Medical provider credentialing is a foundational step in ensuring compliance, reimbursement, and trust within the healthcare system—and it’s a process no healthcare organization can afford to get wrong.
Whether you’re running a solo practice or managing a multi-specialty clinic, working with the best medical credentialing companies can streamline provider enrollment, reduce administrative burdens, and prevent costly delays in revenue.
According to Verified Market Research, the healthcare credentialing software market was valued at approximately $700 million in 2023 and is projected to reach $1.36 billion by 2030, growing at a compound annual growth rate (CAGR) of 10.1% during the forecast period.
We’ve compiled this list of the best medical provider credentialing companies in the USA based on hands-on industry knowledge, client reviews, and each company’s ability to deliver accurate, timely credentialing services.
This guide is informed by real healthcare experiences and extensive research to help you find the right credentialing partner. Let’s explore the top medical credentialing companies in 2025 and compare their services, pricing, and reliability.
What are medical credentialing companies?
Medical credentialing companies help doctors and healthcare providers get approved to work with insurance companies. These companies handle the enrollment process with payers, maintain compliance, and reduce delays in reimbursement, helping medical practices get approved to deliver care and receive payments efficiently.
Best Medical Credentialing Companies in the US
| Company Name | Specialization | Client Satisfaction | Unique Feature |
|---|---|---|---|
| Quality Healthcare Systems (QHS) | Full-service medical billing | ⭐⭐⭐⭐⭐ | Advanced claim submission & verification solutions |
| Bikham Healthcare | Medical billing & RCM | ⭐⭐⭐ | Provides general billing support |
| Neolytix | Revenue cycle & credentialing | ⭐⭐⭐ | Offers outsourced RCM services |
| Practolytics | Revenue cycle management | ⭐⭐⭐ | Handles billing and coding |
| PracticeWorx | Credentialing services | ⭐⭐⭐ | Focuses on provider enrollment |
| Verisys | Credentialing & compliance data | ⭐⭐⭐ | Maintains license verification databases |
| National Credentialing Solutions (nCred) | Provider enrollment & credentialing | ⭐⭐⭐ | Supports payer enrollment management |
| Transcure | Medical billing & coding | ⭐⭐⭐ | Provides billing assistance |
| Capline Healthcare Management | Medical billing & credentialing | ⭐⭐⭐ | Offers credentialing support |
| CureMD | EHR & billing software | ⭐⭐⭐⭐ | Includes integrated software tools |
1 . Quality Healthcare System (QHS)
- Years in Service: Over 15 years
- U.S. State: North Carolina
- Website: qhshealth.com
- Key Services: Provider credentialing with complete billing support—denial management, DME billing, ADR handling, claims follow-up, and revenue cycle management.
- Pricing: Plans start from 3% to 7% of collections, based on service level and features included.
Quality Healthcare Systems (QHS) is the leading provider credentialing company in the USA. With over 15 years of experience, QHS has earned a reputation as the trusted partner for healthcare providers seeking efficient credentialing and optimized claims processing.
Unlike other providers, QHS works closely with clients to address specific credentialing challenges, ensuring faster approvals and smoother processes.
QHS stands at the forefront of the medical provider credentialing industry, delivering proven, results-driven strategies that enhance the revenue cycle and improve provider enrollment efficiency.
| Aspect | Pros/Cons |
|---|---|
| Proven Expertise | ✅ 15+ years of experience in medical provider credentialing and compliance. |
| Tailored Solutions | ✅ Customized credentialing strategies for each provider and practice. |
| Advanced Technology | ✅ Efficient credentialing process with automated tracking and status updates. |
| Comprehensive Service | ✅ Full-spectrum credentialing, including initial applications, re-credentialing, and ongoing monitoring. |
| Faster Processing | ✅ Accelerated credentialing process, enabling quicker provider onboarding and network participation. |
| Proactive Monitoring | ✅ Continuous monitoring of provider status to ensure compliance and prevent credentialing lapses. |
| Implementation Time | ❌ Initial setup may take time due to the need for detailed data collection and verification. |
| Requires Collaboration | ❌ Successful credentialing requires active involvement from the provider’s office to provide necessary documentation and ensure accuracy. |
2. Bikham Healthcare
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Years in Service: Since 2005
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U.S. State: New York (with operations in Mohali, India)
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Key Services: Medical billing, revenue cycle management, insurance credentialing, provider enrollment, laboratory billing, accounts receivable follow-up.
