Medical credentialing is a process that checks if doctors, nurses, and other healthcare workers have the right education, licenses, training, and experience. This helps make sure they are able to care for patients safely.
This process is very important for hospitals, clinics, and insurance companies because it helps provide safe and good care to patients. If credentialing is not done, the healthcare provider may not get paid and may not be allowed to treat patients under that insurance plan.
Delays in credentialing can cost healthcare organizations about $9,000 per provider each day. Also, 15% to 30% of budgets are spent on administrative costs, and 46% of enrollment teams say these delays cause revenue losses. There are close to 1,400 medical billing companies in the USA, and many of them offer professional provider/ physician credentialing services.
To avoid losses from credentialing delays and mistakes, healthcare providers can outsource this difficult process to special credentialing companies. These companies have the expertise, work faster, and manage compliance well, so the healthcare team can focus on caring for patients and increasing revenue.
This article also has a list of the top 10 credentialing companies to help healthcare practices compare and choose easily. Here is the list:
1. Nexus IO
The main office of Nexus IO is in Phoenix, Arizona, USA. Their credentialing team has experts with more than 10 years of experience in helping healthcare providers. Nexus IO provides simple and reliable medical credentialing services that help healthcare providers join leading insurance networks without delays. Every step, from filling out forms to getting final approval, is handled carefully to avoid mistakes and save time.
Nexus IO ensures that all documentation is accurate and fully compliant with critical regulations such as HIPAA and CMS. With a 95% success rate, Nexus IO effectively facilitates provider enrollment into premium insurance networks. These services benefit a wide range of healthcare professionals, including nurses, therapists, urgent care centers, laboratories, and others.
Each healthcare provider receives dedicated support from an account manager throughout the entire process, ensuring timely payments, improved organizational efficiency, and strict adherence to insurance requirements. Nexus IO is recognized as a trusted and reliable partner for medical credentialing services across the USA.
2. nCred
National Credentialing Solutions (nCred) is a credentialing company based in Chattanooga, Tennessee, with its main office at 1208 Pointe Centre Drive. It was founded in 2011 by experts in medical practice management. nCred has a 4.2 star rating and 19 reviews on Google. The company uses its own cloud-based software that lets clients track their credentialing files and see the status of their applications in real time.
They offer credentialing services across the U.S. and can help with credentialing and provider enrollment in all states and with all major health plans. nCred focuses on supporting healthcare providers through the entire credentialing and contracting process. Their team is known for its experience and strong client support. The time it takes to complete credentialing depends on the insurance plan. Most commercial plans take 90 to 120 days, while Medicare usually takes around 60 to 90 days.
3. DoctorsManagement
DoctorsManagement, founded in 1956, is a well-established medical practice consulting firm headquartered at 10401 Kingston Pike, Knoxville, TN 37922, US. The company has a strong presence on its Google Business Profile, boasting a 4.6-star rating based on 10 reviews.
Serving over 800 healthcare organizations and representing more than 20,000 providers, DoctorsManagement operates with a team of approximately 73 employees. The firm generates an estimated annual revenue of around $8.6 million.
DoctorsManagement also offers complete physician credentialing services tailored to each client’s specialty and geographic location. A dedicated credentialing representative is assigned to ensure smooth communication and efficient handling of Medicare, Medicaid, and commercial insurance enrollments for both new and established practices.
4. Practolytics
Practolytics, started in 2000, is a well-known company for medical credentialing services. They have offices in Columbia, South Carolina, and Duluth, Georgia. On Google, they have a 4.2-star rating, with many clients praising their fast and dependable service.
Their team supports over 1,400 healthcare providers in 31 states and works with more than 28 medical specialties. Practolytics handles over 2.5 million claims every year and helps collect over $500 million for their clients. They have a strong client retention rate of 95%.
