Credex Healthcare
For multi-provider chiropractic groups.
- Best for
- Multi-provider chiropractic groups.
Best Credentialing Services for Chiropractic Clinics 2026
Compare the providers below by buyer fit and documented terms. Use the quick picks to form a shortlist, then review the linked evidence and confirm current terms with each provider.
Also useful: get the Credentialing Timeline Template as a free PDF
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Quick picks
| Best for | Vendor | Starting price | Provider link |
|---|---|---|---|
| Best for multi-provider chiropractic groups. | Credex Healthcare | — | Get pricing → |
| Best for practices comparing credentialing services. | nCred | — | Get pricing → |
| Best for new chiropractic practices and DCs opening additional locations. | RX Credentialing | — | Get pricing → |
Providers compared
Placement on this page cannot be bought. See our methodology.
Prices and vendor descriptions with a source link come from the held vendor records, read on the date shown. A dash (—) means the unsupported field was removed; it is not a price or a statement about what the vendor offers. Best-for picks are editorial fit guidance. Request current written terms before purchase.
Holistic Billing Services (Holbie)
For chiropractic, acupuncture and massage therapy practices.
- Best for
- Chiropractic, acupuncture and massage therapy practices.
MediBillMD
For small-to-mid-sized practices and behavioral health groups.
- Best for
- Small-to-mid-sized practices and behavioral health groups.
Medwave Billing & Credentialing
For established chiropractic practices.
- Best for
- Established chiropractic practices.
National Credentialing Solutions (nCred)
For practices comparing credentialing services.
- Best for
- Practices comparing credentialing services.
Physician Practice Specialists (PPS)
For new practice startups, including chiropractic.
- Best for
- New practice startups, including chiropractic.
RX Credentialing
For new chiropractic practices and DCs opening additional locations.
- Best for
- New chiropractic practices and DCs opening additional locations.
Side-by-side comparison
| Provider | Starting price | Best for | Provider link |
|---|---|---|---|
| Credex Healthcare | — | Multi-provider chiropractic groups. | View provider |
| Holistic Billing Services (Holbie) | — | Chiropractic, acupuncture and massage therapy practices. | View provider |
| MediBillMD | — | Small-to-mid-sized practices and behavioral health groups. | View provider |
| Medwave Billing & Credentialing | — | Established chiropractic practices. | View provider |
| National Credentialing Solutions (nCred) | — | Practices comparing credentialing services. | View provider |
| Physician Practice Specialists (PPS) | — | New practice startups, including chiropractic. | View provider |
| RX Credentialing | — | New chiropractic practices and DCs opening additional locations. | View provider |
How we tested
Use the linked vendor records to check documented terms. Ask providers to demonstrate your required workflows and confirm current commercial terms in writing.
How to choose credentialing services for chiropractic clinics
- Check for chiropractic-vertical evidence. A dedicated landing page mentioning HVLA, CMT codes, AT modifier rules, or maintenance care documentation is a real signal. Generic "we credential 45+ specialties" is not.
- Decide whether you need PI network coverage. Ask whether personal injury and workers' compensation enrollment is included in the engagement.
- Demand pricing transparency. If a vendor will not publish even a price range, the burden is on them to justify why. Quote-only is fine for complex multi-provider engagements; for a solo DC credentialing 6 payers, it is a friction tax.
- Separate credentialing from contracting. Most vendors only do paperwork. If you want commercial-payer rate advocacy on CMT 98940-98942, confirm contract negotiation is in scope before signing.
- Verify CAQH ownership and re-credentialing handling. The vendor should attest CAQH on your behalf but never restrict your access. Confirm in writing that you own the CAQH login and can move vendors without re-creating the profile.
Two of these questions have written answers elsewhere on this site. The per-payer and per-provider ranges the vendors above are quoted against are tabulated in the credentialing cost guide, and the difference between the verification step and the enrollment step, which decides whether a quote covers PECOS at all, is in provider enrollment vs credentialing. The full question set to bring to a discovery call is in questions to ask a credentialing company.
Frequently asked questions
How long does chiropractic credentialing take in 2026?
The Medicare piece has a published mechanism. CMS's PECOS enrollment applications page (updated March 4, 2026) describes PECOS as the online route for initial enrollment, revalidation, changes in status and voluntary termination, with the paper CMS-855I as the alternative, and CMS's revalidation page states that providers revalidate every five years, that there are no exemptions and that CMS does not grant extensions. Commercial-payer expectations are laid out in the payer-by-payer credentialing timeline, and why credentialing takes 90 to 150 days covers what to do when an application stalls.
What's the difference between credentialing and contracting for a chiropractor?
Credentialing verifies provider qualifications; contracting establishes reimbursement terms. Confirm whether a proposed engagement includes rate negotiation.
What is the AT modifier and why does it matter for credentialing?
The AT rule is Medicare's, not the vendor's. Under 42 CFR 410.21(b) Medicare Part B pays a chiropractor only for manual manipulation of the spine to correct a subluxation and pays for no other chiropractic service, and the Medicare Benefit Policy Manual, Chapter 15, section 240.1.3 (Rev. 13889, July 30, 2026) requires the AT modifier on claims for active or corrective treatment and states that maintenance therapy is not covered. A credentialing vendor cannot change either rule, but one that knows them will set up your PECOS record and your first claims accordingly. For the modalities and E/M work billed around the adjustment, see chiropractic insurance billing.
Do I still need credentialing if I run a cash-only chiropractic practice?
If you never bill Medicare, no commercial payers, and never accept PI cases, you can technically skip third-party credentialing. But most cash-pay DCs eventually take occasional Medicare or PI patients. Maintaining at least Medicare PECOS enrollment in non-participating status keeps the door open without committing to a participation agreement. Several vendors handle PECOS-only as a one-off engagement.
How do vendors get included?
Placement on this page cannot be bought. Vendors are included using our published methodology and the information and evidence available for each vendor. You can submit corrections or supporting evidence for review. Providers are listed alphabetically. Paid placement is labeled separately.
Bottom line
- If you're a solo DC or new practice with PI exposure: include RX Credentialing in your evaluation.
- If you're running a 3+ provider chiropractic group across many payers: compare Credex Healthcare and Medwave.
Running credentialing across multiple chiropractic locations or treatment-center sites? Our operator-side guide on GetTreatmentHelp covers payer-mix and credentialing concerns for multi-site treatment center operators where chiropractic services are part of an integrated care model.