Medical Credentialing Services
State-wide Provider Credentialing & Enrollment Services


Neolytix Provider Credentialing Services
For Healthcare Organizations Passionate About Quality Healthcare and Streamlined Operations
Credentialing involves verifying a healthcare provider’s credentials like qualifications, experience, etc to ensure their ability to provide quality care when becoming part of insurance networks. Health insurance companies, like CMS/Medicare, Medicaid, UnitedHealthcare, Anthem, Blue Cross Blue Shield, Aetna, Cigna, Humana, etc require this process.
Thriving healthcare organizations realize that the credentialing/enrollment process and the continuous maintenance required are frustrating and resource hungry.
Neolytix offers an expedited, cost-effective credentialing solution designed to consume minimal time from healthcare organizations and medical practices and cause minimal disruption.


A Credentialing Process to Complement and
Not Complicate Your Operations


Provider Credentialing and Payer Enrollment For Every Provider in Your Healthcare Organization
Smaller practices looking to scale or larger healthcare organizations and multi-site medical facilities will have numerous healthcare providers on their payroll, with new providers needing credentialing coming into the organization quite often. Keeping track and updating records is timeconsuming.
Neolytix’s back-end monitoring and accountability frameworks leave minimal room for error. With monitoring software keeping a perfect paper trail, AI analyzing communications for quality insurers, and supervisors meticulously monitoring every team member, you can rest assured that every type of healthcare provider that enters your healthcare organization will be credentialed as fast as possible and their information kept up to date.
The Medical Specialties Neolytix Most Frequently Helps Become In-Contract Provider
- Physicians
- Nurse Practitioners
- Physician Assistants
- Dentists
- Registered Nurses
- Licensed Practical Nurses
- Marriage and Family Therapists
- Dietitian/Nutritionists
- Physical Therapists
- Occupational Therapists
- Speech-Language Pathologists
- Clinical Psychologists
- Clinical Social Workers
- Chiropractors
- Optometrists
- Podiatrists


Neolytix Provider Credentialing Options
Medical credentialing isn’t a once-off occurrence. It requires continuous maintenance and updating with various underlying dependencies (like licenses) that also need constant attention. Neolytix credentialing experts help medical providers and organizations avoid disruptions by providing ongoing support for credentialing and maintenance.
Medical Credentialing & Enrollment
Neolytix provides one-time provider credentialing services for private practices. This excludes maintenance and re-credentialing support and is perfect for medical providers who must get out of an administrative bottleneck situation.
- Generate and provide a checklist of requirements
- Accumulation of documentation
- Submissions to selected payers
- Follow-ups with payers and feedback to you
- Collection from payers and delivery of documentation to you
Medical Credentialing & Enrollment + Continuous Support
- Preparations and checklist generated
- Accumulation of documentation
- Submissions to selected payers
- Follow-ups with payers and feedback to you
- Collection and delivery of documentation
- CAQH, Availity, Optum (all insurance portal) attestation and updates
- NPI registry demographic change
- Monitoring licensing renewal dates
- Monitoring of recredentialing dates
- Managing recredentialing and revalidation
- Regular best-practice research and benchmarking
What Information is Needed for Provider Credentialing
Provider credentialing requires a comprehensive review of a healthcare provider’s qualifications, credentials, and work history to ensure that they meet the standards set by regulatory bodies, healthcare organizations, and insurance companies.
Although there might be deviations in the information requirements but typically, the following is required:
- NPI Number
- CAQH profile (up-to-date)
- Practice information (Address, etc.)
- Medical License
- DEA license (If applicable)
- License to practice and primary source verification
- License history
- Insurance information
- Education: degrees and transcripts
- Board certification
- Detailed Work history
- References (Previous employers/practitioners)
- Malpractice claims history (Revocations, suspensions, etc)
- Malpractice Insurance
- Insurance login details (Medicaid, Medicare (Pecos), Availity etc.)
Remember that the ongoing process of provider credentialing requires redoing it every 3 to 5 years. Neolytix will keep the information up to date. They will also check licensing requirements. Licenses need to be renewed every two or three years, depending on the state.
Additionally, Neolytix will manage your CAQH profile. They will also make sure re-credentialing happens on time. This will be done without any issues that could disrupt operations or cause revenue loss.
Be Process-Ready and Prevent Disruptions
Use our comprehensive checklist to equip yourself with the necessary information and strategies to proactively overcome obstacles, ensuring a smoother and more efficient credentialing and enrollment experience.
Why Should You Outsource Provider
Credentialing To Neolytix?
After more than 11 years of providing physician credentialing services and other administrative services to healthcare organizations, practices, and physician groups nationwide, we have come to know the lay of the land pretty well.
Neolytix can save you time while reducing hiccups and headaches by handling your provider credentialing and maintenance service. Our experienced medical credentialing services teams streamline the process and ensure compliance with industry regulations. We work with a wide range of insurance companies, navigate their processes, and help you choose the best plans.
You remain in the driving seat of your cash flow by customizing our services and enjoying flexible pricing options to fit your unique needs and budget. Trust us to show you how our medical credentialing department can handle your credentialing and enrollment, giving you more time to focus on matters relating to providing excellent healthcare.


11+ Years of Experience


Nationwide


Available to all specialties


Maintenance and Re-credentialing


Medicare Enrollment / Medicaid enrollment


Additional Licensing Services
TESTIMONIALS
Listen to what our clients
have to say


Frequently Asked Questions (FAQ’s)
- Verify NPI Registry for correct information and taxonomy.
- Check CAQH profile, ensure documentation is up-to-date and re-attested.
- Confirm with insurance if group/provider is contracted with requested payor.
- Fill out appropriate paperwork to get provider/group contracted.
- Review all paperwork carefully before submitting the application.
- Submit the application to the payor to complete the contracting process.
- Follow up every 2-3 weeks to ensure timely processing
- Informing providers on credentialing process approval
- Facilitate contract execution between the provider and Insurance enrollment plan.
- Confirm the effective date of in-network is the same or as close as possible to the initial request date.