Medical credentialing has become one of the most essential operational tasks for healthcare providers in New York. Its a founational task that actually allows practices to have the revnue things coming in on time while rendereing services to patients insured with either state-administered insurance or commercial networks.
From physicians and therapists to clinics and telehealth practices, every provider must complete credentialing to verify qualifications, comply with payer guidelines, and receive reimbursements against services provided to patients.
With New York’s strict insurance rules, constantly-changing payer requirements, and rapid telehealth expansion, providers are now outsourcing credentialing more than ever before. Specialist companies manage everything from CAQH profiles and payer enrollment to Medicaid/Medicare applications, revalidations, and network participation.
To help healthcare organizations choose the right partner, we have compiled a Top 10 list of the tusted credentialing and enrollment companies in New York for 2025. This list includes industry leaders, technology-driven teams, and companies with New York–specific expertise.
List of Top 10 Enrollment and Credentialing Companies in New York
1. Credex Healthcare — Best Overall Credentialing Partner in New York
Credex Healthcare leads the list as New York’s most trusted provider credentialing and payer enrollment service. With over a decade of specialized experience, Credex supports solo physicians, group practices, mental health clinics, ASC facilities, and hospital networks across the state.
Their credentialing experts manage everything—including CAQH setup, Medicare/Medicaid enrollment, commercial payer contracting, revalidations, and ongoing maintenance. Their reputation is built on fast turnaround, strict compliance standards, transparent communication, and personalized support, including dedicated account managers for every provider.
For practices that need a steady, reliable partner to navigate New York’s complex payer landscape, Credex Healthcare remains the top-performing solution.
2. States Credentialing — Best Credentialing-Only Company (Dedicated Service Provider)
States Credentialing is a specialized, credentialing-only service provider operating nationwide with deep expertise in state-specific enrollment rules, including New York’s multi-layer payer regulations. Because they focus exclusively on credentialing (not billing), their workflows are designed for accuracy, compliance, and speed.
They handle:
- Commercial payer enrollment
- Medicare/Medicaid applications
- CAQH management
- Facility privileging
- Telehealth credentialing
- Revalidations & ongoing maintenance
States Credentialing is an excellent choice for providers who want a dedicated, specialist-run credentialing experience without the distraction of bundled RCM services.
3. DetailsRCM LLC — Best Nationwide Billing + Credentialing Company (Based in Georgia)
DetailsRCM LLC is a Georgia-based RCM company offering nationwide credentialing, including strong support for New York practices, telehealth providers, and multi-state groups. Their credentialing specialists manage payer enrollment, CAQH profiles, Medicare/Medicaid applications, contracting, and revalidations.
What sets DetailsRCM apart is their strong experience working with multi-state telehealth providers, startups, and practices expanding rapidly. Their processes are efficient, supported by structured workflows and transparent pricing.
For providers seeking both billing and credentialing from the same team, DetailsRCM LLC offers a seamless, all-in-one operational partnership.
4. eBridgeRCM — Best New York–Based Billing & Credentialing Company
eBridgeRCM is a New York–based medical billing company offering credentialing and payer enrollment services for providers across primary care, mental health, physical therapy, home health, and specialty practices.
Their credentialing team handles:
- Enrollment with commercial insurers
- Medicare/Medicaid registration
- CAQH & PECOS support
- Telehealth enrollment
- Revalidation & expiration tracking
Known for responsive communication, strong follow-up systems, and clean documentation processes, eBridgeRCM is a preferred partner for New York clinics that want local expertise, transparent processes, and ongoing credentialing support.
5. MedConverge — Best for Large Practices, Hospitals & Multi-Specialty Groups
MedConverge is a nationwide credentialing and RCM service provider known for handling high-volume provider onboarding, complex payer enrollment, and enterprise-level credentialing operations.
They specialize in:
- Medicare & Medicaid compliance
- Hospital privileges
- Large group contracting
- CAQH ProView management
- Multi-state telehealth credentialing
With solid infrastructure and experienced teams, MedConverge is ideal for hospitals, MSOs, multi-specialty networks, and telehealth companies entering or expanding across New York.
6. Synergy MSO — Top Choice for Mental & Behavioral Health Practices
Synergy MSO, headquartered in New York City, provides specialized credentialing support with a strong focus on mental health and behavioral health clinics.
