Simplify and Accelerate Credentialing Services

Focus on patient care while we handle the complex credentialing process. Our end-to-end solution ensures fast, accurate, and compliant provider enrollment with major payers – reducing delays and improving operational efficiency.

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Comprehensive Credentialing Services

Provider Information

Provider Information Gathering

Accurate and thorough collection of provider credentials, licenses, education, work history, and other required information for successful enrollment and credentialing processes.

  • NPI verification
  • License & DEA tracking
  • Education & board certification review
Application Preparation

Application Preparation

We ensure that all forms are properly completed, error-free, and tailored to the requirements of each payer or network, minimizing delays and rejections.

  • Custom payer-specific formatting
  • Thorough cross-checking of data
  • Timely document readiness
Document Management

Document Management

Organized and secure handling of all supporting documents including licenses, certifications, CVs, malpractice insurance, and more.

  • Digital document tracking
  • Expiry alert system
  • Centralized storage
Application Submission

Application Submission

Submission of credentialing and enrollment applications to insurance payers, hospitals, and networks with accuracy and compliance to guidelines.

  • Electronic & paper submission
  • Compliance with industry standards
  • Real-time updates
Follow-up & Tracking

Follow-up & Tracking

Consistent communication with payers to ensure timely updates, resolve missing information issues, and reduce credentialing turnaround time.

  • Status updates every step
  • Issue resolution with payers
  • Turnaround time tracking
CAQH Management

CAQH Management

Creation, maintenance, and attestation of CAQH profiles, ensuring all data is current and accessible to payers for faster credentialing approval.

  • Profile setup and validation
  • Regular data updates
  • Document uploads
Provider Enrollment

Provider Enrollment

Complete payer enrollment services to establish network participation and ensure providers can render reimbursable services promptly.

  • Medicare & Medicaid enrollment
  • Commercial payer applications
  • Reimbursement readiness
Re-credentialing Management

Re-credentialing Management

Timely re-credentialing to maintain provider network status, avoid disruptions in billing, and comply with payer regulations and timelines.

  • Re-attestation monitoring
  • Expiration tracking
  • Renewal application submission

Stop leaving money on the table

Take control of your financial future. Partner with ARC - ApexRev Care for comprehensive and results-driven Credentialing services that will empower your practice or organization to thrive.

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Credentialing Questions

What is provider credentialing?

Provider credentialing is the process of verifying a healthcare provider's qualifications, including licenses, education, training, and work history. It ensures the provider meets the standards required by insurance networks and regulatory bodies.

How long does the credentialing process take?

Credentialing typically takes 60 to 120 days depending on the payer, state, and provider’s readiness. Delays can occur due to incomplete documentation or payer response times.

What documents are needed for credentialing?

Documents typically include:

  • Medical license and DEA certificate
  • Board certifications
  • Professional liability insurance
  • Education and training history
  • Work history and references
Do you handle CAQH updates and enrollment?

Yes, we manage CAQH profile creation, ongoing maintenance, and ensure timely attestation and updates to avoid credentialing delays.

Can you help with hospital privileging?

Yes, we support providers with the hospital privileging process, including application preparation, submission, and communication with the facility credentialing team.

Why Choose ARC – ApexRev Care? for Credentialing

Reduced Admin Burden

Free your internal teams to focus on patient care.

Faster Enrollment & Reimbursement

Speed up the process so your providers can start billing sooner.

Error-Free Submissions

Precision and accuracy reduce denials and rework.

Stronger Compliance

Stay aligned with current payer and regulatory requirements.

Greater Provider Satisfaction

A seamless experience that keeps your providers focused and satisfied.

Boosted Efficiency & Productivity

Streamlined processes enhance overall operational performance.

Peace of Mind

Trust experienced professionals to handle your credentialing with diligence and expertise.

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Comprehensive Credentialing Services

At ARC - ApexRev Care, our Credentialing services are designed to streamline the process of verifying healthcare professionals' qualifications. We ensure compliance, reduce administrative burden, and help you maintain accurate and up-to-date credentials.

Our experienced team works with healthcare providers to manage all aspects of the credentialing process, from initial applications to ongoing re-credentialing. We use advanced systems to reduce errors and enhance the efficiency of your credentialing workflows.

Credentialing team working on healthcare qualifications

Experts

Credentialing Specialists

Ready to Optimize Your Credentialing?

Get expert Credentialing solutions tailored to your practice's needs and maximize your revenue potential.

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