CREDENTIALING & ENROLLMENT
- 99%+ Accuracy in Provider Data & Documentation
- Hassle-Free Enrollment with Payers & Insurance Networks
- Compliance with Industry Regulations & Standards
- Faster Approvals with Streamlined Processes
- End-to-End Credentialing Support for Healthcare Providers
Trusted by 500+ Physicians
Catering to 40+ Specialties
1100+ Certified Medical Billers & Coders
End-to-End RPA Billing Solutions
Up to 98% First Pass Clean Claim Rate
Why Credentialing & Enrollment Managment Matters
Before billing for services, it’s essential that your providers are properly credentialed with insurance payers and enrolled in their networks. Missed steps, delays, or errors in this process can result in claim denials, lost revenue, or restricted billing privileges. At Acuity Health, we handle the entire credentialing and enrollment process — from CAQH setup and payer contracting to revalidation and ongoing maintenance — allowing your team to focus on delivering quality patient care while we ensure smooth, compliant billing.
Our Success in Numbers
$ 300 M+
Value of claims processed
24
Accounts Receivable Days
36 Hours
Turn Around Time (TAT)
99 %
Customer Retention
2.5 M
Number of Claims Processed
98 %
First Pass Clean Claims Rate
10% - 15%
Revenue Improvement
30 %
Reduction in A/R
Key Outcomes
Faster onboarding of new providers and locations
Accelerate provider and facility setup to start billing quickly.
Reduced credentialing-related claim denials
Ensure accurate enrollment to prevent lost revenue.
Ongoing maintenance to keep credentials current
Stay compliant with regular updates and revalidations.
Clear status visibility and audit-ready documentation
Track credentialing progress with transparent, organized records.
Seamless integration with your billing & operations
Connect credentialing data with revenue cycle processes for efficiency.
Minimized risk of lapses or coverage gaps
Maintain uninterrupted provider coverage and network participation.
Core Capabilities
CAQH Profile Setup & Maintenance
We create, manage, and re-attest your CAQH profiles regularly to meet payer requirements.
Payer Credentialing & Contracting
Submit credentialing applications, negotiate contracts, and ensure in-network status.
Medicare / Medicaid Enrollment & Revalidation
Complete Medicare (PECOS) and Medicaid initial enrollments, revalidations, and updates.
Primary Source Verification
Verify licensure, board certification, education, and professional history with primary sources.
Directory & Data Maintenance
Keep payer records, addresses, specialties, and roster data up-to-date across all plans.
Credentialing Audits & Renewal Alerts
Proactive review, alerts for upcoming renewals, and audit support to avoid lapses.
Compliance & Certifications
HIPAA-Compliant : Strict data security protocols and confidentiality standards to safeguard protected health information (PHI) at every stage.
ISO-Certified : Structured quality management processes ensuring consistent performance, operational excellence, and continuous improvement in every billing cycle.
Get in touch
Specialties We Support
Medical Billing Expertise Across Key Specialties
Why Choose Acuity Health?
Metrics
Acuity managed our credentialing across 4 states and reduced our in-network downtime to almost zero.” — Clinic Administrator, Multi-Specialty Group.
Frequently Asked Questions
It typically takes 60–90 days for Medicare, 90–120 days (or more) for commercial payers — we proactively follow up to shorten delays. (nCred reports 90–120 days for many commercial payers)
CAQH is a centralized provider data repository used by many payers. A properly maintained CAQH profile speeds up credentialing. (nCred handles CAQH setup & maintenance)
We monitor payer panel status, attempt appeals / reinstatements, or suggest alternative payers depending on your specialty and region.
Yes. We continuously track expiring credentials, initiate revalidations, and handle documentation updates on your behalf.
Ready to Get Your Providers Credentialed Right?
Stop losing time and revenue. Talk to our credentialing team now and ensure your providers are network-ready.
Related Services
Revenue Cycle Management (R.C.M)
Our end-to-end RCM services help healthcare organizations optimize financial performance, from patient registration and charge capture to claims submission and denial management. We ensure clean claims, faster reimbursements, and complete revenue transparency, so you can focus on delivering care while we strengthen your bottom line.
Specialties
Acuity Health supports a wide range of medical specialties with customized RCM and coding solutions tailored to each specialty’s unique documentation and billing needs. From Surgical and Orthopedics to Infusion Therapy, Cardiology, Radiology, and Primary Care, our expertise ensures accurate coding, faster reimbursements, and full regulatory compliance across every service line.
Healthcare Operations Support
Our dedicated remote staff provide end-to-end non-clinical operations support, including scheduling, authorizations, data entry, and patient communication. We help reduce administrative workload, lower costs, and deliver consistent, scalable support so your team can focus on patient care.
Clinical Coding
Acuity Health delivers accurate, compliant, and specialty-specific medical coding that minimizes denials and improves cash flow. Our certified coders ensure precise documentation, coding accuracy, and regulatory compliance — driving faster payments and better financial outcomes..