If credentialing feels overwhelming, we can help.
Credentialing is full of complex regulations, shifting requirements, and endless paperwork. We handle it all so you can focus on what you do best.
If you are an independent practitioner, a healthcare recruiter, manage a small group practice or medical billing team, we can provide the expertise and support you need.
You'll work directly with a knowledgeable, US-based Credentialing Specialist, not a call center or an AI-powered platform, to get approved, paid, privileged, and hired faster.
Solutions for Independent Providers, Practice Groups, and Agencies
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Independent Physicians
Complete protection and support of your professional credentials and credentialing profiles, ensuring streamlined state licensing, rapid hospital privileging, and uninterrupted revenue cycles.
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Behavioral Health Providers
Focused commercial and government payer enrollment to open up your practice to insured patients and eliminate private-pay barriers. Maintain 100% control of contract terms, rates and clients during enrollment.
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Advanced Practice Providers
Expert management of credentialing and compliance for Full Practice Authority states, as well as state-specific collaborative agreements, scope-of-practice compliance, and targeted insurance panel enrollment.
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Healthcare Recruiters & Agencies
Professional, full-service primary-source verification and onboarding acceleration to get your candidates cleared, placed, and generating revenue faster.
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Multi-state Telehealth Providers
Navigate complex state and payer requirements with expert licensing, credentialing, and enrollment services developed to support the unique requirements of your practice.
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Solo & Small Group Practices
Your outsourced medical staff services office—handling the complex credentialing, enrollment, and compliance requirements so you can devote more time to patient care.
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Locum Tenens & Travel Clinicians
Rapid-response credentialing portfolios that keep you highly portable, compliant and ready for fast-paced, multi-facility placements.
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Medical Billing Companies
Strategic partnership outsourcing to handle complex credentialing files, freeing your team to focus exclusively on claims and clearinghouse optimization.
More Than Credentialing. A Trusted Partner.
We take the confusion and stress out of credentialing for healthcare professionals and organizations.
✓ Expert Support for Any Credentialing Requirement
We are trained in all types of credentialing, credentialing standards (NCQA, URAC, TJC) and primary source verification to support payer enrollment, licensing, employment or privileging.
✓ Dedicated US-based Credentialing Specialist
Work directly with an experienced credentialing professional who understands your goals and guides you through the process.
✓ Faster, More Responsive Service
As a small business, Credentials 360 can move quickly, adapt to changing needs, and provide timely communication. We take pride in our personalized approach and provider-centric services.
✓ Maintain 100% Control
You remain in control of your contracts, reimbursement rates, payer relationships, clients and business decisions.
✓ Our Accuracy Guarantee
We pride ourselves on precision. If an application is rejected or corrections are requested due to a clerical error on our part, we will manage the necessary corrections and administrative updates at no additional cost to you.
✓ Secure and HIPAA-Compliant
Your sensitive information is managed using secure, HIPAA-compliant document handling and storage practices, and you will receive a signed BAA with your first service.
✓ Flexible Solutions for Your Needs
Choose only the services you need—from one-time services to ongoing compliance subscriptions. No retainers or annual commitments required.
✓ Human Support, Every Step of the Way
No chatbots. No automated ticket queues. Just personalized service from a real person invested in your success.
Our Signature Service
360 Credentials + Compliance Service
Stay organized. Stay current. Stay compliant.
Designed by a Credentialing Specialist, the 360 Credentials + Compliance Service subscription is a full-service and customizable credentialing solution created to provide comprehensive credentials support, convenience and peace-of-mind for busy healthcare providers, small practices and healthcare recruiters.
Maintain a professional, up-to-date provider portfolio that is always ready for:
Applications
Onboarding
Payer enrollment
Audits
Locum tenens roles
While preventing out-of-date or inconsistent credentialing information that causes:
Credential lapses
Reimbursement delays
Claim denials
Insurance network termination
Compliance gaps
Lost patient referrals
Services that are completely customized for you.
