Top Credentialing Services Companies

Credentialing services verify a healthcare provider's licenses, education, board certifications and work history, then enroll the provider with insurance payers so claims get paid. Specialists maintain CAQH profiles, submit payer applications, track recredentialing dates and support hospital privileging. Group practices, mental health clinics, telehealth companies, hospitals and billing firms hire them when adding providers, opening new locations or joining new networks.

When comparing credentialing companies here, check which payers and states they enroll with most often, how they report application status, and whether they also handle billing and coding.

How this list is built

We evaluate companies on verified profile data: services, pricing, locations, and portfolio. Client reviews are being collected. We may earn a fee for some placements. How we rank and verify

List of the Best Credentialing Services Agencies

  1. Is this your business? Become an Edverise partner & Claim Now

    Established with a focus on trust and transparency, Bull's Eye Outsourcing has become a frontrunner in background verification services. We assist businesses of all sizes in selecting the right candidates, safeguarding their reputation, and ensuring compliance.


    Highlights

    50-249

    Employees

    Services Provided
    70% Credentialing Services
    30% Background Verification Services
    AI Summary

    “Bull's Eye Outsourcing Services Pvt. Ltd. specializes in trusted background verification, aiding businesses in candidate selection, reputation protection, and regulatory compliance across various industries.”

  2. Is this your business? Become an Edverise partner & Claim Now

    The Credentialing Portal streamlines the process of medical credentialing, guarantees adherence to regulations, and accelerates payment for healthcare providers. Our credentialing services provide complete verification and compliance, simplifying the enrollment process for providers into insurance c


    Highlights

    50-249

    Employees

    Services Provided
    70% Credentialing Services
    30% Medical Billing Services
    AI Summary

    “The Credentialing streamlines medical credentialing and billing, ensuring regulatory compliance and timely payments for U.S. healthcare providers through efficient verification and enrollment services.”

  3. Is this your business? Become an Edverise partner & Claim Now

    Green Security provides vendor credentialing and access management services for healthcare organizations. It streamlines compliance, conducts background checks, and manages secure access for non-employees.


    Highlights

    $5,000+

    Min Project Size

    $50-99/hr

    Avg Hourly Rate

    250-999

    Employees

    Clearwater, Florida, Us

    Services Provided
    60% Credentialing Services
    40% Access Control Systems
    AI Summary

    “Green Security specializes in vendor credentialing and secure access management for healthcare, ensuring compliance and conducting background checks for non-employee personnel.”

  4. Is this your business? Become an Edverise partner & Claim Now

    TheraProfessional offers support for mental health providers and group practices by handling insurance credentialing, CAQH setup, provider enrollment, and startup assistance for private practices. We assist therapists, psychologists, PMHNPs, and behavioral health practices in managing the administra


    Highlights

    2-9

    Employees

    Services Provided
    59% Credentialing Services
    25% Business Formation
    16% Administrative Services
    AI Summary

    “TheraProfessional supports mental health providers and practices with insurance credentialing, CAQH setup, provider enrollment, and startup assistance to streamline administrative processes and practice establishment.”

  5. Is this your business? Become an Edverise partner & Claim Now

    At Contracting Providers, we simplify the process of provider enrollment, credentialing, and payer contracting, allowing you to concentrate on patient care. Whether you need assistance with contract negotiations, Medicare enrollment, or starting a new practice, we have the resources to support you.


    Highlights

    50-249

    Employees

    Services Provided
    50% Credentialing Services
    30% Contract Management
    20% Medical Billing Services
    AI Summary

    “Contracting Providers streamlines provider enrollment, credentialing, and payer contracting nationwide, offering support in contract negotiations and Medicare enrollment to enhance practice efficiency.”

  6. Is this your business? Become an Edverise partner & Claim Now

    We specialize in medical billing, ensuring accurate and timely claims processing to optimize reimbursements for our clients. Our credentialing services assist healthcare professionals and facilities in maintaining compliance and simplifying the approval process with insurance networks. Established i


    Highlights

    $1,000+

    Min Project Size

    < $25/hr

    Avg Hourly Rate

    50-249

    Employees

    Services Provided
    60% Medical Billing Services
    40% Credentialing Services
    AI Summary

    “JHS Professionals delivers expert medical billing and credentialing services, enhancing healthcare providers' revenue cycle management, compliance, and administrative efficiency since 2022.”

