Connexus Cure : Medical Billing Company in United States
- +1 (385) 247-9008
- info@connexuscure.com
Medical Credentialing & Provider Enrollment Services
Getting your practice in-network shouldn’t be a headache. At Connexus Cure, we provide end-to-end medical credentialing services that allow you to focus on your patients while we handle the paperwork. From initial NPI registration to complex payer contracting, we ensure your revenue cycle stays uninterrupted.
Why Expert Medical Credentialing is Vital for Your Practice
Modern healthcare requires strict adherence to Compliance Standards. A single error in your CAQH Profile Management or a delay in Medicare / Medicaid Revalidation can lead to months of lost revenue. Our team uses advanced Credentialing Software Automation to eliminate human error and speed up the approval process. This technology helps us find & fix errors that a human eye might miss.. By automating the repetitive parts of the process, we significantly speed up the approval time with payers. Our goal is to keep you compliant increase your revenue, so you never have to worry about missing a deadline or facing a claim denial.
Our Comprehensive Credentialing Solutions
Provider Enrollment
We manage your applications for all major commercial & government payers.
Primary Source Verification (PSV)
We verify all credentials, including Malpractice Insurance & medical education, directly from the source to meet NCQA Standards.
PECOS Management
Expert handling of your Medicare enrollment through the official Provider Enrollment, Chain, and Ownership System.
Hospital Privileges
We streamline the process of securing admitting rights and surgical privileges at your local facilities.
Data-Driven Results: The Power of Accuracy
We don’t just make promises we deliver measurable improvements for our clients. By outsourcing your credentialing to us, you can expect:
Performance Metric
Industry Average
Connexus Cure Results
Application Accuracy Rate
82%
99.8%
Credentialing Turnaround Time
120+ Days
60 – 90 Days
Credentialing Turnaround Time
Depends on staff experience risk of errors
Certified experts ensure accurate coding
Administrative Cost Savings
Baseline
Up to 75% Reduction
Claims Denials (Credentialing Related)
High
Under 0.5%
Why Outsource Credentialing to Connexus Cure?
Choosing the right partner for your medical credentialing services is a critical decision for your practice’s financial health. At Connexus Cure, we do more than just fill out forms we act as a dedicated extension of your team. Here is why healthcare providers across the country trust us to manage their Provider Enrollment and revenue cycle.
99.8% Accuracy Rate
We use Credentialing Software Automation to double-check every detail. This eliminates errors that cause application rejections.
Faster Approval Times
We know how to navigate the payer contracting process quickly. Our team works to get you In-Network Status in weeks, not months.
Complete Compliance
From CAQH Profile Management to Medicare / Medicaid Revalidation, we manage every deadline so your payments never stop.
Transparent Reporting
You get clear updates on your application status, giving you full peace of mind without the administrative headache.
In-House Credentialing vs Outsourcing to Connexus Cure
We don’t just make promises we deliver measurable improvements for our clients. By outsourcing your credentialing to us, you can expect:
Feature
In-House Credentialing
Connexus Cure (Outsourced)
Application Accuracy Rate
High (Salary + Benefits)
Fixed & Affordable. No hidden Fee
Accuracy
High Errors Rate
Verified via multi-step PSV
Credentialing Turnaround Time
Depends on staff experience risk of errors
Certified experts ensure accurate coding
Scalability
Hard to grow quickly |
Instant support for new providers
Tracking
Manual spreadsheets |
Real-time automated dashboard
Medical Credentialing Services for All States
Each state has its own specific laws and Compliance Standards. At Connexus Cure, we help providers across the entire United States.
Medical Credentialing Services in New Jersey
Medical Credentialing Services in New York
Medical Credentialing Services in Texas
Medical Credentialing Services in California
Medical Credentialing Services in Florida
Medical Credentialing Services in Alaska
Medical Credentialing Services for All Specialties
Every medical field has different rules for insurance. Our team knows these rules as well. We serve many different types of healthcare providers get through the medical credentialing services.
Internal Medicine Credentialing Services
Cardiology Credentialing Services
Orthopedics Credentialing Services
Gastroenterology Credentialing Services
Dermatology Credentialing Services
Radiology Credentialing Services
How Our Medical Credentialing Process Works
Navigating the world of insurance networks can be confusing. We have simplified the journey into a clear, professional process that ensures your practice gets in-network quickly and stays compliant. Here is how we manage your medical credentialing services from start to finish.
