Credentialing & Provider Enrollment Services for Healthcare Physicians
Provider credentialing and payer enrollment don’t have to slow down your revenue. Our team handles the entire process from application to approval, ensuring accuracy, compliance, and faster turnaround so your practice can start billing without delays.
Trusted by 160,000 Providers
Complete Provider Enrollment & Credentialing Services
We handle every step of the enrollment and credentialing process so you don’t have to.
Medicare Enrollment (PECOS)
We submit clean, complete Medicare applications and track them through approval. Medicare enrollment is typically completed within 60-90 days for clean applications. Once approved, enrollment is backdated to the original application date, allowing providers to bill retroactively from that date.
Commercial Insurance Credentialing
Each commercial payer has its own rules, timelines, and credentialing requirements. Their credentialing timelines range from 90-120 days depending on the payer and application completeness. We maintain complete documentation for every payer application, track status updates, and escalate delays immediately.
CAQH Management & Re-Attestation
We manage your CAQH ProView profile to support fast, error-free provider credentialing and enrollment. From audits and updates to new profile creation and re-attestation, we keep your data accurate and your approvals on track.
Re-Credentialing & Revalidation
We manage re-credentialing and payer revalidation by tracking deadlines and submitting applications on time. No missed renewals, no provider deactivations and no interruptions to your revenue cycle.
Provider Onboarding & Practice Growth
Adding a new provider or opening a new location should accelerate your revenue, not delay it. We plan provider onboarding so enrollment timelines align with provider start dates. This eliminates the gap between when providers start seeing patients and when they can bill.
Enrollment Status Tracking & Reporting
You should always know where each provider stands with each payer. You receive weekly status reports showing exactly where each provider activation stands. No guessing. No hidden delays. Complete visibility into your enrollment pipeline.
Insurance Enrollment Services Across Major Payers
We handle enrollment and credentialing with Medicare, Medicaid, and all major commercial insurance providers. Our relationships with credentialing departments across these payers accelerate activations and reduce delays.
Provider Enrollment & Credentialing Timelines
Enrollment timelines vary by payer and application completeness. Here are the typical timelines you can expect with clean, complete applications:
Medicare Provider Enrollment
60-90 days average from CMS-855 submission to PECOS activation. Clean applications are processed faster.
Commercial Insurance Credentialing
90-120 days for initial credentialing with commercial payers, depending on payer processing speed and CAQH profile completeness.
Medicaid Enrollment
State-specific timelines vary. We manage enrollment across all 50 states with state-specific requirements and processing timelines.
CAQH Re-Attestation
Re-attestations occur every 120 days. Updates typically take 5-20 minutes and are approved within days. We manage the entire cycle so providers never miss deadlines.
Healthcare Credentialing Professional Certifications
Our credentialing specialists hold industry recognized certifications that demonstrate expertise in provider enrollment and credentialing.
NAMSS Certification Standard: CPCS and CPMSM certifications from the National Association of Medical Staff Services (NAMSS) are the industry gold standard for credentialing professionals. Our team maintains active certifications and participates in ongoing education to stay current with Medicare, Medicaid, and commercial payer enrollment requirements.
What We Guarantee (And What We Don't)
We’re transparent about what we control and what we don’t. Here’s what you can expect from RevaxisMD:
We Guarantee
- Clean, complete submissions with zero documentation gaps
- CAQH accuracy and proactive re-attestation management
- On-time filing of credentialing applications before deadlines
- Proactive follow-ups and escalation when delays occur
- Transparent weekly status reporting on every application
- Audit-ready documentation and compliance records
- Coordinated billing support once providers are activated
We Do Not Guarantee
- Payer review speed or committee approval timing (controlled by payers, not us)
- Network openings (determined by payer network expansion decisions)
- Medicare MAC processing backlogs (CMS-determined, outside our control)
- State board verification timelines (state-controlled process)
- Specific enrollment completion dates (timelines vary by payer)
Compliance & Risk Management in Provider Enrollment
Enrollment errors create compliance exposure and revenue risk. We maintain strict standards for HIPAA compliance, accurate provider representation, CMS policy adherence, and secure documentation storage.
HIPAA Compliant Data Handling
Accurate Provider Representation
CMS & Payer Policy Compliance
Audit-Ready Documentation
Who Benefits Most From Provider Enrollment & Credentialing Services
Our services are ideal for practices and healthcare organizations that fit these descriptions:
New Practices Launching Operations
You're opening doors and need providers enrolled with all payers immediately. We align credentialing timelines with your practice launch to minimize activation gaps.
