Credentialing

Medical Credentialing & Provider Enrollment Services

From first-time enrollments to delegated payer credentialing, AnnexMed handles provider enrollment end to end. We help you stay credentialed, in-network, and paid on time without delays.

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AnnexMed Credentialing Services From Enrollment to Approval

We manage every step of the credentialing journey, across Medicare, Medicaid, and commercial networks, so your claims are accepted quickly and your team can stay focused on patient care. From NPI registration to final payer approval, we streamline the process, anticipate bottlenecks, and minimize delays.

Provider Enrollment & Credentialing

Enrollment success hinges on precision. We organize and submit the required documents, anticipate payer bottlenecks to move you in-network quickly.

CAQH & PECOS Profile Management

We create, update, and maintain your CAQH and PECOS profiles to ensure faster payer approvals and up-to-date provider records avoiding any delays.

Recredentialing & Reattestation Services

We proactively manage re-attestations, renewals, and payer revalidations so your provider status stays active without last-minute disruptions.

Insurance Network Credentialing

Whether you’re onboarding with Medicare, Medicaid, or commercial payers, each has its own checklist. We tailor submissions for payer logic, minimizing back-and-forth.

Payer Contract Management

We maintain contract alignment, reimbursement schedules, and term updates across plans, ensuring your billing syncs with your credentialing status.

Clearinghouse Enrollments (EDI, ERA, EFT)

We activate your clearinghouse connections, ensuring that claims flow electronically and remits post faster, thereby reducing payment delays.

Hospital & Facility Credentialing

For hospitals, surgical centers, or group affiliations, we handle privileging, documentation audits, and coordination with MSOs, so providers can onboard without delay

Medical Licensing Coordination

We manage state applications, License renewals, and cross-state verifications, helping your providers stay continuously eligible to bill and practice without gaps.

Our Credentialing Workflows

Built for Faster Approvals and Clean Claims

Unlike one-size-fits-all credentialing, AnnexMed follows a structured workflow designed to cut payer delays and minimize rework. Every step is aligned with payer logic, compliance needs, and revenue speed.

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1. Intake & Eligibility Verification

We capture provider data, verify documentation, and match credentials to payer-specific enrollment rules.

2. Profile Setup & Platform Sync

We align NPI, CAQH, PECOS, and state portals so all records are accurate before submission begins.

3. Application Prep & Payer Submission

Credentialing packets are completed and submitted using payer-specific templates, formats, and routing logic.

4. Follow-Up & Roster Coordination

We handle all back-and-forth with payers—tracking status, flagging issues early, and updating group rosters as needed.

5. Approval Tracking & Contract Sync

Final approval is tracked, documented, and synced with billing systems and reimbursement schedules, so claims can start clean from day one.

Start Where It Matters Most in Your Revenue Cycle

Whether you need full-scale support or help with just one part of the revenue cycle, AnnexMed offers modular services tailored to your most pressing needs.

Credentialing Made Reliable with AnnexMed

Credentialing with AnnexMed goes beyond form-filling. Our credentialing services simplify onboarding, cut follow-ups, and improve first-pass approvals.

99% First-Pass Approval Rate

Credentialing packets are validated for accuracy before payer submission.

40+ EHR & PM System Integrations

We align with your tech stack no extra tools or system changes required.

End-to-End Visibility

Live dashboards, real-time status updates, and direct access to credentialing timelines.

Rapid Onboarding Framework

Standardized SOPs help us onboard solo providers and large MSOs in under 30 days.

Multi-State, Multi-Payer Expertise

Credentialing teams trained in state-specific and payer-specific protocols.

Dedicated Credentialing Specialist

One point of contact for escalations, updates, and compliance oversight.

Annexmed brings
enterprise grade
compliance to credentialing

Credentialing Services Trusted by Providers of All Sizes

Adhering to Industry Standards

Meeting Compliance Standards with Expertise and Precision

Our dedicated Compliance Management team is committed to delivering the highest levels of security and regulatory compliance for our Dermatology Billing services with an unwavering focus on safeguarding your data under HIPAA regulations.

SOC 2 Type 1

Reporting on controls at a service organization

ISO 27001:2022

Securing and protecting information

ISO 9001:2015

Achieving quality policy and quality objectives

SOC 2 Type 2

Implemented the SOC 2 approved by AICPA

Case Studies

How Healthcare Teams Are Winning with AnnexMed

From Errors to Excellence! Florida Ortho Practice Hits 95% Coding Accuracy

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Coding Accuracy

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Denial Reduction

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Turn Around Time

Frequently Asked Questions in Medical Coding

How long does provider credentialing take?

Turnaround time varies by payer, but most Medicare and commercial enrollments are completed in 30–45 days with all documents in place.

Can you manage credentialing for multiple providers at once?

Absolutely. We support group credentialing, roster updates, and delegated workflows for MSOs and multi-site organizations.

Is AnnexMed’s credentialing services HIPAA-compliant?

All credentialing workflows follow HIPAA guidelines and are managed through secure systems audited for SOC 2 and ISO 27001 standards.

Do you help with recredentialing and revalidations?

Yes. We track upcoming re-attestation dates and manage recredentialing across Medicare, Medicaid, and commercial networks.

Do you update CAQH and PECOS profiles on our behalf?

Yes. We handle profile creation, maintenance, document uploads, and syncing to reduce rejection risks and delays.

What types of organizations do you support?

We work with solo providers, group practices, hospitals, urgent care centers, MSOs, and billing companies across multiple states and specialties.

Ready to Get Started?

Whether you need full-scale support or help with just one part of the revenue cycle, AnnexMed offers modular services tailored to your most pressing needs.

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