Provider Credentialing
Payer enrollment and re-credentialing support to keep providers in-network without lapses.
Keep Your Providers In-Network
Provider credentialing is complex, time-consuming, and critical to your revenue. When providers aren't properly credentialed with payers, claims are denied or paid at out-of-network rates. Arrox Global manages the entire credentialing process—from initial enrollment to ongoing re-credentialing—ensuring your providers maintain in-network status and your practice receives appropriate reimbursement.
Initial Enrollment
Complete payer enrollment applications for new providers, including Medicare, Medicaid, and commercial insurance plans.
Re-credentialing Management
Tracking and management of re-credentialing cycles to prevent lapses in provider network participation.
Application Tracking
Monitoring of application status through payer portals and follow-up on pending applications to prevent delays.
Revenue Protection
Proper credentialing ensures claims are paid at in-network rates and prevents denials due to provider enrollment issues.
Our Credentialing Process
From application to approval and ongoing maintenance.
Data Collection
We collect all required provider information, education, training, work history, and references for credentialing applications.
Application Preparation
We complete and submit payer enrollment applications for Medicare, Medicaid, and commercial insurance plans.
Status Monitoring
We track application status through payer portals and follow up on any additional information requests or delays.
Ongoing Maintenance
We maintain credentialing databases, track re-credentialing deadlines, and manage ongoing updates to provider information.
Frequently Asked Questions
How long does the credentialing process take?
Timeline varies by payer—Medicare typically takes 60-90 days, commercial plans 30-60 days. We track each application and expedite when possible.
What payers do you credential with?
We handle credentialing with Medicare, Medicaid, all major commercial insurance plans, and most regional payers based on your practice location.
Do you handle re-credentialing as well?
Yes, we track re-credentialing deadlines and manage the re-credentialing process to prevent lapses in network participation.
What happens if a credentialing application is denied?
We investigate the reason for denial, address any issues, and appeal or reapply as appropriate to achieve successful enrollment.
Ready to Streamline Your Credentialing?
Contact us to discuss how we can manage your provider enrollment and credentialing needs.
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