Whether you have one state license or six, are an enrolled Medicare provider or are exclusively enrolled in commercial insurance plans, you select the services you want included in your plan and never pay for what you don’t need.
Stay organized. Stay current. Stay compliant.
Designed by a Credentialing Specialist, the 360 Credentials + Compliance Service subscription is a full-service and customizable credentialing solution created to provide comprehensive credentials support, convenience and peace-of-mind for busy healthcare providers.
Services that are completely customized for you.
Whether you have one state license or six, are an enrolled Medicare provider or are exclusively enrolled in commercial insurance plans, you select the services you want included in your plan and never pay for what you don’t need.
Select your number of licenses, DEA/CDS certificates, Medicare enrollment status and number of board certifications and click the SUBSCRIBE button to see your monthly subscription price based on your customized needs.
Included in every plan:
Expert, hands-on management of your Credentials Portfolio by a US-based Credentialing Specialist, who is also available to answer your questions.
All of your credentialing documents and information stored in one professional, portable and shareable digital portfolio. Your Credentials Portfolio will include all your documents required for full credentialing. Optimized to facilitate future Primary Source Verification (PSV) using NCQA Standards. Your portfolio will always be current and ready to share with credentialing teams, commercial and government payers, and healthcare organizations.
Primary source verification of licenses, OIG/LELE and SAM sanctions, in compliance with 2026 NCQA and TJC requirements. Verifications and checks are performed every 30 days, include an audit confirmation log, and are reviewed by your Credentialing Specialist before adding to your portfolio.
Secure storage with convenient access. Your portfolio is hosted on a secure, HIPAA-Compliant platform which you can access at any time. Share or download your portfolio whenever it’s most convenient for you.
Centralized storage of your CME Certifications. Always be audit ready with easy to share folders.
Document Archives. Expired credentials are archived to meet your records retention requirements.
Convenient, full-service maintenance of your multiple data profiles and accounts. Simply email new credentialing documents or updated information to your Credentialing Specialist, and they will update your portfolio, your DataSpring/CAQH Profile, PECOS and NPPES profiles, and coordinate updates with your Billing Servicer or Practice Manager for Medicaid, commercial insurance plans and other sources they manage.
Name Changes and Malpractice Action Reporting if needed. Facilitation of paperwork for name changes or malpractice action reporting.
Added protection against reimbursement interruption and network termination. Your Credentialing Specialist will coordinate with the Contact of your choosing to share any updated credentialing or demographic information for your commercial insurance panels, state Medicaid accounts, etc. to prevent a mismatch of information that can trigger network or payer issues.
Compliance Oversight. Your credentials are monitored for approaching expiration dates, alerts, actions, attestations, updated regulations, requirements and unauthorized changes.
Any alerts or actions on your credentials are reviewed and prioritized by your Credentialing Specialist and sent to you with additional guidance or information as needed.
Monitoring & Maintenance services included in all plans:
One (1) Primary State License or State Certification
One (1) Malpractice/Professional Insurance Policy
DataSpring/CAQH Provider Profile monitoring, updates and attestation reminders
OIG/LELE and SAM monthly sanctions check
NPPES
Up to three (3) Coordinator Contacts of your choice (ex: one Billing Company Contact, one Practice Manager and one Admin) We will share updated credential information with your Contacts for their maintenance of your commercial insurance panels, Medicaid profiles, clearinghouse and billing software, EFT/ERA Enrollment, etc.
Choose your additional Monitoring & Maintenance services:
Additional State License/State Certification: $15 each/month
DEA or State CDS Certificate:* $10 each/month
Board Certifications: $5 each/month
Medicare (PECOS): $15/month
*Due to the DEA’s security protocol, we will monitor your certificate monthly but certificate updates must be coordinated with your designated DEA Coordinator or Administrator Coordinator, or facilitated using the paper form. This policy also applies to State CDS Certificates.
We’re here to help.
Contact us today with your questions or custom service requests.