Physician Credentialing

Outsourced Credentialing Services

Streamline your onboarding and compliance processes with our reliable physician credentialing services. From initial applications to ongoing maintenance, we manage all the paperwork and communication with payers and regulatory bodies—so you don’t have to. Trust MedixRCM to handle the administrative burden while you stay focused on delivering exceptional patient care.

Our Reliable Provider Credentialing Services

At MedixRCM, we offer end-to-end credentialing solutions for physicians, hospitals, home healthcare agencies, laboratories, and DME providers—helping healthcare professionals optimize revenue and reduce administrative burdens.

Our customized credentialing services support every stage of the payer enrollment process, whether you’re:

Starting your first practice after med school

Transitioning to a new group or facility

Adding a new provider to an existing group

Enrolling with new insurance payers

Our experienced credentialing team manages everything from Assignments of Benefits (AOB) to compliance documentation, ensuring accuracy, timeliness, and regulatory alignment.

We take care of the paperwork—so you can focus on patient care. By integrating credentialing with billing, statement processing, and revenue cycle support, we help reduce denials, speed up collections, and improve your financial performance. Choose MedixRCM for cost-effective, accurate credentialing that gives your practice a competitive edge.

5 Steps of Our Credentialing Process

Application Submission

The process begins with the healthcare provider submitting a detailed application, including education, training, certifications, and work history. This forms the foundation for assessing professional qualifications.

Credential Verification

Next, we verify all submitted credentials—such as degrees, licenses, and certifications—to ensure accuracy and compliance with regulatory standards.

Primary Source Verification

Our team contacts issuing institutions and licensing boards directly to confirm the authenticity of each credential, adding an extra layer of accuracy and trust to the process.

Peer Review (If Applicable)

In some cases, the provider’s clinical skills and performance are reviewed by peers in the same specialty to evaluate professional competence and readiness for patient care responsibilities.

Decision & Approval

After reviewing all information, a final decision is made. If approved, the provider is credentialed and eligible to deliver care. If denied, feedback is provided, and the applicant may be given the opportunity to correct deficiencies.

Key Features of Our Credentialing Services

1

Automation

At MedixRCM, we utilize advanced automation tools to streamline the credentialing process, including Insurance Eligibility Verification. Automating routine tasks reduces manual errors, improves processing speed, and increases overall efficiency—allowing healthcare providers to focus more on patient care and less on paperwork.

2

Analytics

We harness the power of data analytics to deliver actionable insights and detailed credentialing reports. Our tools help identify trends, eliminate bottlenecks, and support smarter decision-making. With data-driven intelligence, clients gain better visibility and control over their credentialing workflows and workforce management.

3

Compliance

Our credentialing services are built around strict adherence to industry regulations. We stay up to date with evolving healthcare standards to ensure full compliance, reducing legal risk and administrative setbacks. With MedixRCM, your organization remains audit-ready and confidently aligned with all payer and regulatory requirements.

Testimonials