Our expert, independent credentialing services streamline the entire process, from securing state licenses to obtaining DEA and controlled substance permits. We handle the paperwork, so you can focus on patient care. Need it fast? Our expedited options get you practicing in no time.
MEDEX delivers end-to-end provider credentialing services, handling document collection, primary source verification, payer application submission, and ongoing follow-up. Our structured process reduces delays, improves accuracy, and ensures providers are credentialed and activated without disruption.
We securely collect all provider credentials, licenses, and required documentation.
Credentials are verified directly with original issuing authorities to ensure accuracy.
We prepare and submit complete, compliant applications to all required payers.
Our team manages follow-ups through approval to ensure timely provider activation.
Credential checks ensure only qualified healthcare professionals provide care, reducing errors and maintaining patient safety.
Credentialing helps healthcare organizations stay compliant by maintaining accurate records that demonstrate adherence to legal and accreditation standards.
Thorough background checks identify potential risks early, helping organizations prevent malpractice and safeguard their reputations.
The Council for Affordable Quality Healthcare (CAQH) is a non‑profit organization created by major U.S. health plans to streamline administrative processes in healthcare and reduce costs. It serves as a central hub for provider data, credentialing, and industry operating rules. CAQH maintains national provider data used for credentialing, directory management, and payer operations. MEDEX can help establish your initial CAQH if you don’t have one setup and/or can provide required attestations every 120 days.
Most providers must re‑attest every 120 days in CAQH ProView to confirm that their profile information is accurate and up to date. This is the standard requirement used by the majority of health plans.
Medicare revalidation is the process where providers and suppliers must renew and confirm their Medicare enrollment information to keep their Medicare billing privileges active. CMS requires this to ensure that all provider data on file is current, accurate, and compliant.
You must:
Medicaid revalidation, also called Medicaid renewal, redetermination, or recertification—is the process where the state Medicaid agency reconfirms that a beneficiary or provider is still eligible to participate in Medicaid.
Medicaid Revalidation for Providers (General Overview):
CMS is very strict about this. If you miss your revalidation:
Request a consult today to see how MEDEX can modernize your credentialing process.