Our outsourced credentialing services take the stress out of the process. From initial enrollment to ongoing updates, we manage every detail with precision and care. Count on us to keep you credentialed and compliant, so you can concentrate on delivering top-quality healthcare.
We offer tailored credentialing services for physicians, hospitals, home healthcare providers, laboratories, and DME companies. Whether you’re starting your first practice, joining a new group, or enrolling with a new payer, our expert team ensures a smooth credentialing process from start to finish. We handle everything—from payer enrollment to managing Assignment of Benefits (AOB)—so you can focus on patient care, not paperwork. Our dedicated professionals ensure accuracy, minimize delays, and support your revenue cycle with efficient billing, outsourced patient statements, and reduced claim denials.
We use cutting-edge healthcare software to deliver fast, accurate billing services. Our systems connect with EHRs and billing platforms for smoother workflows, fewer errors, and faster reimbursements. Regular updates keep us aligned with the latest industry standards.
Your qualifications, licenses, certifications, education, and professional history are reviewed in detail. We make sure all credentials meet payer requirements and industry standards.
We contact original sources—such as universities, licensing boards, and previous employers to verify the authenticity of the credentials provided. This step ensures compliance with NCQA and CMS standards.
A peer review is conducted to assess your professional standing and competence. This may include input from medical peers and reviewing past performance or quality metrics, if required by the payer.
Once all verifications are complete, the payer makes the final decision. MedVerix follows up consistently to expedite approval and enrollment, keeping you informed at every step.
At MedVerix RCM, we use smart automation tools to make the credentialing process faster and more accurate. From Insurance Eligibility Verification to managing repetitive tasks, automation helps cut down errors and saves valuable time. This allows your team to focus more on patient care and less on paperwork.
We turn data into clear insights. With powerful analytics, MedVerix RCM helps you understand credentialing trends, spot issues early, and improve decision-making. Our reports highlight performance metrics and process gaps so you can optimize workflows and manage your provider network more efficiently.
Compliance is a top priority at MedVerix RCM. Our experts stay updated on healthcare regulations to ensure your credentialing process meets all legal and industry standards. By keeping everything in check, we help you avoid delays, reduce risks, and build trust with payers and partners.
We finally feel in control of our revenue. MedVerix RCM’s detailed reporting and quick response time make them stand out.
Their team helped streamline our credentialing and boosted our reimbursement rates. Highly recommend MedVerix RCM for any growing practice.
The MedVerix RCM team made transitioning from our old billing system seamless. Their onboarding process was fast and painless.
We run a multi-specialty group, and MedVerix RCM handles everything with precision. Their knowledge of coding and payer rules is top-tier.