Our Services
Insurance Credentialing Services
Get your providers enrolled with payers faster — so you can start billing without delay.
Insurance credentialing is the process of verifying a provider's qualifications, training, and licensure with insurance companies. ClaimsXperts manages the entire credentialing lifecycle — from initial application to re-credentialing — across Medicare, Medicaid, and commercial payer networks. We handle the paperwork, follow-up, and status tracking so your providers can start seeing patients and generating revenue without administrative delays.
Provider enrollment and application management
New provider enrollment involves dozens of forms, supporting documents, and payer-specific requirements. Our credentialing team manages every application packet, gathers required documents, and tracks submission timelines with each payer. We follow up proactively to prevent applications from sitting dormant in payer queues.
CAQH profile management
Most commercial payers require an up-to-date CAQH ProView profile before processing credentialing applications. We create, complete, and maintain your providers' CAQH profiles — including timely re-attestation to prevent expiration that could delay or interrupt billing.
Medicare and Medicaid enrollment
CMS enrollment through PECOS requires careful attention to NPI, taxonomy codes, practice location details, and reassignment of benefits. We handle PECOS applications, 855B and 855I forms, and state Medicaid provider enrollment across all states where your providers practice.
Re-credentialing and ongoing maintenance
Credentialing doesn't end at approval. Most payers require re-credentialing every 2–3 years, and any change in practice address, ownership, or provider status must be reported. ClaimsXperts tracks every provider's re-credentialing calendar and initiates the renewal process well in advance of expiration.
What's included
- Primary Source Verification
- CAQH Profile Setup & Maintenance
- Medicare PECOS Enrollment
- Medicaid Provider Enrollment
- Commercial Payer Credentialing
- Group Practice & Individual Provider
- Re-credentialing Calendar Management
- Status Tracking & Follow-up
Ready to get started?
Request a free billing audit and see where your revenue is being left on the table.
Why It Matters
Key benefits
Faster Enrollment
Active follow-up and complete application packets reduce credentialing timelines significantly versus self-managed applications.
No Revenue Gaps
Proactive re-credentialing calendar management prevents lapsed enrollment from interrupting billing.
All Payers Covered
Medicare, Medicaid, Blue Cross, Aetna, Cigna, UHC, and more — we credential with every major network.
Error-Free Packets
Incomplete or incorrect applications are the #1 cause of credentialing delays. We review every packet before submission.
Get Started
Ready to improve your revenue cycle?
Talk to our team about your practice's billing challenges. We'll show you a clear path to better cash flow within the first call.