Customers are happy with their credentialing, billing, and revenue cycle services. Each client gets a dedicated credentialing manager for personalized help. Practolytics follows all HIPAA rules and has a 98% success rate for first-time credentialing. Their system sends real-time updates and alerts, helping providers finish paperwork quickly, avoid delays, and join insurance networks faster. With over 180 satisfied customers, Practolytics is known for being accurate, efficient, and supportive.
5. MedUSA RCM
Established in 1979, MedUSA RCM has grown into a well-respected credentialing medical billing and practice management company based in Sandy, Utah. MedUSA RCM holds a Google rating of 4.1 stars with 14 reviews from clients and an employee-based rating on Glassdoor of 3.5/5 stars.
With a long history extending beyond 40 years, MedUSA has provided services to more than 2,500 clients and maintains an exceedingly high client retention rate of 97%. Their partners report an 18% average revenue increase, 34 A/R days from various specialties, and a 98% first-pass claims rate.
Though MedUSA provides end-to-end Revenue Cycle Management services, their strongest offering is credentialing. This knowledge streamlines and automates credentialing processes so that they minimize errors, and save time, thus allowing providers to concentrate on patient care.
From payer contracting to provider enrollment, primary source verification, privileging, and hospital credentialing, the team at MedUSA handles all matters related to credentialing processes. They make sure that all payer applications are accurate and complete by thoroughly reviewing all documentation and provider CVs, thereby making the credentialing process smooth and reliable.
6- Billing Advantage, Inc
Billing Advantage, Inc. is a medical billing company started in 2004. It is based in North Reading, Massachusetts, and helps over 300 healthcare providers in 22 states. Many of their staff have more than 20 years of experience. The company makes about $3 million a year.
On Google, it has a 4-star rating and 4 reviews, customers say it’s good at getting payments quickly.
Billing Advantage also offers credentialing services, which help doctors and clinics join insurance networks like Medicare and Medicaid. They handle tasks like filling out CAQH forms, applying for NPI numbers, and updating provider information.
They also help with re-credentialing, which must be done every two years in most states. The company was started by two clinicians, Richard Kaufman and Donna Whipple, and uses Tebra software for billing. The credentialing process can take up to six months, depending on the insurance company.
7. P3 Healthcare Solutions
P3 Healthcare Solutions was founded in 2015 and is located in Ontario. Based on 37 reviews, Google gives them a good 4.2-star rating on its Google Business Profile. The Better Business Bureau (BBB) also gives the company an excellent A+ rating.
P3 Healthcare Solutions provides credentialing for a wide variety of healthcare providers, such as individual physicians, medical groups, hospitals, surgery centers, and healthcare organizations. The services offered include credentialing for Medicare, Medicaid, and commercial insurance payors.
P3 undertakes the entire credentialing process from background verification of education, licenses, and work history to provider enrollment application processing. They also handle Medicare provider re-approval, hospital privileges, managed care contracting, and consulting for healthcare organizations. The credentialing services will quickly service providers in becoming approved and stay compliant for timely payment to lessen administrative burdens.
8. Medcare MSO
Medcare MSO, established in 2012, is a trusted medical billing and credentialing company with offices in Santa Fe, New Mexico, and Irvine, California. On Google Business Profile, their Santa Fe location holds a 4-star rating from 4 reviews, while their Irvine office has a strong 4.7-star rating based on 7 reviews. The company has over 1,000 employees.
Medcare MSO performs full credentialing for the doctor so that the doctor can enroll with Medicare, Medicaid, and all commercial payers such as Aetna, Cigna, and Humana. They obtain the documents, submit the application, and approve the network.
They also provide services for Medicare DMEPOS enrollment and revalidation or re-credentialing to keep compliant. With 95% success, Medcare MSO avoids delays, saving time, making sure providers are active and getting paid in time. With Medcare MSO, the professional team and their smart tech make credentialing easy, quick, and stress-free.
9. Physician Credentialing Company
Physician Credentialing Company has been helping healthcare providers since 2008. Located in Brentwood, Tennessee, this company has earned a perfect 5-star Google rating from satisfied clients.
