Stay compliant and expand your network. We handle the paperwork, you focus on the patients.
Don't let tedious paperwork slow down your practice. Credentialing is essential but time-consuming—requiring applications, documentation, verification, and constant monitoring. Our dedicated credentialing team manages the entire end-to-end enrollment process with government and commercial payers.
Complete enrollment and revalidation with all federal programs. We handle all PECOS submissions and MAC interactions.
Contracting with BCBS, Aetna, Cigna, United Healthcare, Humana, and all major regional insurers in your area.
Regular profile updates and maintenance to ensure accuracy across all credentialing verification databases.
Type I and Type II NPI registration and management. We keep your NPI active and updated across all systems.
We track revalidation cycles and proactively manage renewals before credentials expire to avoid gaps in coverage.
1. Reduce Turnaround Time
What takes 6-8 months internally? We complete it in 30-60 days. Faster approvals mean faster revenue.
2. Avoid Claim Rejections
Many claims are rejected due to provider credentialing status issues. We ensure your credentials are always current.
3. Focus on Clinical Operations
Your staff should be focusing on patient care and operations, not chasing credentialing paperwork and compliance deadlines.
4. Expert Knowledge
Credentialing requirements change constantly. Our experts stay current on all federal and state regulations.
In payer enrollment and credentialing applications
Comprehensive coverage of all credentialing and enrollment needs
Complete application process for new payers. We gather documentation, submit applications, and follow up until approval.
Proactive tracking and management of revalidation cycles. We handle renewals before expiration to avoid coverage gaps.
We maintain organized records of all credentialing documents and ensure they're readily available for verification.
Regular reports showing status of all active credentials, pending applications, and upcoming revalidations.
Assistance with payer contract review and negotiation to ensure favorable terms and reimbursement rates.
Ongoing monitoring of credentialing requirements and compliance with federal, state, and payer regulations.
A systematic approach to get you credentialed quickly and efficiently
We review your current credentialing status and identify all payers you need to enroll with based on your service area and specialty.
We collect all necessary documentation including licenses, DEA certifications, malpractice history, education records, and references.
We prepare and submit complete applications to all identified payers with all required documentation attached.
We track applications, respond to payer inquiries promptly, and manage any verification requests from insurance companies.
Once approved, we ensure credentials are activated and you're ready to bill. We provide copies of all credentialing paperwork.
We monitor revalidation cycles, track credential expiration dates, and proactively manage renewals and updates.
What you'll gain from working with OrbixRCM
30-60 days instead of 6-8 months. Get credentialed quickly and start billing faster.
Claims won't be rejected due to credentialing status. Your credentials are always current and valid.
Access to more payers and broader insurance networks. Enroll in payers you couldn't reach before.
Your staff is freed from credentialing paperwork and can focus on clinical operations and patient care.
Stay compliant with all federal, state, and payer credentialing regulations and requirements.
Regular status reports showing all active credentials, pending applications, and upcoming revalidations.
Let OrbixRCM handle your credentialing while you focus on what matters most - patient care and practice growth.
Get Started with Credentialing