Bikham Healthcare, operating since 2005, offers services like medical billing, revenue cycle management, and provider enrollment across the U.S. and Mohali, India. As an expert in provider credentialing, the company is dedicated to improving operational efficiencies.
While its reach and expertise in various services are notable, its trustworthiness and performance align with broader industry standards.
| Pros | Cons | QHS Comparison |
|---|---|---|
| ✅ Offers insurance credentialing and provider enrollment services. | ❌ Offshore operations may affect communication and responsiveness. | QHS provides local, U.S.-based credentialing services with faster turnaround times and direct communication. |
| ✅ Has experience working with labs and billing services, which can overlap with credentialing needs. | ❌ Limited transparency about credentialing timelines and support structure. | QHS ensures clearly defined timelines and dedicated credentialing specialists for consistent updates. |
| ❌ May prioritize medical billing over credentialing. | QHS focuses exclusively on optimizing provider credentialing for cleaner execution. | |
| ❌ Service customization appears limited. | QHS tailors credentialing services to each provider’s practice type and payer network. |
3. Neolytix
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Years in Service: Over 13 years
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U.S. State: Operates nationwide, including Texas, California, New York, and Hawaii
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Key Services: Revenue cycle management, medical billing and coding, physician credentialing, payer contract negotiation, digital marketing, remote patient monitoring, chronic care management.
With over 13 years of experience, Neolytix operates nationwide, providing services in revenue cycle management, medical billing, and credentialing. Their knowledge in payer contract negotiation and chronic care management is substantial, making them a respected entity in credentialing solutions.
However, client experiences may vary depending on specific business needs and performance metrics.
| Pros | Cons | QHS Comparison |
|---|---|---|
| ✅ Offers credentialing as part of a broad RCM and business support suite. | ❌ Technology may be too rigid for smaller or niche practices. | QHS adapts credentialing services for solo, group, and specialty providers with high flexibility. |
| ✅ Uses digital systems to support provider credentialing. | ❌ Not primarily a provider credentialing company; focus is split. | QHS offers credentialing as a core service, not bundled as an add-on. |
| ❌ Automation may miss unique enrollment nuances. | QHS includes human review at each step to avoid credentialing errors or rejections. | |
| ❌ May not offer personalized credentialing account management. | QHS assigns dedicated credentialing reps for ongoing provider support. |
4. Practolytics
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Years in Service: Over 20 years
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U.S. State: Operates across 31 states
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Key Services: Revenue cycle management, medical billing and coding, credentialing, provider enrollment, practice consulting, analytics.
Practolytics has been serving the healthcare industry for over 20 years, providing solutions in provider credentialing, medical billing, and practice consulting across 31 states. Their long-standing presence reflects a strong industry foundation.
However, results may differ based on the complexity and scope of services, as their performance is influenced by individual client requirements.
| Pros | Cons | QHS Comparison |
|---|---|---|
| ✅ Offers credentialing and provider enrollment alongside RCM services. | ❌ Broad scope of services may dilute credentialing specialization. | QHS operates as a focused provider credentialing company with full attention to compliance and timelines. |
| ✅ Supports credentialing across various specialties. | ❌ Limited visibility into credentialing workflow or tracking features. | QHS provides transparent credentialing dashboards and milestone-based updates. |
| ❌ May lack dedicated credentialing-only teams. | QHS has exclusive credentialing teams without distractions from other services. | |
| ❌ Delays possible due to multi-department workflows. | QHS streamlines credentialing through single-point accountability. |
5. PracticeWorx
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Years in Service: Information not specified
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U.S. State: Florida (Davenport)
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Key Services: Provider credentialing, insurance panel participation assistance, credential management and maintenance.
Based in Florida, PracticeWorx specializes in credential management, insurance panel participation, and provider enrollment. Their services aim to streamline the credentialing process for healthcare organizations.
