Medical Credentialing Services
Streamline your practice with Code Credentia your trusted partner in healthcare credentialing.
Ready to Transform Your Practice?
Our medical credentialing services are designed to simplify the enrollment process and ensure your providers are ready to bill in record time.
- Faster Payer Enrollment
- Reduce Administrative Burden
- Ensure Full Compliance
- Dedicated Support Team
Request a Credentialing Audit for Your Practice
Our Comprehensive Suite of Physician Credentialing Services
Government Payer Enrollment
We handle the complex process of Medicare and Medicaid enrollment, ensuring your practice is compliant and ready to provide care to government-insured patients.
- Medicare Part A & B Enrollment
- Medicaid State-Specific Applications
- PECOS Data Management
- NPI Registry Maintenance
Commercial Insurance Credentialing
Expand your reach by enrolling with major commercial insurance payers. We manage the entire credentialing cycle from application to contract execution.
- Payer-Specific Applications
- Fee Schedule Negotiations
- Contract Review and Execution
- Network Participation Status
CAQH Registration
A complete and accurate CAQH profile is essential for modern credentialing. We ensure your profile is always up-to-date and verified.
- Initial Profile Setup
- Quarterly Attestation Management
- Document Upload and Verification
- Provider Data Management
Re-credentialing and Clarification
Don't risk losing your network status. We proactively manage re-credentialing cycles and resolve any discrepancies with insurance payers.
- Proactive Cycle Tracking
- Application Submission
- Payer Follow-Up
- Discrepancy Resolution
Hospital Privileges
We assist with the complex process of obtaining and maintaining hospital privileges for your providers.
- Medical Staff Applications
- Primary Source Verification
- Bylaws Compliance
- Ongoing Maintenance
Ongoing Support
Our commitment doesn't end with enrollment. We provide ongoing support to ensure your practice remains compliant and efficient.
- Dedicated Account Manager
- Regulatory Updates
- Practice Growth Consulting
- Custom Reporting
Our Credentialing Process
A streamlined, end-to-end workflow designed to get your providers enrolled faster and keep them compliant year-round.
1. CAQH Profile Management
We handle initial setup and quarterly attestations to ensure your profile is accurate and ready for insurance payers.
2. State/License Verification
Our team verifies all provider licenses and certifications to ensure they meet all state and payer requirements.
3. Payer Management
We manage your presence with all major insurance payers, from initial applications to ongoing maintenance.
4. Application Assistance
We assist with the completion and submission of all enrollment applications, ensuring accuracy and timeliness.
5. Follow Ups
Our team proactively follows up with insurance payers to expedite the enrollment process and resolve issues.
6. Contract Execution
We manage the final stages of the enrollment process, ensuring all contracts are executed and active.
The Code Credentia Advantage
Unlimited Managed Enrollment
Comprehensive Support
Pro-active Verification
Time-Efficient
24/7 Access
Growth Consulting
What Code Credentia Customers Says?
Code Credentia has been a game-changer for our cardiology practice. Their precise Medical Billing and Credentialing services have significantly reduced claim rejections, allowing us to focus more on patient care. A trusted partner for our practice!
Dr. Sarah Thompson
Cardiologist
As an OBGYN, managing billing can be overwhelming. Code Credentia's solutions have streamlined our billing processes, ensuring timely reimbursements and improving our revenue cycle management. I highly recommend them to any practice seeking reliable billing support.
Dr. David Patel
Nephrologist
Switching to Code Credentia was the best decision for our internal medicine practice. Their team handles everything from claim submissions to follow-ups with incredible professionalism. Our revenue has increased by 30% since we partnered with them.
Dr. Emily Rivera
Internal Medicine Specialist
Code Credentia's credentialing services saved us months of administrative hassle. The team is responsive, knowledgeable, and genuinely invested in our success. Our practice is now fully accredited and running more efficiently than ever before.
Dr. James Okonkwo
Chiropractor
Why Code Credentia?
As Healthcare Shifts To Value-Based Care, Traditional Medical Billing And Credentialing Must Evolve. Code Credentia Provides Adaptive Solutions That Ensure Compliance, Maximize Reimbursements, And Support Your Practice In This Changing Landscape.