Their services include:
- CAQH setup & maintenance
- Medicaid & OMH/Medicare enrollment
- Commercial payer contracting
- Re-credentialing & periodic audits
Their local expertise and familiarity with New York’s regulatory landscape make them especially valuable for therapists, counseling centers, psychiatry groups, and community mental health clinics.
7. Practolytics — Best for Telehealth & Tech-Enabled Credentialing
Practolytics is a technology-driven company offering credentialing and revenue cycle management, with strong adoption among New York’s telehealth and outpatient mental health providers.
Their digital tools make credentialing easier through:
- Real-time portals
- Automated reminders
- Document storage
- Compliance dashboards
Practolytics is an excellent fit for modern practices looking for digitally streamlined credentialing workflows.
8. Physician Practice Specialists — Best for Consulting-Focused Credentialing Solutions
Physician Practice Specialists provides credentialing, enrollment audits, workflow consulting, and compliance optimization. Their strength lies in process improvement—ideal for clinics struggling with internal workflow breakdowns.
They assist with:
- Medicare/Medicaid enrollment
- Commercial payer contracting
- Credentialing audits
- EHR-integrated workflows
This company is well-suited for small groups, independent physicians, and specialty practices seeking guidance beyond basic enrollment.
MediBillRCM — Best for Specialty Practices, Hospitals & Complex Credentialing Cases
MediBillRCM is a trusted credentialing and revenue cycle partner known for handling complex, specialty-driven credentialing for providers across New York and nationwide. With strong experience serving high-acuity medical groups, MediBillRCM supports:
- Orthopedics
- Cardiology
- Pain management
- Neurology
- Surgical subspecialties
- Behavioral health & telehealth practices
Their credentialing division manages the full spectrum of enrollment and compliance tasks, including:
- Hospital privileges and facility-based credentialing
- CAQH ProView setup, updates, and attestations
- Medicare/Medicaid applications and PECOS enrollment
- Commercial payer contracting and re-contracting
- Ongoing re-credentialing, expirables tracking, and audit support
MediBillRCM is especially strong in supporting large group practices, multi-specialty clinics, and hospitals that require structured workflows, fast turnaround, and precise documentation. Their specialty expertise and consistent follow-through make them a reliable choice for providers with complex credentialing needs.
10. ReveleMD — Best All-In-One RCM + Credentialing Partner for Growing Practices
ReveleMD (formerly GroupOne Health Source) is a nationally recognized revenue cycle management company that also provides full-service credentialing and payer enrollment for providers across New York. With over 20 years of industry experience, ReveleMD offers structured workflows, advanced technology, and strong support for multi-location practices and specialty groups.
Their credentialing division handles:
- Complete payer enrollment and contracting
- Medicare/Medicaid applications & PECOS setup
- CAQH ProView management
- Revalidations and compliance monitoring
- Provider onboarding workflows for fast-growing clinics
ReveleMD is known for its scalable credentialing infrastructure, making it a strong fit for practices that want billing and credentialing under one roof. Their technology-driven processes help reduce administrative errors, accelerate enrollment timelines, and improve overall provider activation rates.
Why Choosing the Right Credentialing Company Matters
Selecting the correct credentialing partner in New York can significantly impact your operations and revenue. Here’s why it matters:
1. New York has stricter payer rules than many states
NY insurers require precise documentation, frequent updates, and strict compliance.
2. Avoid claim denials & delayed payments
Credentialing issues are one of the top reasons claims get rejected.
3. Technology affects turnaround time
Companies using dashboards, EHR integration, and automation reduce delays.
4. Transparent pricing prevents financial surprises
Flat-fee models are better than open-ended hourly structures.
5. Dedicated account managers save time
Direct communication prevents lapses and missed deadlines.
FAQs
What is medical credentialing, and why is it required in NY?
Medical credentialing verifies a provider’s qualifications and ensures they meet the standards required by payers and regulatory agencies.
How long does credentialing take in New York?
Typically 60–120 days, depending on the insurer and provider type.
What’s the difference between credentialing and enrollment?
Credentialing = verifying qualifications.
Enrollment = contracting with insurance companies for reimbursement.
Can I outsource credentialing?
Yes — many New York practices outsource to companies like States Credentialing, Credex Healthcare, and eBridgeRCM to save time and reduce errors.
