Connexus Cure provides a range of outsourcing solutions for organizations needing assistance with the complicated process of provider and physician credentialing services, ensuring there is speed, accuracy, and transparency in the payer enrollment process. With our credentialing specialists working as part of your team, you will have access to highly trained professionals who provide you with quality services that guarantee that each application will be completed, verified, and submitted correctly the first time.
Connexus Cure provides medical credentailing services to practices that demand precision, transparency & measurable performance.
Ensure that your new provider and group practice have a smooth enrollment process by fully coordinating with Medicare, Medicaid, and commercial payers.
By assisting you in maintaining compliance through timely renewals and validations for all your payers, we save you time.
Through ongoing monitoring and attestations, we help you keep your profiles up to date with the most accurate information available.
Having real-time access to the status of your credentialing as well as all key milestones and payer responses.
You will enjoy complete visibility and control over all the activities, timelines and results of the Medical Credentialing Services because you will have a dedicated account manager and provider portal.
➤Using AI to automate the credentialing process can reduce administrative costs associated with credentialing by 75%.
➤You can expect that 85% of all providers will be onboarded faster through real-time CAQH updates and their California Provider Hub (PH).
➤95.80 percent of credentialing data will be correct when validated against 1,500-plus primary-source rules.
➤Minimal claim denials due to credentialm related issues, thanks to ongoing status tracking of credentials.
Connexus Cure simplifies every step to help practices get paid faster, without any denials.
We begin by collecting your professional and legal details, including licenses, NPI, education, work history, and malpractice coverage. This ensures your profile is complete and ready for submission without delays.
We create and maintain your profile in CAQH, which acts as a centralized database for insurance companies. We also ensure timely attestation so your data remains active and valid.
We identify the most relevant insurance networks for your practice, including Aetna, Blue Cross Blue Shield, UnitedHealthcare, and Cigna. This helps maximize your patient reach and revenue potential.
We complete and submit credentialing applications to each payer using their specific portals or forms. Every document is carefully reviewed to meet payer requirements and avoid rejection.
Insurance companies verify your credentials directly from original sources, such as medical boards and institutions. This step confirms your qualifications and is essential for approval.
We continuously follow up with insurance companies to track your application status and resolve any issues. This reduces delays and ensures your application keeps moving forward.
Once approved, you receive a participation agreement with the payer. We assist in reviewing terms and finalizing contracts so you are officially recognized as an in-network provider.
After credentialing, you are enrolled in the payer’s system and assigned identification details. This step enables you to submit claims and receive reimbursements.
We integrate your credentials into the billing system and test claim submissions. This ensures you are fully ready to treat patients and get paid without interruptions.
Our specialized team provides support in paperwork submission and handling all contract issues and maintaining the integrity of your application data.
Complete online credentialing support through data collection, submission, follow-up tracking and messaging with the provider network.
Credentialing is managed by one dedicated credentialing representative that manages your credentialing process from start to finish.
Reduce your credentialing time from months to weeks.
You can check the status of your credentialing application through our online portal at any time.
Your practice will grow through greater participation in the network.
Connexus Cure’s medical billing solutions are designed to completely comply with all applicable regulations so that you will be sure your practice and revenue are secure. We ensure that every submitted claim complies with the applicable federal regulations, payer regulations, and the established industry standards.
Our medical billing experts are familiar with every EHR system and make sure your claims are submitted accurately, no matter which one you use.
Learn how medical practices, from single providers to large multi-specialty groups, can shorten credentialing delays, eliminate denials, and protect revenue, among others.
➤Payer enrollment processing for commercial insurance, Medicare, and Medicaid streamlined.
➤Best practices regarding compliance and approval preparation as a practice grows.
➤A number of the most frequently made credentialing blunders causing delays.
Connexus Cure provides medical billing services for these specialties.
Explore our latest blogs & articles to stay updated with medical coding standards, billing tip & practice management strategies.
Hear directly from healthcare professionals who rely on Connexus Cure for accurate, compliant & dependable medical billing & revenue cycle management services.
"Josh and the team were really good at Credentialing my new dental office. Great communication and was easy to work with."
"Connexuscure was able to file our Medicare credentialing in one day. They stayed on top of getting our lab information and let us know what was missing. They stepped us through all of the steps... We highly recommend them for Credentialing and for medical billing."
"Josh was very attentive and always quick to follow up when there was a credential issue. He always had time to take a call if/when I had a question."
"It was nice working with Connexus Cure Team. They are responsive and know what they are doing. I have my long pending claims settled by them in no time."
"Excellent Service — I always have my calls, emails, and messages answered. They are professional and personal to cater to ensure that you are lined up for success."
Are you interested in simplifying your credentialing process and reducing financial losses from lag times? Work with an experienced medical billing and credentialing partner that will help speed up the approval process, decrease denials, and maintain complete compliance within your organization. We can support all aspects of the credentialing process that include providing assistance for submitting your application, following up with payers, and guiding you through the entire credentialing process so you can place your attention back on caring for patients. Solo providers and large healthcare entities will benefit from our customized solutions to fit their individual credentialing needs. Credentialing bottlenecks can impede your revenue cycle. Begin today to quickly and easily enroll as a new provider. Call now for a complimentary consultation.
Credentialing is the process of verifying a healthcare provider’s qualifications, including education, training, certifications, and work history. Provider credentialing is an essential step to enroll with insurance companies; ensure compliance; and is critical to avoid denied claims.
Typically, it takes between 60-120 days; however, the timeline varies based on the payer and the completeness/accuracy of the information that was submitted. By proactively managing applications and following up with each payer, our team can help expedite the process.
The most common supporting documentation typically includes copies of medical licenses, DEA/controlled substance certifications (when applicable), board certifications, malpractice insurance, NPI information, and work history.
Yes! We handle ongoing re-credentialing and renewals in a timely manner so that your provider status stays active and there are no interruptions in reimbursement.
Yes! We will identify the root cause of the delay or denial; fix the issue; and resubmit the application(s) including maintaining continuous communication with each payer.
Yes! All healthcare providers who expect to bill insurance must go through the credentialing and enrollment processes with each of those payers to receive reimbursement.