While the company’s focus on these areas is evident, client satisfaction and service outcomes depend on the unique needs of each practice.
| Pros | Cons | QHS Comparison |
|---|---|---|
| ✅ Specializes in credentialing and credential maintenance. | ❌ Smaller team may impact turnaround for large practices. | QHS scales credentialing support for both solo practitioners and enterprise clients. |
| ✅ Offers help with insurance panel participation. | ❌ Limited company data on experience or credentials. | QHS is transparent about processes, experience, and team expertise. |
| ❌ May lack advanced tools for tracking credentialing status. | QHS uses credentialing trackers and automated alerts to ensure compliance. | |
| ❌ No detailed turnaround time guarantees. | QHS commits to defined SLAs and milestone tracking. |
6. Verisys
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Years in Service: Over 30 years
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U.S. State: Virginia (Alexandria)
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Key Services: Healthcare provider credentialing, compliance data solutions, license verification, pre-employment screening, provider directory management.
With over 30 years of industry experience, Verisys provides comprehensive credentialing services, including license verification, pre-employment screening, and compliance solutions.
The company is well-established in the credentialing field, though the success of its offerings can vary based on the specific requirements of healthcare organizations and the scope of services chosen.
| Pros | Cons | QHS Comparison |
|---|---|---|
| ✅ Strong in compliance data and license verification. | ❌ Not a dedicated provider credentialing company. | QHS specializes in credentialing only, offering deeper insight and customization. |
| ✅ Offers data-driven provider background checks. | ❌ Focus appears to be more on directory management and screening. | QHS provides end-to-end credentialing, not just verification. |
| ❌ May lack personalized onboarding or case management. | QHS offers one-on-one credentialing account managers. | |
| ❌ Platform complexity can limit usability. | QHS ensures accessible support and intuitive workflows for credentialing. |
7. nCred
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Years in Service: Since 2011
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U.S. State: Information not specified
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Key Services: Payer provider enrollment, credentialing for all medical specialties, maintenance of provider credentialing files and CAQH profiles, client portal access.
Since its founding in 2011, nCred has been assisting healthcare practices with payer provider enrollment and credentialing for multiple medical specialties.
With a focus on maintaining CAQH profiles and credential files, the company helps streamline administrative tasks for providers. The effectiveness of their services may differ depending on practice size and the depth of support needed.
| Pros | Cons | QHS Comparison |
|---|---|---|
| ✅ Offers credentialing and enrollment for all specialties. | ❌ Limited company transparency on processes and support. | QHS offers a fully documented, step-by-step credentialing process. |
| ✅ Includes CAQH and portal access services. | ❌ May not provide real-time updates on credentialing progress. | QHS includes regular progress reporting and milestone alerts. |
| ❌ Potential service delays with larger provider groups. | QHS assigns scalable credentialing teams for fast handling regardless of size. | |
| ❌ May lack tailored services for niche specialties. | QHS customizes credentialing workflows for all practice types. |
8. Transcure
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Years in Service: Over 12 years
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U.S. State: Operates nationwide, including Texas and New York
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Key Services: Revenue cycle management, medical billing and coding, MIPS documentation, EHR solutions.
Transcure, with more than 12 years of experience, provides medical billing, MIPS documentation, and revenue cycle management solutions across the U.S. Their services, including credentialing support, aim to optimize business operations for healthcare practices.
However, the results can vary depending on the specific needs and scale of each organization.
| Pros | Cons | QHS Comparison |
|---|---|---|
| ✅ Offers credentialing along with EHR and billing services. | ❌ Credentialing is not their core offering. | QHS specializes in provider credentialing with exclusive staff and tools. |
| ✅ Supports providers in multiple states. | ❌ Limited focus on credentialing automation or real-time tracking. | QHS provides workflow transparency and tracking with updates at each step. |
| ❌ No stated credentialing turnaround expectations. | QHS sets expectations from day one with accountable timelines. | |
| ❌ Unclear support for credentialing audits or revalidations. | QHS offers end-to-end credentialing support including audits and re-enrollments. |
9. Capline Healthcare Management
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Years in Service: Since 2016
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U.S. State: Texas (Houston)
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Key Services: Medical billing, revenue cycle management, credentialing services, eligibility verification, denial management, patient statements.
Based in Texas, Capline Healthcare Management offers services such as medical billing, credentialing, and eligibility verification. By focusing on revenue cycle management, the company aims to streamline the administrative process for practices.
