Outsourced Credentialing Services
Outsourced Credentialing Services

Physician Credentialing

Outsourced Credentialing Services

Discover the positive change with our trustworthy credentialing services. We take care of all the paperwork and details, from the initial application to keeping everything up to date. You can trust us to handle the administrative side, allowing you to focus on providing excellent healthcare.

dots
revenue-increase-graph
Experience The Difference With Our Reliable

Provider Credentialing Services

We provide credentialing services to Physicians, Hospitals, Home Healthcare, laboratories, and DME credentialing services, assisting the providers in getting better revenues. Our customized credentialing services facilitate the payer enrollment process, including managing Assignment of Benefits (AOB) when Physicians begin their first practice after Med school, change from one practice to another, add a new Physician to an existing group, or want to become enrolled with a new payer.


Let our skilled professionals care for your documentation needs, guaranteeing precise and reliable credentialing services. Eliminate the burden of paperwork and simplify the application process. Enhance your revenue cycle management with accurate billing and outsource patient statements to ensure timely collections and reduced claim denials. Gain a competitive advantage by choosing our cost-effective solutions, giving you an edge over others in the industry.


Solo Provider Plan
For independent individual providers
$250-$300
/application
Complimentary access to Credentially, Techmatter's AI-enabled proprietary credentialing software to monitor application status and contracted payers
Complete assembly and electronic submission of credentialing applications to insurance payers
Filing of appeals and resubmissions when closed-panel restrictions prevent enrollment
Dedicated credentialing specialist to represent and communicate with insurance carriers on your behalf
Ongoing credential maintenance through CAQH attestation and replacement of expiring documents until enrollment completion
Persistent follow-up with insurer networks until final credentialing approval is obtained
New Practice Launch Pack
For practices with 3+ providers
$7200+
Enrollment submissions with up to 12 major insurance payers
CAQH ProView setup or verification to ensure profiles are submission-ready
Complimentary access to Credentially, Techmatter's AI-enabled proprietary credentialing software to track progress and view payer contracts
Credentialing support and document validation for the first 12 months from project kickoff, including CAQH attestations and updates
NPI registration and verification through NPPES for new providers or practice locations
Additional payer enrollments beyond the initial 12 plans at $325 per additional payer
Additional provider onboarding available at $2,400 per extra provider
A senior credentialing coordinator assigned as a single point of contact with insurance payers
Multi-Provider Practice Suite
For practices with 5-10 providers
$1,875 - $3,750
/month
Enrollment with up to 15 major insurance payers
Support for payer contract negotiations as part of the recredentialing cycle
Assistance with professional license renewals and required documentation
CAQH ProView setup or verification with continuous profile monitoring
Complimentary organization and provider access to Credentially, Techmatter’s AI-enabled proprietary credentialing software for real-time visibility
Coverage for initial credentialing, recredentialing, and demographic change submissions
NPI registration and updates through NPPES as required
Continuous credential maintenance through CAQH attestations and timely replacement of expiring documents
A dedicated credentialing specialist assigned to coordinate with insurance payers on your behalf
Additional payer enrollments beyond the included 15 plans at $350–$700 per payer
Additional providers beyond the included range at $375 per provider per month
Minimum contract term of six months
DME & Diagnostic Suite
DME, imaging, & lab credentialing
$300 - $350
/application
Complimentary access to Credentially, Techmatter's AI-enabled proprietary credentialing software to track application progress and view accepted payers
Preparation and submission of insurer credentialing packets tailored for DME, imaging, or laboratory operations
Support for Medicare and Medicaid enrollments across multiple states for independent laboratories
Out-of-state payer enrollments beyond the included state list at $350 per insurer
Continuous credential maintenance through CAQH attestations and timely replacement of expiring documents
Appeal and resubmission support for closed-panel or denied enrollments
Persistent follow-up with insurance carriers until enrollment confirmation is received
Assistance with licensing and registrations required for out-of-state enrollments
A credentialing specialist experienced in facility and professional enrollments to liaise with insurance payers
Continuous Credentialing Care Plan
For ongoing credential maintenance & revalidation
$199
/provider/month
Full recredentialing and revalidation services for all contracted insurance payers
Regular monitoring and updates of CAQH ProView profiles with proactive attestation reminders
Complimentary access to Credentially, Techmatter's AI-enabled proprietary credentialing software for real-time tracking of revalidation and status updates
Management of appeals and resubmissions for closed-panel or denied cases
Routine updates to insurance payer provider directories to ensure listings remain accurate and current
Ongoing credential maintenance through CAQH attestations and timely replacement of expiring documents
Execution of NPPES (NPI registry) edits and updates at provider request
Support for payer negotiations encountered during the recredentialing cycle
Solo Provider Plan
For independent individual providers
$250-$300
/application
Complimentary access to Credentially, Techmatter's AI-enabled proprietary credentialing software to monitor application status and contracted payers
Complete assembly and electronic submission of credentialing applications to insurance payers
Filing of appeals and resubmissions when closed-panel restrictions prevent enrollment
Dedicated credentialing specialist to represent and communicate with insurance carriers on your behalf
Ongoing credential maintenance through CAQH attestation and replacement of expiring documents until enrollment completion
Persistent follow-up with insurer networks until final credentialing approval is obtained
New Practice Launch Pack
For practices with 3+ providers
$7200+
Enrollment submissions with up to 12 major insurance payers
CAQH ProView setup or verification to ensure profiles are submission-ready
Complimentary access to Credentially, Techmatter's AI-enabled proprietary credentialing software to track progress and view payer contracts
Credentialing support and document validation for the first 12 months from project kickoff, including CAQH attestations and updates
NPI registration and verification through NPPES for new providers or practice locations
Additional payer enrollments beyond the initial 12 plans at $325 per additional payer
Additional provider onboarding available at $2,400 per extra provider
A senior credentialing coordinator assigned as a single point of contact with insurance payers
Multi-Provider Practice Suite
For practices with 5-10 providers
$1,875 - $3,750
/month
Enrollment with up to 15 major insurance payers
Support for payer contract negotiations as part of the recredentialing cycle
Assistance with professional license renewals and required documentation
CAQH ProView setup or verification with continuous profile monitoring
Complimentary organization and provider access to Credentially, Techmatter’s AI-enabled proprietary credentialing software for real-time visibility
Coverage for initial credentialing, recredentialing, and demographic change submissions
NPI registration and updates through NPPES as required
Continuous credential maintenance through CAQH attestations and timely replacement of expiring documents
A dedicated credentialing specialist assigned to coordinate with insurance payers on your behalf
Additional payer enrollments beyond the included 15 plans at $350–$700 per payer
Additional providers beyond the included range at $375 per provider per month
Minimum contract term of six months
DME & Diagnostic Suite
DME, imaging, & lab credentialing
$300 - $350
/application
Complimentary access to Credentially, Techmatter's AI-enabled proprietary credentialing software to track application progress and view accepted payers
Preparation and submission of insurer credentialing packets tailored for DME, imaging, or laboratory operations
Support for Medicare and Medicaid enrollments across multiple states for independent laboratories
Out-of-state payer enrollments beyond the included state list at $350 per insurer
Continuous credential maintenance through CAQH attestations and timely replacement of expiring documents
Appeal and resubmission support for closed-panel or denied enrollments
Persistent follow-up with insurance carriers until enrollment confirmation is received
Assistance with licensing and registrations required for out-of-state enrollments
A credentialing specialist experienced in facility and professional enrollments to liaise with insurance payers
Continuous Credentialing Care Plan
For ongoing credential maintenance & revalidation
$199
/provider/month
Full recredentialing and revalidation services for all contracted insurance payers
Regular monitoring and updates of CAQH ProView profiles with proactive attestation reminders
Complimentary access to Credentially, Techmatter's AI-enabled proprietary credentialing software for real-time tracking of revalidation and status updates
Management of appeals and resubmissions for closed-panel or denied cases
Routine updates to insurance payer provider directories to ensure listings remain accurate and current
Ongoing credential maintenance through CAQH attestations and timely replacement of expiring documents
Execution of NPPES (NPI registry) edits and updates at provider request
Support for payer negotiations encountered during the recredentialing cycle

