Medical Credentialing Services & Provider Enrollment

We simplify all your healthcare credentialing processes so that you can focus on your core mission of patient care. Our experts handle every step, from initial application submission to final approvals for premium network enrollments. 

0 %

Collection
Rate

0 %

Reduction
in A/R

Nexus io is a trusted leader in medical billing solutions, with over 250+ satisfied clients nationwide. Your practice could be our next success story.

88%

First Pass Cleam Claims Rate

30%

Reduction in A/R

90%

Collection Ratio

Quick & Easy Enrollment in Premium Healthcare Networks

We are a proud and top-rated medical credentialing and enrollment service provider nationwide. Our proven 95% success rate for every premium network, like commercial insurance credentialing, MCR DMEPOS enrollment, NPI (Type 1 and Type 2) registration, DEA certificate and renewal, CLIA registration, or any other Medicare and Medicaid provider enrollment, speaks for itself. 

  • 10+ Years of Expertise – We’ve successfully enrolled 5,000+ healthcare providers.
  • Fully Compliant with Industry Standards – HIPAA, CAQH, Medicare & Medicaid guidelines.
  • Optimized In-Network Opportunities – Get credentialed with top insurance plans.
  • Dedicated Account Managers – Your success is our priority, not profits.

Credentialing Services for Healthcare Professionals Across All Fields

We offer a comprehensive suite of physician and medical credentialing services designed to meet the needs of healthcare providers of all sizes. 

  • Nurse Practitioners and Physician Assistants  
  • Urgent Care Centers  
  • Behavioral Health Professionals  
  • Physical, Occupational, and Speech Therapists  
  • Federally Qualified Health Centers and Rural Health Clinics  
  • Hospitals and Educational Institutions 
  • Laboratories, Ambulatory Surgery Centers, and Imaging Facilities

We take care of credentialing so you can focus on patient care!

Streamline Your Payer Enrollment and Get Paid Faster

Our physician credentialing services ensure that your enrollment with insurance providers both in-network or out-of-network is quick, accurate, and hassle-free. We handle all your paper-work, documentation, and follow-ups, so that you get your collection amount as fast as it can be and with more reimbursement opportunities.

Our credentialing specialist handles the entire CAQH registration and maintains the provider’s profile on the Council of Affordable Quality Healthcare, and Provider Data Portal (CAQH ProView). We make sure provider account data is accurate, and up-to-date with all the complaints of industrial standards and requirements. This has enabled Nexus io to develop a robust portfolio of successful healthcare provider network implementations across nearly every region of the United States.

Many healthcare providers, including those serving Medicare and Medicaid patients, require credential verification to become part of insurance networks. We’re here to help you identify the most widely accepted insurance plans, HMOs, and PPOs in your region, so you can connect with more patients and expand your practice.

Why Choose Our Credentialing & Contracting Services?

At Nexus io, we understand the burden of how much time consuming is credentialing, contracting process overall for any healthcare provider. So whether you’re a medical practice, hospital surgery center, or solo physician practitioner, we offer comprehensive medical credentialing and enrollment services to fit your needs. Our physician credentialing services will help you to streamline the process and ensure accurate, up-to-date verifications with minimal effort on your part.

Let’s get in touch

Please provide the required information so we can reach you out.

Our Medical Credentialing Process – Simple & Effective

Step 1: Initial Consultation and Assessment

The first step of our healthcare credentialing services is a comprehensive assessment of your practice’s needs. It includes collecting detailed information about your providers, speciality, and other specific requirements mandated by insurance companies or accreditation bodies. 

  • Collaborate closely with specialists to obtain a comprehensive understanding of required insurance documentation.
  • Ensure all documentation aligns with current industry regulations and compliance standards.
  • Establish a solid foundation for the process of becoming an in-network provider.
  • Facilitate the expansion of patient access through successful insurance network registration.

Step 2: Accurate Credentialing Documentation and Verification

In this step we focus on reviewing, and verifying all the necessary documentation to meet the requirements of insurance companies, government programs (such as Medicare and Medicaid), and accrediting bodies. Each document is thoroughly verified through primary sources, including federal and state licensing boards, educational institutions, and government organizations, to make sure everything is current and accurate. We keep you informed with all the mandatory updates and required information. 

Step 3: Final Submission and Ongoing Support

In the final step, we submit your credentialing application to the appropriate insurance providers, regulatory bodies, and payer networks. Our specialists will make sure:

  • All required documents are submitted accurately and on time to avoid delays or rejections.
  • Provide real-time updates and progress reports throughout each stage of the approval process.
  • Offer continued support post-approval to maintain compliance with regulatory standards.
  • Help optimize practice operations by aligning with the appropriate provider networks.

Trusted By

Client Testimonials

Our achievements are a testament to our hard work team to deliver exceptional revenue boost results and gain the client’s trust in us.

HIPAA-Compliant, Secure & Reliable

Nexus io place the utmost priority on our patient privacy, we ensure that our healthcare revenue cycle management services fully comply with HIPAA regulations; to protect patient’s data with strong security measures:

  • Securing patient information both at rest and during transmission. 
  • Always use strict access control with user authentication and authorization.
  • Conduct regulatory audits to address any vulnerabilities.

Fast, Easy Credentialing with Guaranteed Payer Network Access

Nexus io is here to assist you with the credentialing process with all the premium networks, expanding your in-network reach and enabling you to serve more patients without delays or interruptions. Just fill out this form, and one of our credentialing specialists will contact you within 12 hours. 

Let’s get in touch

Please provide the required information so we can reach you out.