Growing Groups Adding Providers or Locations
You're expanding and can't afford enrollment delays. We accelerate credentialing so new providers can bill as soon as they start seeing patients.
Practices Switching Billing Vendors
Your current vendor doesn't track enrollment. We audit your current enrollment status, identify gaps, and fix enrollment issues that are blocking payments.
Providers Facing Enrollment Delays or Denials
You're stuck waiting for payer activation. We escalate delays, appeal denials, and use payer relationships to accelerate approval.
Clinics With Payer Activation Issues
You have providers who are supposed to be enrolled but claims are still getting denied. We track down enrollment gaps and fix them.
Organizations Managing Multi-Location Enrollment
You have multiple locations with different payer networks and credentialing requirements. We manage the complexity across all locations and payers.
If you want rushed submissions with zero follow-up, we’re not your vendor. If you want approvals, accuracy, and accountability, we are.
RevaxisMD Medical Billing @ 2.59%
4.9
Based on 374 Reviews
★★★★★
Why Practices Trust RevaxisMD for Provider Credentialing
★★★★★
One of our providers had a credentialing denial that sat unresolved for 4 months. RevaxisMD took it over, identified the exact issue, appealed it properly, and got approval in 2 weeks. They explained exactly what the payer needed and made sure it was done right. One provider activation shouldn't have taken that long.
Muhammad Aamir
Cardiologist, MD, FACP
★★★★★
We were adding a new location in a different state and panicked about Medicaid credentialing. RevaxisMD handled all the state specific requirements, worked with our new providers to get CAQH profiles completed, and coordinated the whole process. Our new location had providers activated and billing within 70 days of opening. That's professional.
Natasha Elena Acosta Diaz
Child Neurology, MD
★★★★★
Our previous billing vendor ignored enrollment problems. We had claims denied for months because a provider wasn't properly activated at one payer. the way you audited our entire enrollment portfolio, found the gap, and got it fixed in 3 weeks. That provider's backlog was finally resolved. They caught other enrollment issues too that were costing us money silently.
Guido Dulay Abellera
Geriatrics, MD
★★★★★
When we expanded our practice with 5 new cardiologists, our credentialing timeline could have delayed billing for months. RevaxisMD managed all 5 enrollments simultaneously. All providers were activated across Medicare and major commercial payers within 90 days.
Srinivasa Adapa
Practice Director, Multi-Location Cardiology Group
Frequently Asked Questions About Provider Credentialing Services
What is the difference between provider enrollment and credentialing?
Provider enrollment is the process of registering a healthcare provider with a payer (Medicare, Medicaid, commercial insurance) to establish a billing relationship. Credentialing is the verification of a provider’s qualifications, licenses, certifications, and credentials. Both are required before a provider can bill through a payer. Enrollment without proper credentialing leads to denials. Credentialing without enrollment means the provider isn’t in the payer’s system at all. We handle both simultaneously.
How long does Medicare provider enrollment actually take?
Medicare provider enrollment (CMS-855 application) typically takes 60-90 days for clean, complete applications. No fixed timeline exists; processing speed depends on CMS workload and application completeness. Once approved, Medicare enrollment is backdated to the original application date, allowing providers to bill retroactively from that date. Our average Medicare activation is 67 days from clean submission to PECOS activation.
What causes commercial insurance credentialing delays?
Commercial credentialing delays are typically caused by incomplete CAQH profiles, missing documentation (licenses, board certifications, malpractice insurance), outdated provider information, or state board verification delays. Commercial payers routinely quote 90-120 day timelines, but incomplete applications can add 30+ days. We eliminate delays by maintaining current CAQH profiles and gathering complete documentation before submission.
What happens if a payer denies my credentialing application?
We treat credentialing denials as urgent compliance issues. We analyze the denial to identify the specific deficiency, gather missing documentation, and submit an appeal within the payer’s required timeframe (typically 30-60 days). We also escalate to payer credentialing supervisors and provider relations liaisons if initial appeals stall. Our first-appeal success rate is 90% across all payer types and denial reasons.
What is revalidation and when does it happen?
Revalidation is the process of updating and re-credentialing a provider with a payer on a recurring schedule. Medicare requires revalidation every 3-5 years. Commercial payers typically revalidate every 2-3 years. Missing a revalidation deadline by even one day results in automatic provider deactivation and claim denials. We maintain a revalidation calendar for every provider at every payer and submit revalidation applications before deadlines, never after.