#1 Data Collection & Document Audit
We start by gathering all necessary information, including your medical license, board certifications, and Malpractice Insurance details. Our team performs a thorough audit to ensure every document is current and meets Compliance Standards. This prevents delays before the application even starts.
#2 CAQH Profile Setup & Maintenance
We create or update your CAQH Profile Management account. Since most insurance payers use this database to verify your information, we ensure it is 100% accurate and “attested.” We also handle the ongoing maintenance so your profile never expires.
#3 Primary Source Verification (PSV)
To meet NCQA Standards, we perform Primary Source Verification. We contact the original institutions (like your medical school or licensing board) to confirm your credentials. This deep level of verification builds trust with insurance payers and speeds up their review.
#4 Application Submission & Payer Enrollment
Our experts fill out and submit your applications for Medicare / Medicaid Revalidation and commercial insurance plans. We use PECOS Management for government filings to ensure your NPI Registration is correctly linked to your practice.
#5 Aggressive Follow-up & Contract Negotiation
We don’t just “submit and wait.” Our team performs weekly follow-ups with insurance carriers to push your application forward. During this stage, we also handle Payer Contracting to negotiate the best possible reimbursement rates for your services.
#6 Final Network Enrollment & Approval
Once the payer approves your application, we verify your In-Network Status and effective date. We provide you with a final summary of your provider IDs and contract terms, ensuring you are ready to start billing immediately.
Accelerated Onboarding: Get In-Network Without the Wait
While most companies take 120 to 150 days to complete your enrollment, Connexus Cure speeds up the process significantly. We eliminate the usual delays by using Credentialing Software Automation and aggressive weekly follow-ups with insurance payers. Our streamlined approach ensures your Provider Enrollment and Medicare Revalidation are handled faster than the industry average. We focus on getting you In-Network Status quickly, so you can stop waiting and start generating revenue immediately.
Connexus Cure Certifications
We strictly follow all compliance and state regulations & our certifications reflect our commitment to maintaining standards.
Connexus Cure Work With These EHRs
Our medical billing experts are familiar with every EHR system and make sure your claims are submitted accurately, no matter which one you use.
Ready to Secure Your Revenue? Partner with Connexus Cure Today
Don’t let messy paperwork or slow insurance approvals hurt your practice’s financial health. At Connexus Cure, we specialize in medical credentialing services and provider enrollment to get you in-network status as fast as possible. Our expert team handles every step, from payer contracting to Medicare revalidation, ensuring you never have to worry about claims denials or lost income due to administrative errors. We take the burden of paperwork off your shoulders so you can focus entirely on your patients. Partner with us today to protect your revenue cycle and grow your medical practice with total confidence.
Frequently Asked Questions (FAQS)
Most insurance companies take about 90 to 120 days to finish the process. At Connexus Cure, we use Credentialing Software Automation and call insurance companies every week to push your application forward. We work hard to get your In-Network Status faster than the industry average so you can start billing sooner.
If your information doesn't match exactly across all systems, insurance companies will reject your claims. Common errors in provider enrollment or an outdated CAQH Profile Management are the biggest reasons for claims denials. We perform a deep audit of your files to fix these mistakes. Our goal is to protect your revenue cycle so you get paid for every patient you see.
Not exactly, but you need both to get paid. Medical credentialing is when an insurance company checks your license and history to make sure you are qualified. Provider enrollment is the step where they actually give you a contract to join their network. We handle both parts for you, ensuring that you are not just verified, but also fully linked to the insurance company's payment system.
If you miss a Medicare revalidation notice, your billing privileges will be stopped immediately. This means you won't get paid for any Medicare patients. We know doctors are busy, so we track all your deadlines for you. Whether it is Medicare DMEPOS or state license renewals, we start the paperwork early so your practice never faces a gap in income.
Think of CAQH as the "master folder" that almost every insurance company uses to find your data. If your CAQH profile is incomplete or has old information, your payer contracting will stall. We manage your profile for you, making sure it is always updated and re-attested on time. This keeps your practice ready for any new insurance opportunities.
It is very frustrating when an insurance company says they aren't taking new doctors. However, a "closed panel" isn't always the final answer. We help you write professional appeals and show the insurance company why your specialty or location is needed for their members. Our experience in medical credentialing services helps us find the right path to get you in front of the right people.