5 Steps Of Our Credentialing Process

Application Submission

The credentialing process begins with healthcare professionals submitting their applications. This involves providing detailed information about their education, training, work experience, and any certifications they may hold. The application serves as the initial step in assessing the qualifications and background of the applicant.

Key Features Of Our Credentialing Services

01
Automation
RCM Matter employs advanced automation technologies to expedite the credentialing process, ensuring efficiency and accuracy through Insurance Eligibility Verification. By automating routine tasks, we reduce the likelihood of errors and speed up the time it takes to complete credential verification. This not only enhances productivity but also allows healthcare professionals to focus on delivering quality care rather than navigating through paperwork.
02
Analytics
Our services leverage data analytics to provide insightful reports, helping clients make informed decisions about their healthcare professionals. The analytical tools employed by RCM Matter offer a deep dive into credentialing data, identifying trends, potential bottlenecks, and areas for improvement. Data-driven approach optimizes credentialing and enhances workforce management for empowered clients.
03
Compliance
RCM Matter` is dedicated to ensuring strict compliance with industry regulations and standards, minimizing legal and regulatory risks. Our compliance experts stay abreast of evolving healthcare regulations, ensuring that our credentialing services align with the latest requirements. This commitment not only mitigates risks but also positions our clients to confidently navigate the complex landscape of healthcare compliance with ease.

Testimonial

The Most Reliable Revenue Cycle Management (RCM) Experts

RCM Matter’s billing software has brought consistency and accuracy to our billing. We’ve seen a noticeable reduction in claim denials, and payments are processed more efficiently. The software has helped us maintain a steady cash flow without constant administrative headaches.

image

Dr. Sarah Thompson, Family Medicine

The Most Reliable Revenue Cycle Management (RCM) Experts

Billing errors and delayed reimbursements were recurring issues for us. Since working with RCM Matter, our medical RCM solutions have significantly improved claim accuracy, reducing payment delays and ensuring smoother operations.

image

Dr. Michael Carter, Orthopedic Surgeon

The Most Reliable Revenue Cycle Management (RCM) Experts

Revenue cycle inefficiencies were affecting our practice’s financial health. CureAR’s powerful medical billing functionalities have made claim submissions more precise, improved payment timelines, and allowed our staff to focus on patient care rather than billing disputes.

image

Dr. Emily Richardson, Healthcare Administrator

Schedule a Call with an Expert
third party logothird party logothird party logo

© Copyright 2025 - RCM Matter, a TechMatter Company

third party logo

We provide services across all the states of USA