Provider Credentialing that works as hard as you do.
A provider who is not enrolled cannot be paid, and payer enrollment can take months when applications are incomplete or not followed up. Nexra Connect manages the entire credentialing process: gathering documents, completing applications, following up with payers, and tracking every renewal and revalidation date so enrollment never lapses.
What's included
- Medicare (PECOS) and Medicaid enrollment
- Commercial payer applications
- CAQH profile setup and quarterly attestation
- NPI registration and updates
- Group and individual enrollment
- Contract and fee schedule requests
- Re-credentialing and revalidation
- Practice location and demographic updates
- Credentialing status tracking
- Expiration date monitoring (licenses, DEA, malpractice)
Bill sooner
Complete, accurate applications and constant follow-up shorten enrollment timelines.
No lapses
Revalidation and re-credentialing dates are tracked well ahead of time.
Less admin work
Your staff stops chasing payer reps and filling in the same forms over and over.
Clear status
Know exactly where every application stands with every payer.
How we deliver provider credentialing.
Document collection
- Provider credentialing checklist
- Licenses, DEA, board certification and malpractice
- Work history and education verification
- Secure document storage
CAQH & NPI setup
- CAQH profile created or updated
- Attestation completed
- NPI records verified
- Payer access authorized
Applications
- Payer selection based on your market
- Applications completed and submitted
- Medicare and Medicaid enrollment
- Commercial network requests
Follow-up
- Regular payer status checks
- Responses to payer information requests
- Escalation of delayed applications
- Contract review and effective dates confirmed
Maintenance
- Re-credentialing reminders
- Quarterly CAQH attestation
- Expiring document tracking
- Demographic and location updates
The partner behind your revenue.
- Dedicated credentialing specialists
- Experience with Medicare, Medicaid and major commercial payers
- Proactive tracking of every renewal date
- Available as a standalone service or with billing
- Flat-fee pricing per provider and payer
Provider Credentialing questions, answered.
How long does credentialing take?
It varies by payer. Medicare enrollment often takes 30 to 90 days, while some commercial payers can take 90 to 180 days. Complete applications and consistent follow-up are the biggest factors we can control.
Can you credential a new provider joining our group?
Yes. We handle linking new providers to your group with each payer and can start before their start date to minimize the gap in billable time.
Do you maintain CAQH profiles?
Yes. We keep CAQH profiles current, upload updated documents and complete the required quarterly re-attestations.
Is credentialing priced separately?
Credentialing is typically billed as a flat fee per provider per payer, or it can be bundled into a full RCM engagement.