While their services are tailored to client needs, outcomes may vary based on specific operational challenges and service expectations.
| Pros | Cons | QHS Comparison |
|---|---|---|
| ✅ Offers credentialing alongside RCM and denial management. | ❌ Credentialing may not receive focused attention. | QHS’s core team is dedicated to credentialing only. |
| ✅ Handles eligibility and patient registration. | ❌ Processes may be bundled, making customization harder. | QHS offers credentialing as a standalone service with tailored execution. |
| ❌ No tracking or status updates mentioned publicly. | QHS uses milestone tracking with client alerts. | |
| ❌ Limited info on credentialing-specific staff expertise. | QHS hires credentialing specialists with payer-specific knowledge. |
10. CureMD
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Years in Service: Since 1997
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U.S. State: New York (New York City)
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Key Services: Electronic health records (EHR), practice management tools, medical billing, patient portal solutions.
CureMD, founded in 1997, provides electronic health records (EHR), medical billing, and practice management tools. Their solutions extend to provider credentialing, supporting healthcare providers in navigating credentialing complexities.
While their offerings are well-regarded, results often depend on the specific compatibility of their systems and the unique needs of healthcare professionals.
| Pros | Cons | QHS Comparison |
|---|---|---|
| ✅ Offers credentialing as part of its EHR and practice suite. | ❌ Credentialing may not be handled by specialized teams. | QHS delivers credentialing with specialists trained in enrollment procedures. |
| ✅ Strong infrastructure for medical software. | ❌ Service structure may prioritize software over credentialing. | QHS provides hands-on credentialing support not tied to EHR sales. |
| ❌ Less flexibility for stand-alone credentialing needs. | QHS supports credentialing-only clients without requiring bundled services. | |
| ❌ May not offer transparent credentialing progress. | QHS provides reports and real-time credentialing updates. |
Why Quality Healthcare Systems (QHS) Stands Out in Medical Provider Credentialing in the USA
Quality Healthcare Systems (QHS) is recognized as one of the top credentialing service providers in the USA, offering customized credentialing solutions tailored to the specific needs of healthcare providers and practices.
QHS manages the entire credentialing lifecycle—from initial enrollment and primary source verification to re-credentialing and compliance monitoring. Their team leverages cutting-edge technology to streamline the process, reduce delays, and ensure that providers meet payer requirements quickly and accurately.
By taking a proactive, detail-driven approach, QHS eliminates credentialing gaps that could disrupt reimbursement or delay provider onboarding. Most clients see a significant acceleration in credentialing timelines and improved payer approval rates within just 30 to 60 days.
With more than 15 years of industry expertise, QHS delivers hands-on support, ensures regulatory compliance, and helps practices stay credentialed, audit-ready, and fully operational at all times.
Reasonable and Transparent Pricing
QHS offers competitive and transparent pricing based on the level of service that best suits your practice’s needs. With pricing models tailored to different service tiers, healthcare providers can select the level of support that fits their financial goals while ensuring high-quality denial management.
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Lite Plan – 3%: Includes claim reviews for billing errors, claim transmission, front-end rejections, working on A/R and denials, and post-payment processing.
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Premium Plan – 5%: Adds custom billing reports and 1 login for software, in addition to all features of the Lite plan.
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Premium+ Plan – 7%: Offers additional features like patient invoicing, pre/post-pay audit assistance, and 2 logins for software.
See How QHS Transforms Revenue for Healthcare Providers
Read real success stories from our clients and discover how QHS helped them boost collections and streamline operations. [Explore Success Stories →]
Other Services Quality Healthcare Systems Provides:
A/R Management | Revenue Cycle Management | Denial Management
Frequently Asked Questions
How long does provider credentialing take with QHS?
With Quality Healthcare Systems (QHS), provider credentialing typically takes 30 to 60 days depending on payer response times and documentation readiness.
What documents are required for provider credentialing?
Key documents for provider credentialing include medical licenses, board certifications, DEA registration, malpractice insurance, work history, and educational transcripts.
Does QHS offer re-credentialing and ongoing monitoring?
Yes, QHS provides complete re-credentialing services and ongoing monitoring to ensure continuous compliance with payer and regulatory standards.
Why choose QHS for medical provider credentialing?
QHS is a leading credentialing provider in the USA with over 15 years of experience, offering tailored solutions, faster processing times, and expert compliance support.