  7. Is this your business? Become an Edverise partner & Claim Now

    Cube Therapy Billing offers customized revenue cycle management (RCM) billing and credentialing services specifically for ABA therapy providers. We are highly endorsed for enabling you to concentrate on your business and boost your revenue by elevating your operations. Our offerings encompass pre-se


    Highlights

    50-249

    Employees

    Services Provided
    60% Revenue Cycle Management
    40% Credentialing Services
    AI Summary

    “Cube Therapy Billing specializes in customized revenue cycle management and credentialing services tailored for ABA therapy providers, enhancing operational efficiency and revenue growth through comprehensive support.”

  8. Is this your business? Become an Edverise partner & Claim Now

    Credex Healthcare is a prominent provider of healthcare administration services that assists healthcare professionals and organizations throughout the United States. Our expertise lies in credentialing, revenue cycle management (RCM), payer enrollment, licensing, CAQH management, and PECOS setup, al


    Highlights

    $5,000+

    Min Project Size

    $100-149/hr

    Avg Hourly Rate

    10-49

    Employees

    Jacksonville, Florida, Us

    Services Provided
    39% Credentialing Services
    39% Revenue Cycle Management
    11% Payer Enrollment
    11% Compliance Consulting Services
    AI Summary

    “Credex Healthcare specializes in healthcare administration services across credentialing, revenue cycle management, payer enrollment, and regulatory compliance, enhancing provider efficiency through tailored solutions and expert support.”

  9. Is this your business? Become an Edverise partner & Claim Now

    Manual credentialing and billing methods often result in overlooked details, delays, and claim denials. Credifide streamlines disjointed processes through automation and smart systems, ensuring your enrollment and revenue cycle continues smoothly and without interruption.


    Highlights

    10-49

    Employees

    Wilmington, Delaware, Us

    Services Provided
    70% Revenue Cycle Management
    30% Credentialing Services
    AI Summary

    “Credifide LLC automates credentialing and billing processes, enhancing efficiency and reducing errors to ensure uninterrupted enrollment and revenue cycle management for healthcare providers.”

  10. Is this your business? Become an Edverise partner & Claim Now

    AUMed LLC is a healthcare credentialing and enrollment company based in the U.S. that assists medical practices, independent providers, and telehealth startups in all 50 states. We provide comprehensive credentialing solutions that cover Medicare, Medicaid, and commercial insurance enrollments. Our


    Highlights

    2-9

    Employees

    Austin, Texas, Us

    Services Provided+1 Services
    38% Credentialing Services
    20% Insurance Services
    20% Medical Billing Services
    11% Medical Coding Services
    AI Summary

    “AUMed LLC provides comprehensive healthcare credentialing and enrollment services nationwide, supporting providers with insurance enrollments, credentialing, billing setup, and contract negotiations efficiently and remotely.”

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Buyer's guide

Hiring Credentialing Services companies

What the work covers, how to judge a partner and what drives the price.

What credentialing services companies handle

A typical engagement starts with collecting the provider's documents: licenses, DEA registration, malpractice coverage, diplomas and work history. The credentialing team builds or updates the CAQH profile and NPI records, completes each payer's enrollment application, and follows up until the contract and effective date are issued.

Ongoing work includes re-attesting CAQH, tracking license and insurance expirations, recredentialing cycles, adding new locations and handling payer revalidation requests. For hospitals and surgery centers, firms may also run primary source verification for medical staff privileging. Work is priced per provider, per payer application or as a monthly retainer.

Chapter 1 of 3
FAQ

Credentialing Services FAQs

Short answers to what buyers ask before hiring a Credentialing Services company.

Question not covered? Ask our team

Credentialing services verify a provider's licenses, education, certifications and history, build CAQH profiles and enroll the provider with insurance payers. They also track expirations and handle recredentialing so claims keep getting paid.

Medical credentialing cost depends on the number of providers, payers, states and specialties, and is usually charged per provider, per application or monthly. Most credentialing companies on Edverise set no minimum or a floor of $1,000, and some start at $5,000 to $100,000.

Provider credentialing time depends mostly on each payer's processing queue, plus how complete the provider's documents and CAQH profile are. Missing documents and payer follow-ups cause most delays, so start credentialing before a provider's start date.

Credentialing verifies that a provider is qualified, by checking licenses, education and history. Payer enrollment is the step that contracts the provider with an insurer so claims are reimbursed. Credentialing firms usually handle both in one engagement.

Credentialing firms on Edverise work mostly with medical clients such as group practices, mental health providers, clinics and telehealth companies, along with business services firms. Billing companies also outsource credentialing for their provider clients.

Credentialing companies on Edverise are listed in Brooklyn, Las Vegas and Wilmington, among other cities. Credentialing is done remotely, so experience with your state's payers matters more than where the firm sits.

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