Don’t let credentialing Services delays slow your growth. Code Credentia simplifies payer enrollment with expert-driven services that eliminate weeks of repetitive work so your team can focus on what truly matters patient care.

With our centralized approach and experienced professionals, you can:

Accelerate Revenue
Get credentialed faster and start seeing financial returns sooner.

Save Time
Free your staff from paperwork and redirect their focus to patient care.

Reduce Stress
Our experts handle the complexities of credentialing so you don’t have to.

Streamline credentialing and insurance enrollment so You can focus on patient
care.

Our Comprehensive Suite of
Physician Credentialing Services

Government Program Enrollment

Medicare and Medicaid Provider Enrollment: Ensure you’re authorized to serve eligible beneficiaries under these essential federal healthcare programs.
Medicare DMEPOS Enrollment: Receive expert support to enroll as a provider of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).

Commercial Insurance Credentialing

Our physician credentialing services are fully integrated with major payers, ensuring a smooth and efficient process.
We also offer expert contract negotiation to help secure favorable terms and maximize your reimbursement rates.

Essential Registrations

NPI Registration: We manage both Type I (individual providers) and Type II (organization) National Provider Identifier registrations.
CAQH Profile: We create and maintain your Council for Affordable Quality Healthcare (CAQH) profile, streamlining data submission for participating health plans.
PECOS: We handle your Medicare enrollment through the PECOS (Provider Enrollment, Chain, and Ownership System) portal, ensuring accuracy and compliance.

Licensing and Certification

State License Application & Renewal: We ensure your licensure meets all regulatory requirements within your specific state or jurisdiction.
U.S. DEA Certificate Processing: We facilitate DEA certification, enabling providers to legally prescribe and manage controlled substances.
CLIA Registration: We support you through the CLIA registration process to ensure compliance with federal quality standards for laboratory testing.

Hospital Privileges

We provide a streamlined application process for hospital affiliations,
helping you expand your scope of practice and enhance patient care delivery.

Ongoing Support

Revalidation and recredentialing: Stay active and in good standing with payers through timely revalidation and recredentialing support.
Compliance with NCQA standards: We identify and resolve payment issues that impact your revenue cycle, ensuring optimal reimbursement.
Ensure full compliance with National Committee for Quality Assurance (NCQA) standards and requirements.

The Code Credentia Advantage

Dedicated Experts

Our specialized team manages all paperwork and follow-ups, resolves contracting issues, and ensures the accuracy and integrity of your credentialing data.

Comprehensive Support

Comprehensive, end-to-end service that includes information gathering, application submission, follow-ups, and ongoing communication.

Personalized Attention

A dedicated project manager supports you every step of the way, ensuring a smooth and efficient credentialing process.

Time-Efficient

Reduce credentialing time from months to weeks

24/7 Access

Track your application status anytime, anywhere via our online platform.

Growth Catalyst

Enhance your practice through expanded network participation.

Contact Code Credentia today for a free consultation and discover how our tailored credentialing solutions can propel your healthcare practice forward.

Our Clients Are Making Healthcare Better

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Code Credentia took the credentialing burden completely off our shoulders. Their knowledge of payer requirements and efficient submission process saved us months of back-and-forth. I felt fully supported throughout. They're truly the gold standard in medical credentialing.

Dr. Priya Menon

Serenity Family Medicine, Dallas, TX

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After struggling with delays for over 4 months, we turned to Code Credentia. Within weeks, they had us enrolled and active with major payers. Their follow-through, speed, and communication exceeded expectations. I wish we had found them sooner.

Dr. Jason Liul

Evergreen Cardiology Group, Seattle, WA

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Credentialing new providers used to be a nightmare for our practice. Code Credentia streamlined the entire process and kept us updated at every stage. Thanks to them, our revenue cycles are healthier, and our onboarding is stress-free.

Dr. Ayesha Rahman

Bright Horizon Pediatrics, Atlanta, GA

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Code Credentia is an outstanding partner for any clinic serious about compliance and payer credentialing. They handled everything professionally—from CAQH updates to NPI management and contract negotiations. Their responsiveness and expertise are unmatched in the industry.

Dr. Miguel Sanchez

Riverbend Neurology Associates, San Antonio, TX

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We opened our clinic last year, and Code Credentia was crucial in getting our providers credentialed with Medicare, Medicaid, and commercial insurers. Their attention to deadlines and documentation made the entire process smooth and stress-free.

Dr. Olivia Grant

Heart & Soul OB/GYN, Chicago, IL

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As a behavioral health clinic, credentialing delays impact both providers and patients. Code Credentia got us paneled with 7 payers faster than anyone we’ve used before. Their transparency and real-time status reports were a game changer

Dr. Daniel Brooks

Lakeside Behavioral Health, Orlando, FL

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We rely on Code Credentia not just for initial credentialing but for ongoing revalidations and monitoring. They are thorough, proactive, and always a step ahead. We trust them implicitly and refer them to every provider we know.

Ready to Transform Your Practice?

Streamline credentialing and insurance enrollment so You can focus on patient
care.