Providing a streamlined Credentialing Process

Providing a streamlined Credentialing ProcessProviding a streamlined Credentialing ProcessProviding a streamlined Credentialing Process

Let us do the paperwork so you can focus on what you love.

Learn More

Providing a streamlined Credentialing Process

Providing a streamlined Credentialing ProcessProviding a streamlined Credentialing ProcessProviding a streamlined Credentialing Process

Let us do the paperwork so you can focus on what you love.

Learn More

About Credential Works

Our Mission

At Credential Works, we are dedicated to helping you navigate the complex credentialing process. From document collection and CAQH Maintenance to payer enrollments. Let us worry about the details so you can focus on what you love to do ; patient care. 

Frequently Asked Questions

Please reach us at Credentialing@credentialworks.com if you cannot find an answer to your question.

Credential Works offers a range of medical administration services including help with gathering documents, CAQH setup and maintenance, payer enrollments, credentialing issues. We offer Billing Services, Insurance Services and CPA services to make managing your Practice as seamless as possible.

  Contracting refers to the process of establishing a formal agreement between parties. In healthcare, this often involves negotiations related to payment terms, services rendered, responsibilities, and other legal obligations.  While Credentialing involves verification of educational background, training, licenses, board certifications, work history, and any disciplinary actions. This process may be completed by healthcare organizations, hospitals, or insurance providers before granting privileges or the ability to bill for services.  Both processes are essential for the functioning of healthcare systems but serve very different purposes within that context. 

It depends on which services you are in need of . We have options from hourly rates to per application costs and options that include the process from start to finish as well as helping with any credentialing issues that may arise throughout the year and CAQH maintenance. The average cost to credential a healthcare provider is typically between $2,000 and $4,500 per physician per year. This includes tasks like background checks, payer enrollments and follow-ups, and managing the entire credentialing process. 

Every provider that is involved in patient care needs to be Credentialed , whether you are a a newly credentialed provider, new to NC or moving from one practice to another in state. The credentialing process can take anywhere from 30 days to 120 days. It requires knowledge of each Payer and their timelines/ processes and a lot of follow up. A mistake in the process can cost time which can affect being able to bill for services rendered or being able to see patients at all .

We have worked with MD/DOs, ACP providers, Newly Graduated Providers or Providers in Residency , New to NC providers, Behavioral Health Providers, and Dentists. 

We will ask for : demographic information , drivers license, NPI, copies of Medical License/DEA/Board Certifications, degrees/ residency diploma and transcripts, CV/ work history , professional references, professional liability information, claims history, license history ( convictions/ suspensions/ revocations). All of this information is required to provide Payers. 

Credentialing Stats

 According to The Future of Provider Credentialing: Trends and Predictions | Medwave 


  • Credentialing a single provider typically takes between 90-120 days
  • The process costs healthcare organizations approximately $7,000-$8,000 per provider
  • Credentialing delays cost the average physician over $50,000 in lost revenue
  • Healthcare organizations spend over $2.1 billion annually on credentialing activities
  • Over 85% of applications submitted for credentialing contain errors or missing information

Book an Appointment Today

Schedule an appointment with our Credentialing Specialists to discuss how we can help you navigate the Credentialing Process

Book Now

Payer Information

Behavioral Health

Behavioral Health

Behavioral Health

NC Medicaid, Alliance, Partners, Trillium, Vaya, UHC, LMEs

Dental

Behavioral Health

Behavioral Health

Delta Dental, Humana, Medicaid, Metlife, BCBSNC, Cigna, Denta Quest

Medical

Behavioral Health

Medical

Medicaid, Medicare, NC MCO's, Aetna, Cigna, Humana Medicare, Tricare East/ Humana Military, First Carolina Care, Medcost, BCBSNC, UHC

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Discover a Better Process with Credential Works

Our team of experts is dedicated to helping you achieve your practice goals. 

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Credential Works

910-742-6562

Hours

Mon

09:00 am – 05:00 pm

Tue

09:00 am – 05:00 pm

Wed

09:00 am – 05:00 pm

Thu

09:00 am – 05:00 pm

Fri

09:00 am – 05:00 pm

Sat

Closed

Sun

Closed

Credential Works

910-742-6562

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