Rx Credentialing

Rx Credentialing is a U.S.-based medical billing and insurance credentialing firm serving healthcare providers nationwide. The company focuses on revenue cycle management, payer enrollment, and administrative support services for practices ranging from solo practitioners to specialty clinics. Their service portfolio spans the complete revenue cycle, from patient intake through payment posting and denial management.

The firm operates on a performance-based pricing model, charging 3-5% of monthly collections for billing services and fixed fees for specific services like credentialing ($140 per application) and virtual assistant support (starting at $799/month). They work within clients' existing billing systems and offer month-to-month arrangements without long-term contracts. The company reports serving over 200 healthcare providers with a 99% first-pass claim rate and maintains 5-star ratings on Google and 4.9 stars on Trustpilot.

Rx Credentialing specializes in supporting telehealth startups and traditional practices across multiple specialties including psychiatry, primary care, ophthalmology, and physical therapy. The company holds ONC authorization and provides HIPAA-compliant services with support for Medicare, Medicaid, Tricare, and commercial payers.

Healthcare providers should consider Rx Credentialing when they want to eliminate in-house billing overhead while maintaining visibility and control over their revenue cycle. The company excels in scenarios where practices need bundled administrative services—particularly new practice launches requiring licensure, credentialing, and billing setup simultaneously.

Engagements are structured with transparency around claim status, denial patterns, and payment tracking. The no-contract model and performance-based pricing reduce financial risk for practices uncertain about outsourcing or experiencing variable patient volumes.

Rx Credentialing operates exclusively in healthcare, focusing on medical billing, credentialing, and practice administration for U.S. providers. The company maintains HIPAA compliance and ONC authorization while supporting payer enrollment across Medicare, Medicaid, Tricare, and commercial insurance networks. Their specialization extends across behavioral health, primary care, ophthalmology, physical therapy, and other medical specialties.

Healthcare-specific services include prior authorization management, eligibility verification, denial management targeting healthcare-specific rejection codes, and state medical licensure support for telehealth expansion. The company's virtual assistant services are trained specifically for healthcare workflows including appointment scheduling, insurance verification, and clinical documentation support.

The ideal client is a solo practitioner or small group practice (1-10 providers) launching or operating a telehealth or traditional clinic who needs comprehensive administrative support without building internal billing infrastructure. Practices in psychiatry, primary care, specialty medicine, or therapy seeking to minimize overhead while maintaining claim transparency and revenue visibility will find aligned service offerings.