RCM Services

Get Credentialed, Stay Credentialed

Payer enrollment and re-credentialing tracked to completion, so a lapsed credential never quietly stops your claims from being paid.

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Tracked

every expiry date monitored so re-credentialing starts before it is urgent

Followed up

applications chased through payer queues rather than submitted and hoped for

Per provider

enrollment status visible by provider and by payer, not buried in a folder

Named team

the same people on your account every month, not a rotating queue

What you get

WHAT WE TAKE ON

Credentialing is invisible until it fails, and when it fails it stops revenue completely. A new provider who cannot bill for their first two months. A re-credentialing deadline that passed while everyone was busy. An enrollment application sitting in a payer queue that nobody followed up. Luxen handles payer enrollment and re-credentialing end to end, tracks every expiry date, and chases applications through to approval.

Who this is for

Practices bringing on new providers, practices that have been burned by a lapsed credential, and groups large enough that tracking enrollment across multiple providers and multiple payers has stopped being manageable in a spreadsheet.

READY TO SEE THE NUMBERS?

No commitment. We will tell you honestly whether we are the right fit for your practice.

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The full cycle

Three core capabilities

01

New provider enrollment

Applications prepared and submitted to your payer panel with the documentation each one requires, then followed up through the queue. The goal is a provider who can bill on schedule, not an application that was technically filed.

02

Re-credentialing before the deadline

Every expiry date tracked and the renewal started early enough to complete calmly. Re-credentialing that begins when the reminder arrives is already late.

03

Roster and status visibility

A current view of which provider is enrolled with which payer and what stage every pending application is at. When someone asks whether a new provider can see a plan's patients yet, there is an answer.

Certified coders, AI assisted

Nothing depends on someone remembering

Expiry dates, revalidation cycles and application follow-up schedules are tracked automatically, so the work surfaces when it needs to rather than when someone happens to check. Credentialing failures are almost never a competence problem. They are a memory problem, and that is exactly the kind of problem worth taking off people entirely.

Appointment Scheduling
Appointment Scheduling
Eligibility Verification & Prior Authorization
Medical Coding
Charge Entry & Demographic Entry
Claim Submission
Payment Posting
Denial Management
Account Receivables
Reports & Analytics
Credit Balance, Insurance & Patient
Provider Enrollment & Credentialing
Patient Statements Processing

Process We Follow

FAQ

Common questions, straight answers

How long does credentialing take?

It varies by payer and it is largely outside anyone's control, often several months. What we control is that the application is complete, submitted promptly and chased, which is where most avoidable delay comes from.

Can you take over credentialing already in progress?

Yes. We pick up in-flight applications, work out where each one actually stands with the payer, and take the follow-up from there.

Can we use credentialing without billing?

Yes. It is a self-contained function and plenty of practices use us for it on its own.

What happens if a credential lapses anyway?

We tell you immediately, work the reinstatement, and identify which claims are affected so they can be held or reworked rather than denied in bulk.

Do you work with practices in our state?

Yes. We work with practices across the United States, and payer rules, filing windows and managed care plans differ enough by state to matter. Where we have written up the local picture in detail, you can read it here:

If your state is not on the list yet, we still work there. Tell us your state and payer mix on the call and we will tell you what we already know about it.

Find out where your enrollment actually stands

Book a 15 minute call. We will look at your provider roster against your payer panel and show you the gaps and the deadlines coming up.

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