Best Medical Credentialing Companies in USA 2025

Credentialing services are foundational for quality patient care, efficient revenue cycle management, and adherence to payer standards. Whether you are a solo practitioner, a group practice, or part of a facility network, partnering with the right credentialing firm can streamline onboarding, accelerate payment turnaround, and minimize payer enrollment errors. 

In 2025, an increasing number of providers are outsourcing credentialing services to specialised firms renowned for their precision, speed, and expertise in compliance. This guide highlights top-rated credentialing companies in the U.S., selected based on service quality, technology use, specialization, and customer satisfaction. 

Credex Healthcare: Setting the Gold Standard in credentialing companies

Credex Healthcare is widely recognized as a leading medical credentialing firm in the United States. With personalized end-to-end services, Credex provides satisfaction for physicians, hospitals, and mental health providers alike. Credex Healthcare has extensive experience in insurance credentialing, billing, and compliance. All this makes it very easy to enroll providers and shorten delays in administrative services.

What sets Credex apart?

• Dedicated credentialing specialists
• Transparent timelines and reporting
• Expertise in mental health, physician groups, and hospital credentialing
• Seamless integration with billing operations
• Exceptional support and follow-up with payers

Credex also provides full Florida medical billing and credentialing services, ensuring that your practice avoids reimbursement issues due to credentialing problems. For psychiatry and telehealth specialties near you, Credex Healthcare ensures the highest possible standards in credentialing.

To find out how our credentialing services will assist you in streamlining your revenue cycle and compliance, learn more.

Capline Healthcare Management

A BBB-accredited and A+ rated credentialing company, Capline offers end-to-end solutions tailored for medical practices of all sizes. Their core services include provider credentialing services, re-credentialing, and business credentialing services for expanding practices.

Capline stands out for:

• Fast turnaround time
• Focus on compliance and revenue cycle optimization
• Customized credentialing solutions for solo and group practices

Practolytics

Practolytics is a technology company that integrates technology with competence in credentialing by providing strong healthcare credentials. They are devoted to provider enrollments, coding audits, and mental health credentialing services; hence, a good choice for providers specializing in behavioral health and professionals in the therapy line of business.

Why choose Practolytics?

• Strong reputation in the behavioral health industry
• Regular compliance audits
• Flexible credentialing options

Kareo

If you are a smaller clinic or a newly opened private practice, Kareo’s credentialing services are known for their simplicity and ease of use. With its software-driven model, Kareo delivers provider credentialing service integration within its practice management suite.

Highlights:

• Easy-to-use platform
• Credentialing progress tracking dashboard
• Best for new practices, urgent care, and solo providers

Although not the most comprehensive in terms of customer service, Kareo remains one of the best credentialing services for healthcare providers with limited administrative staff.

Verisys

Verisys has more than three decades of experience in handling provider data and verifying healthcare credentials. Their automated platform is favored by large organizations and healthcare systems looking for scalable healthcare credentialing services.

Their services include:

• Data management
• Primary source verification
• Workforce compliance solutions

Verisys is best suited for organizations needing centralized provider data, making it a suitable choice among hospital credentialing services.

Azulity

Azulity focuses on healthcare master data management and medical provider credentialing services. They are known for building structured databases that simplify re-credentialing, audits, and payer updates.

Azulity’s advantages:

• Expert in credentialing large multi-specialty networks
• Effective AI integration in streamlining provider data
• Top pick for corporate practices or growing MSOs

Their technical expertise and attention to compliance make them a key credentialing player in 2025.

Transcure 

Transcure is a leading U.S. firm specializing in medical provider credentialing. Known for its client-centric approach, Transcure supports healthcare organizations through enrollment across multiple payers, including Medicare, streamlining approval timelines and minimizing administrative workload. 

National Credentialing Solutions (nCred) 

nCred is a company that enables various physicians to maintain their credentials and be enrolled in different insurance panels. It has been operational since 2011 and works with more health plans than any other company in the US. nCred allows doctors and other healthcare professionals to sign up, renew their medical licenses, and verify if their credentials are valid. Some of its services include helping users create and manage CAQH profiles, handling 61,000 applications, alerting users when their licenses, qualifications, and insurance policies are about to expire, automating tasks, and customizing services to fit the requirements of each firm. 

CureMD 

CureMD is a healthcare IT firm in New York whose practice management system supports credentialing processes despite not being a full credential services provider. It also handles licensing and certifications, such as state licenses, DEA certificates, and CLIA compliance. It also enrolls individuals in government healthcare programs like Medicare and Medicaid and keeps track of important registrations like NPI, CAQH, and PECOS. 

Bikham Healthcare  

Bikham Healthcare is a New York-based revenue cycle management (RCM) firm. They help with medical credentialing by looking into networks, writing and following up on applications, asking for closed networks, updating information, re-credentialing annually, and keeping PECOS and CAQH accounts up to date. It is simple to obtain coverage for both private and public health insurance by using their RCM services. Some of the corporations affiliated with their service include Medicare, Tricare, Aetna, Kaiser Permanente, and WellCare.  

How to Choose the Right Credentialing Company for Your Practice

Selecting the right credentialing company for physicians, therapists, or hospital networks requires consideration of multiple factors. Here is what to evaluate:

Size and Specialty of Your Practice

Solo practitioners and small clinics might benefit from flexible packages offered by companies like Credex or Kareo. Meanwhile, larger networks will find Verisys or Azulity more scalable.

Required Services

Do you need full medical billing credentialing services or help with re-credentialing? Ensure the provider offers exactly what your practice needs, including:

• Medicare/Medicaid enrollment
• Commercial payer credentialing
• Provider database management
• Mental health credentialing services

Turnaround Time and Accuracy

Time should be the most prioritized factor. Delays in credentialing can hinder providers from billing payers. Companies like Capline and Credex are known for their quick responses and accurate handling of documentation.

Communication and Support

A good credentialing service should offer clear communication, status updates, and payer follow-up. Credex excels here with proactive customer service and personalized support.

Benefits of Outsourcing Credentialing Services

• Faster enrollments with insurers
• Reduced risk of payment denials
• Reduced administrative burden
• Improved cash flow
• Enhanced compliance and documentation standards

Credex Healthcare assures that your staff can give full attention to the care of the patients, while our services are in charge of payer relations and state regulations.

FAQs:

What insurance companies are best to get credentialed with?

It is usually recommended to be credentialed by large insurance payers, such as Blue Cross Blue Shield, Aetna, Cigna, United HealthCare, and Medicare/Medicaid. Your credentialing company can facilitate management and prioritization of the process regarding your specialty and location.

How much does medical credentialing cost?

The prices of provider credentialing services will vary based on the scope of the service, specialty, and state. Simple packages can begin at $200 per provider, whereas complete billing and credentialing services can range from $500 to $800 or more. Always compare the pricing of credentialing services and ensure that there is transparency with the process when availing of a credentialing service.

How difficult is medical credentialing?

Credentialing can become complicated and time-consuming. It entails documentation, credentialing, payer application, and persistent follow-up. With the help of outsourcing a professional credentialing service, the procedure becomes easier, precise, and compliant with state regulations.

Final Thoughts

The future of credentialing is competitive, with specialization in 2025 expected to be more competitive than ever before. It is necessary to select the best credentialing company, which is aligned with the size and specialty of your practice and workflow. 

Regardless of whether you are a physician, mental health provider, or hospital administrator, companies like Credex Healthcare offer a comprehensive solution that combines knowledge, strategy, and technology to make credentialing a stress-free process.