Because Credentialing Shouldn't Feel Like a Black Box
Exp Credentialing Services combines experienced credentialing professionals, structured operating procedures, proactive payer follow-up, and real-time application visibility to make credentialing easier for healthcare providers and practices. Our approach is straightforward: understand the payer requirements, verify the information before submission, keep applications moving, and keep the provider informed throughout the process.
We complete credentialing in 45 days on average — 50% faster than the 90-120 day industry standard. Every day faster means thousands more in recovered revenue.
Our team includes certified credentialing specialists, former insurance company verifiers, and healthcare administrators who know exactly what payers require.
Initial credentialing, re-credentialing, CAQH, hospital privileging, Medicare/Medicaid, RCM, contract negotiation — all under one roof with seamless integration.
Our proprietary portal gives you real-time application tracking 24/7, automated expirables alerts, digital document storage, and instant status notifications from any device.
No hidden fees. What you see is what you pay. Our pricing includes all follow-up calls, unlimited revisions, resubmissions, document collection, and portal access.
You're not a ticket number. Each client gets a dedicated credentialing manager — a single point of contact with direct phone and email access who knows your practice inside and out.
98% first-time application accuracy rate, 98% client satisfaction & retention, 45-day estimated average turnaround, and 0% missed re-credentialing deadlines for active clients. Our numbers speak for themselves.
We ensure full compliance with state and federal healthcare standards, Joint Commission requirements, CMS regulations, state medical board rules, and individual payer policies to protect you from audits and liability.
We handle credentialing in all 50 states, with broad payer relationships and deep knowledge of regional insurance plans, state-specific requirements, and local payer nuances.
Credentialing is just the beginning. As your practice grows, we scale with you — adding new providers, opening new locations, integrating acquisitions, and expanding into new states — all without credentialing bottlenecks holding you back. Plus ongoing RCM services to maximize your revenue cycle.
Every provider follows a structured credentialing workflow designed to reduce errors, identify issues early, and keep applications moving with clear accountability at every stage.
Provider information and documents are added to our internal credentialing system, typically within 24 hours of receiving the required onboarding information.
We review and verify essential credentials, licenses, certifications, education, professional history, and other payer-required information before applications are prepared.
Our team compares provider information across key records such as NPI/NPPES, CAQH, licenses, practice information, tax records, and payer profiles. Any inconsistencies are identified and corrected before submission whenever possible.
Before starting a new application, we check whether the provider or group is already participating, previously enrolled, or has an application currently in process with the payer. This helps avoid duplicate or conflicting submissions.
Credentialing requirements and submission pathways can change. We verify the payer's current application process before submission, including whether enrollment is handled directly by the insurer or through a delegated vendor, portal, or regional contractor.
We collect the payer-specific documents, forms, attestations, supporting records, and enrollment information required for the application and confirm the correct submission route.
Once the application has passed our internal review, it is submitted through the payer's required portal, electronic system, email, or other approved submission method.
Our team follows up throughout the credentialing process based on the payer's processing timeline—typically weekly or biweekly—rather than simply submitting the application and waiting.
If a payer requests clarification, corrections, or additional documentation, we coordinate the response and resubmit the required information. When providers are missing necessary documents, our team also helps identify what is needed and guides them through obtaining it.
Once approved, we collect and document available approval information, effective dates, participating status, payer IDs, contract details, and other information needed for billing and operational setup.
Throughout the entire process, your practice receives access to a live credentialing dashboard showing each payer, provider, current status, pending items, submission dates, follow-ups, approvals, and required actions.
Each practice receives a dedicated credentialing manager or primary point of contact who understands the account, coordinates with our credentialing team, and keeps communication organized throughout the engagement.
For providers requiring CAQH, we keep profiles current, review information for consistency, upload required documents, monitor expiration dates, and maintain attestations as needed so payer applications are not unnecessarily delayed.
We maintain a proactive re-credentialing tracker and ongoing compliance monitoring system for all participating payers. Our team tracks re-attestation cycles, license and DEA expirations, board certification renewals, and commercial/Medicaid re-enrollment deadlines well in advance—protecting your practice from unexpected network drops and billing disruptions.
From initial onboarding through payer approval and ongoing re-credentialing, our objective is simple: accurate submissions, proactive follow-up, and complete transparency throughout the credentialing lifecycle.
Most credentialing companies leave you in the dark. We built our proprietary Client Credentialing Tracker to give you the one thing every practice needs: absolute clarity on where every single application stands.
See live application status for every payer — Aetna, UHC, BCBS, Cigna, Medicare — updated as our team works. No waiting for weekly email summaries.
Your portal contains no patient data (PHI). It shows only credentialing workflow data — payer names, statuses, and timelines — on a HIPAA-compliant, encrypted platform.
Every application shows who is responsible for the next step — our team or the payer — so there are no ambiguities and no finger-pointing. Full audit trail included.
Credentialing Services
Client Portal
| Type | Aetna | BCBS | Cigna | UHC | Medicare |
|---|---|---|---|---|---|
| Group | In Process | Approved | Market Close | Approved | Audit |
| Provider | Approved | In Process | Audit | Approved | Submission |
Based on performance data from healthcare providers nationwide. These aren't averages — they're outcomes our clients consistently achieve.
The industry is changing. Your credentialing partner should too.
Understanding the difference between a high-volume processing model and a modern, provider-first credentialing partner.
See how we stack up against industry alternatives.
| Feature | Exp Credentialing Services | Typical Company |
|---|---|---|
| Average Credentialing Time | 45 days | 90—120 days |
| First-Time Accuracy Rate* | 98% | 75—85% |
| Dedicated Credentialing Manager | Yes | Shared pool |
| Real-Time Tracking Portal | Yes | Email updates only |
| Expirables Management | Automated alerts | Manual / add-on cost |
| Payer Contract Negotiation | Included | Not offered |
| Revenue Cycle Management | Full service | Not offered |
| Complex Case Handling | Specialty expertise | May reject cases |
| All 50 States | Yes | Limited regions |
| Response Time | 2—4 hours | 24—48 hours |
Answers to the questions providers ask most before getting started.
Schedule a free credentialing assessment and discover how much time and money you could save.