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Medical Credentialing Services

Simplify Your Medical Credentialing Process

Axis Professional Billing provides medical credentialing and payer enrollment support for healthcare providers and practices. From provider documentation and verification to payer applications and ongoing maintenance, we help simplify the administrative work behind enrollment.

Provider Credentialing
Payer Enrollment
CAQH Support
Re-credentialing
Credentialing hero section image
The Challenge

Credentialing Can Become a Complex Administrative Process

Provider enrollment involves documentation, payer-specific requirements, profile maintenance, follow-ups, renewals, and ongoing updates. When these pieces are handled across disconnected spreadsheets and inboxes, important steps can be difficult to track. Axis brings the workflow together so your practice has a clearer process from provider information collection through payer enrollment and ongoing maintenance.

Complex Documentation

Credentialing requires accurate provider information and supporting documentation across different requirements.

Ongoing Follow-Up

Applications may require communication and status tracking throughout the enrollment process.

Payer Requirements

Different payers can have different enrollment processes, forms and documentation requirements.

Credential Maintenance

Provider information and credentials may need to be reviewed and maintained over time.

Our Services

Medical Credentialing Services

From initial provider setup to payer enrollment and ongoing credential maintenance, Axis can support the administrative workflow behind your credentialing program.

Provider Credentialing

Organize and manage provider credentials, documentation, verification, and payer enrollment requirements.

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CAQH Management

Support for CAQH profile setup, updates, documentation, and ongoing profile maintenance.

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PECOS Enrollment

Assistance with Medicare enrollment workflows and provider information maintained through PECOS.

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Medicare & Medicaid

Support with applicable Medicare and state Medicaid provider enrollment and maintenance requirements.

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Commercial Payer Enrollment

Manage enrollment workflows for commercial insurance networks based on your practice and payer requirements.

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Re-Credentialing & Revalidation

Keep track of recurring credentialing and revalidation requirements across applicable programs and payers.

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NPI & Provider Data

Support for individual and organization provider information used throughout enrollment and billing workflows.

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Credential Verification

Organize verification of licenses, education, training, certifications, malpractice and other required credentials.

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Provider & License Updates

Help manage changes to provider information, licenses, locations and other enrollment-related records.

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Our Process

A Clear Credentialing Workflow From A Clear Credentialing Workflow From

The exact requirements vary by provider, specialty, state and payer. Our workflow keeps the major steps organized and visible.

01
Assess
Review provider details, specialties, locations and enrollment needs.
02
Collect
Gather the documentation and provider information required.
03
Verify
Review credentials and identify missing or outdated information.
04
Submit
Prepare and submit applicable enrollment applications.
05
Monitor
Track follow-ups, updates, revalidation and ongoing requirements.
Why Credentialing Infrastructure

The Systems Behind Modern Provider Enrollment

CAQH ProView

Provider profile setup, information updates, documentation maintenance, and attestation support.

Provider Credentialing
Updates
Documents

PECOS

Support for Medicare provider enrollment and maintaining applicable enrollment information accurately.

Medicare
Enrollment
Updates

Medicare & Medicaid

Coordinate applicable federal and state enrollment workflows based on your provider and practice requirements.

Medicare
Medicaid
Revalidation

Commercial Payers

Manage enrollment workflows according to the requirements of the commercial insurance networks relevant to your practice.

Payer Enrollment
Provider Data
Follow-Up
Documentation

Common Credentialing Documents

Credentialing requirements can vary by provider and payer. Commonly requested information may include:

Medical License

NPI Information

CAQH Profile

DEA Certificate

Curriculum Vitae

Board Certification

Malpractice Insurance

Education Records

Credentialing Meets Revenue Cycle

Credentialing Is Where the Revenue Cycle Begins.

A provider needs the right enrollment and payer information before many downstream billing workflows can function properly. That is why credentialing should not operate as an isolated administrative task.

Axis connects credentialing and revenue cycle workflows so provider enrollment information can be considered alongside billing, claims and payer processes.

Provider Information

We organize accurate provider credentials and enrollment information.

Payer Enrollment

We manage provider enrollment with the appropriate insurance payers.

Billing Readiness

We align provider and payer information for smoother billing workflows.

Ongoing Maintenance

We keep credentials, enrollments, renewals, and revalidations up to date.

Who We Support

Credentialing Support for Different Provider & Practice Models

Build a connected revenue-cycle strategy with specialized services supporting different stages of the financial workflow.

Individual Physicians

Credentialing and payer enrollment support for individual providers.

Medical Groups

Organized workflows for practices with multiple providers.

Specialty Practices

Enrollment workflows aligned with specialty-specific requirements.

Growing Practices

Support when adding providers, locations or payer networks.

Telehealth Providers

Credentialing considerations for providers working across locations.

New Practices

Credentialing planning for providers preparing to launch.

Multi-Location Groups

Coordination of provider and practice information across locations.

Healthcare Organizations

Credentialing support that can complement existing administrative teams.

Let's Get Started

Need Help With Medical Credentialing?

Tell us about your providers, specialties and payer requirements. We can review the credentialing workflow and identify the areas that need attention.

Provider credentialing review
Payer enrollment requirements
CAQH & PECOS considerations
Re-credentialing & maintenance needs
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Frequently Asked Questions

Medical Credentialing Questions Answered

Answers to common questions about provider credentialing, payer enrollment and credential maintenance.

What are medical credentialing services?

Medical credentialing services help healthcare providers organize and verify professional information and support the administrative process associated with payer enrollment and network participation.

Credentialing generally involves reviewing and verifying a provider’s qualifications and information, while payer enrollment involves submitting the information required for participation with a specific health plan or payer.

Axis can provide support with CAQH-related provider information, updates and maintenance as part of its credentialing and enrollment services.

Requirements vary by provider and payer, but commonly requested information can include a medical license, NPI information, CAQH profile, CV, certifications, malpractice insurance and other professional documentation.

Yes. Axis can support applicable recredentialing and provider information maintenance activities based on payer and provider requirements.

Processing time varies depending on the payer, provider type, documentation, application requirements and other factors. Axis can help organize the process and track application progress.

Provider Credentialing

Ready to Simplify Provider Credentialing?

Keep your providers focused on patient care while Axis Professional Billing handles the credentialing process from start to finish. From payer enrollment and verification to ongoing credentialing support, we help keep your provider information organized and billing-ready.

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