\"><p>Yes. Most medical credentialing companies charge a fixed upfront fee for handling your credentialing application. This includes preparing your packet, creating or updating your CAQH profile, managing your references, and following up with the payer on your application status. Also, in case the payer denies your credentialing application, the company will file an appeal on your behalf without any extra charge.\u00a0<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-6f671615 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Do credentialing companies manage CAQH as well?<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Yes. Medical credentialing companies can create and regularly update your CAQH profile, so you don\u2019t have to worry about re-attestation every 120 days.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-e7b43cc3 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Can credentialing companies work across multiple states?<\/strong>\u00a0<\/span><\/div><div class=\"uagb-faq-content\"><p>Most top-rated medical credentialing companies use remote operability to extend credentialing support nationwide. So, yes. Credentialing companies can work across multiple states and help you get credentialed as a multi-state healthcare practitioner, especially if you provide telehealth services or operate as a multi-location practice.<br><br>This is extremely helpful because even in the case of a single payer, like Blue Cross Blue Shield, credentialing requirements vary by state. For example, Blue Cross and Blue Shield of Montana (<a href=\"https:\/\/www.bcbsmt.com\/provider\/network-participation\/network\/how-to-join\/credentialing-physician-and-professional\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">BCBSMT<\/a>) vs. Blue Cross Blue Shield of Arizona (<a href=\"https:\/\/credentialing.azblue.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">BCBSAZ<\/a>).<\/p><\/div><\/div><\/div>\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Let us begin by asking you some simple questions. Why should insurance payers trust you with their money? Why should [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":992,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","content-type":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[9],"tags":[],"class_list":["post-991","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-top-picks"],"uagb_featured_image_src":{"full":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/best-medical-credentialing-companies-66b34f4c303df.webp",1200,720,false],"thumbnail":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/best-medical-credentialing-companies-66b34f4c303df-150x150.webp",150,150,true],"medium":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/best-medical-credentialing-companies-66b34f4c303df-300x180.webp",300,180,true],"medium_large":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/best-medical-credentialing-companies-66b34f4c303df-768x461.webp",768,461,true],"large":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/best-medical-credentialing-companies-66b34f4c303df-1024x614.webp",1024,614,true],"1536x1536":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/best-medical-credentialing-companies-66b34f4c303df.webp",1200,720,false],"2048x2048":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/08\/best-medical-credentialing-companies-66b34f4c303df.webp",1200,720,false]},"uagb_author_info":{"display_name":"Fred Allen","author_link":"https:\/\/medibillmd.com\/blog\/author\/fred-allen\/"},"uagb_comment_info":0,"uagb_excerpt":"Let us begin by asking you some simple questions. Why should insurance payers trust you with their money? Why should [&hellip;]","_links":{"self":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/991","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/comments?post=991"}],"version-history":[{"count":17,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/991\/revisions"}],"predecessor-version":[{"id":6256,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/991\/revisions\/6256"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media\/992"}],"wp:attachment":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media?parent=991"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/categories?post=991"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/tags?post=991"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}