The company of Physician Credentialing Company has successfully credentialed over 50,000 providers and processed more than 5,000 credentials with a 95% success rate. The credentialing process is completed twice as fast and ten times smoother than typical industry standards.
Their credentialing team ensures maximum reimbursement, premium payer network access, and fast enrollment. The company handles all paperwork, reduces claim denials, and eliminates administrative burdens.
Healthcare providers gain quick access to premium payer networks while staying compliant with industry standards. The streamlined approach allows practices to focus more on patient care and less on paperwork, supporting long-term growth and revenue stability.
10. Neolytix
Neolytix is a Management Service Organization (MSO) founded in 2012, specializing in AI-powered business services for healthcare organizations, including crucial medical credentialing services. Their headquarters are located in Chicago, Illinois, USA. Neolytix has gained positive recognition within the industry, reflected in their 4.8 Google rating based on 30 user ratings and a 4.7 rating on Glassdoor, where 73% of employees recommend the company.
According to Neolytix’s LinkedIn page, the company boasts a size of 201-500 employees, with some sources providing varying figures. Other noteworthy data points include an 80% approval rating and a reported revenue ranging from $384,000 to $52.5 million.
Neolytix streamlines provider onboarding using its proprietary inCredibly platform offering real-time credentialing status, automated workflows, and expiration alerts via a secure Azure cloud.
Their services go beyond basic enrollment, managing closed-panel appeals with a 35% success rate and optimizing payor mixes using data-backed network research.
With full CAQH & PECOS maintenance, license applications (DEA, CLIA, CDS), and provider roster management, they eliminate credentialing bottlenecks at scale.
Tips for Selecting the Right Medical Credentialing Company for Your Practice
Choosing the right medical credentialing company is crucial for a healthcare practice’s success. 74% of healthcare organizations report that credentialing delays are their biggest obstacle to maximizing provider revenue. 55% of credentialing departments report being understaffed. Therefore healthcare practices must consider the following when choosing the medical credentialing company.
1. Check Industry Experience
A Credentialing Company with extensive industry experience understands payer-specific requirements and regulatory nuances. Such a Credentialing Company is more likely to deliver error-free Credentialing Services with minimal delays. Ensure the Credentialing Company has a proven track record across multiple specialties and states for reliable Credentialing Services.
2. Verify Compliance Standards
The Credentialing Company must follow NCQA, CMS, and HIPAA guidelines to ensure compliant credentialing services. An ideal credentialing company implements standardized procedures to avoid sanctions or payer rejections. Credentialing services from the best credentialing company protect your organization from legal and financial risks.
3. Evaluate Technology & Automation
Credentialing companies work faster by using modern tools like CAQH and automated systems. These tech-based services help send real-time updates, give alerts, and get quick responses from payers. Choose a company that uses cloud-based systems so your credentialing is safe, easy to grow, and ready for audits.
4. Assess Turnaround Time
A high-performing credentialing company should commit to defined turnaround times for both initial and re-credentialing processes. Delays in credentialing services can impact revenue cycle timelines, reimbursement rates, and provider onboarding. Engage with a credentialing company that tracks kpis like average processing time and denial rates in its credentialing services.
5. Review Client Feedback & Reputation
Check what other clients say about the credentialing company by reading reviews and case studies. A good company is trusted by many long-term clients and is known in the industry. Make sure they are clear in communication and focused on getting real results.
Bottom Line
To identify the 10 best medical credentialing companies of 2025, we evaluated each contender based on key performance indicators such as pricing transparency, industry recognition, client reviews and ratings, years of experience, domain expertise, use of technology, credentialing turnaround time, compliance with NCQA and cms standards, customer service quality, and overall success rates.
We hope this comprehensive guide empowers you to make an informed decision when selecting a credentialing partner, one that enhances compliance, accelerates provider onboarding, and ultimately drives sustainable revenue growth for your healthcare organization.
