A lapsed credential or delayed payer enrollment means claims don't get paid — full stop. RCMAXIS manages the entire credentialing lifecycle so your providers are always active, enrolled, and billing. New providers enrolled in an average of 60 days. Zero billing before enrollment is confirmed.
Credentialing delays cost practices $10,000 or more per provider in lost revenue. New providers can take 90–120 days to credential with some payers — RCMAXIS targets 60 days by submitting applications immediately, tracking status weekly, and escalating stalled applications before they become revenue problems. Every deadline, every re-credentialing cycle, every expiry is tracked and managed proactively.
Submitting claims to a payer before enrollment is complete — even by a single day — can result in claim recoupment, compliance flags, and in severe cases, exclusion from payer networks. RCMAXIS ensures every provider has confirmed effective dates before the first claim is submitted.
Complete CAQH ProView profile creation and maintenance — document upload, attestation management, and the 120-day re-attestation reminders that prevent profiles from going inactive. An inactive CAQH profile stalls credentialing for every payer simultaneously.
Enroll with commercial payers, Medicare Part B (PECOS), and Medicaid programs in all required states. RCMAXIS submits all applications simultaneously, tracks status weekly, and responds to payer requests within 24 hours to keep applications moving forward without interruption.
Most payers require re-credentialing every 2–3 years. A missed re-credentialing deadline results in provider termination from the network — and a restart of the entire enrollment process. RCMAXIS tracks every provider's re-credentialing cycle and submits renewal applications 90 days before expiry.
Medical staff office credentialing and hospital privilege applications for providers who admit or operate at hospital facilities. RCMAXIS coordinates with the medical staff office, tracks application status, and follows up on outstanding requirements to complete hospital credentialing alongside payer enrollment.
End-to-end credentialing for new hires — from initial document collection through confirmed effective dates. RCMAXIS starts the enrollment process as soon as an offer letter is signed, targeting billing readiness within 60 days of the provider's start date wherever possible.
Multi-provider group enrollment, Type 1 and Type 2 NPI maintenance, group vs. individual taxonomy code management, and delegation credentialing agreements for IPAs and health system medical groups. RCMAXIS handles the full complexity of group-level enrollment across all payers.
A proven 4-step process that takes providers from document collection to confirmed billing status in 60 days on average.
Collect all provider documents — license, DEA, malpractice, board certifications, work history. Perform primary source verification and identify any gaps before submitting applications.
Set up or update CAQH ProView, complete all payer applications simultaneously, and submit with full supporting documentation to maximize parallel processing across all payers.
Monitor application status weekly with each payer, respond to information requests within 24 hours, and escalate stalled applications through payer account managers to keep enrollments on track.
Receive confirmed effective dates from each payer, configure billing system with correct provider and group NPIs, and verify clean claim flow before handing off to the billing team.
Every RCMAXIS account has a dedicated credentialing specialist who knows your providers, your payer mix, and your re-credentialing schedule by name. No handoffs, no gaps in institutional knowledge.
Industry average is 90–120 days. RCMAXIS's parallel application strategy and proactive payer follow-up consistently achieves enrollment completion in 60 days — cutting the revenue gap for new providers nearly in half.
RCMAXIS tracks every license, DEA registration, malpractice policy, and re-credentialing deadline for every provider. You receive alerts 90 days before any expiry — eliminating the surprise lapses that disrupt network status and billing.
RCMAXIS maintains a strict policy: no claims are submitted to any payer until a confirmed effective date has been received. This protects your practice from recoupment risk and payer network compliance violations.