Business Details
23 Years
experience
Your Trusted Partner for Healthcare Credentialing Solutions
Fifth Avenue Healthcare Services began operations in a modest office on Fifth Avenue in Oklahoma, rooted in Midwestern values while aspiring to deliver elite service synonymous with New York City's Fifth Avenue. With nearly two decades of specialized expertise in healthcare credentialing, our team combines over 500 years of collective industry experience to address complex credentialing challenges. We hold the prestigious NCQA Credentialing Accreditation, reflecting our commitment to industry best practices and regulatory compliance. Our integrated network includes Primoris Credentialing Network, 5ACVO, and Fifth Avenue Agency, which collaborate through proprietary technology to deliver tailored solutions. By streamlining credentialing workflows from 52 to 6 steps, we reduce costs by 69% while accelerating provider revenue generation.Our medical malpractice insurance division leverages credentialing data to deliver competitive rates and efficient coverage acquisition. With 63% of our team possessing over a decade of experience, we serve 16,010+ providers across 54+ health plans, maintaining stability even during unprecedented challenges like the COVID-19 pandemic. Client testimonials highlight our exceptional responsiveness, with new providers generating revenue significantly faster than industry standards. As the largest IPA in the Midwest, we combine technological innovation with human expertise to deliver smarter, simpler, and superior credentialing services nationwide.
Services
Credentialing
Provider Enrollment
Medical Malpractice Insurance
Delegated Credentialing
Non-Delegated Credentialing
Details
- Year established: 2003
Highlights and features
- 20 years of specialized healthcare credentialing experience
- NCQA-accredited credentialing processes ensure industry best practices
- Proprietary technology reduces credentialing steps from 52 to 6
- Team with 500+ combined years of healthcare industry expertise
- 69% lower credentialing costs through optimized workflows
Associations and certifications
- NCQA
What people say
Professional and responsive staff
Faster than any organization
Stable vendors during pandemic
Best customer service
Expedited provider onboarding
Services
Credentialing
Our NCQA-accredited credentialing services streamline provider verification through proprietary technology and experienced teams. We reduce traditional 52-step processes to 6 optimized stages, achieving 69% cost reductions while maintaining compliance with all regulatory requirements. This accelerated workflow enables providers to begin generating revenue 5 days sooner than industry averages.
Provider Enrollment
We manage provider enrollment across 54+ health plans and network options through our Primoris Credentialing Network. Our delegated authority partnerships in Midwest states like Illinois and Missouri enable faster approvals while maintaining strict compliance with payer-specific requirements for both delegated and non-delegated arrangements.
Medical Malpractice Insurance
Our Fifth Avenue Agency division offers competitive medical malpractice insurance rates by leveraging credentialing data and technology. This integrated approach reduces administrative burdens while providing tailored coverage options. With 75% of our MPLI team having over a decade of experience, we deliver efficient policy acquisition and claims management support.
Delegated Credentialing
We offer delegated credentialing services with 25+ health plan partnerships across the Midwest. Our NCQA-accredited processes and proprietary software ensure compliance with payer requirements while maintaining rapid turnaround times. This solution reduces administrative burdens for healthcare providers while maintaining full regulatory compliance.
Non-Delegated Credentialing
Our non-delegated credentialing services cover 23+ health plan options through rigorous primary source verification. Using 5ACVO's CVO expertise, we maintain strict compliance with NCQA standards while achieving 69% cost reductions. This solution provides comprehensive provider verification for organizations requiring traditional credentialing pathways.
Questions
What healthcare credentialing services do you offer?
We provide NCQA-accredited credentialing, delegated and non-delegated provider enrollment, and medical malpractice insurance solutions through our integrated network of specialized divisions.
How do you reduce credentialing costs?
Our proprietary technology streamlines credentialing workflows from 52 to 6 steps, achieving 69% cost reductions while maintaining compliance with all regulatory requirements.
What areas do you serve?
We operate nationwide with specialized delegated credentialing partnerships in Midwest states including Illinois, Missouri, and Texas.
How quickly can providers start generating revenue?
Our accelerated credentialing processes enable providers to begin generating revenue 5 days sooner than traditional methods, with $47,196 average additional billing revenue.
What medical malpractice insurance benefits do you provide?
We offer competitive MPLI rates through integrated credentialing data systems, with 75% of our team having over a decade of specialized insurance expertise.
