Strengthening Healthcare Operations Through Smarter Credentialing

Reduction in AR Days

0 %

Reduction in Cost to Collect

0 %

Increase in Net Patient Revenue

0 %

Jump in Collections

0 %

Trusted by Leading Healthcare Organizations

About us

At Alpha Core Healthcare, we are committed to assisting healthcare providers in streamlining operations, minimizing administrative burdens, and enhancing revenue cycle performance. With a focused expertise in Credentialing & Enrollments, we demystify the payer enrollment and provider credentialing complexities — getting your practice paid sooner and remaining compliant.

Supported by a stable of experienced practitioners and industry veterans, we service medical groups, clinics, sole practitioners, and healthcare organizations nationwide. We are proud to deliver customized solutions designed to meet your practice objectives whether you’re setting up from ground zero or enhancing current workflows.

We know that each day you wait for approvals is money left on the table. That’s why we concentrate on efficiency, accuracy, and transparency — from initial application to regular renewals and payer updates.

Our Services

Empowering Your Practice Through Smarter Healthcare Solutions

Alpha Core Healthcare offers an end-to-end suite of services that is geared to enhance efficiency, promote compliance, and enhance revenue growth. Whether you’re an independent provider, an expanding group practice, or a large healthcare entity, our offerings are designed to ensure your success.

Revenue Cycle
Management

Our full-service RCM solutions ensure accurate billing, timely claims, & consistent follow-up. With effective Denial Management, we reduce revenue leakage, improve visibility, & help healthcare providers optimize reimbursements, enhance financial performance, & boost operational efficiency.

Credentialing and
Enrollment

We have expertise in credentialing and provider enrollment solutions that reduce backlogs and have your providers get authorized with insurers — faster. From initial applications through recurring re-credentialing and payer updates, we process all the steps so you can prioritize care, not paperwork.

Patient/Client Centric Enablement

We assist practices in adopting tools and workflows that boost patient engagement — from benefits verification and eligibility determination to streamlined communication and personalized assistance. More efficient operations lead to a better patient experience.

Billing Assessments & Compliance

Our specialists conduct extensive billing reviews, compliance evaluations, and risk avoidance methods. If you’re gearing up for a payer audit or enhancing internal procedures, we guarantee your billing policies are compliant with current legislation and industry guidelines.

Comprehensive Provider Enrollment & Credentialing Solutions

DEA Registration: Ensuring Compliance for Controlled Substance Prescribers

For healthcare professionals authorized to prescribe, administer, or dispense controlled substances, DEA registration is not just a regulatory formality—it’s a critical step in ensuring compliance, continuity of care, and uninterrupted operations. At Alpha Core Healthcare, we provide comprehensive support for obtaining, renewing, and maintaining your Drug Enforcement Administration (DEA) license with confidence and accuracy.

Importance of DEA Registration

Having a valid DEA registration is crucial for healthcare providers who wish to prescribe controlled substances. Without it, providers may face:

Alpha Core Healthcare’s services help mitigate these risks by ensuring timely and accurate DEA registration and renewal.

How to Get Started

To initiate the process of obtaining or renewing your DEA registration with Alpha Core Healthcare:

Contact Alpha Core Healthcare: Reach out via their website or by phone.
Provide Necessary Documentation: Submit required documents such as your professional license, NPI number, and other credentials.
Begin the Credentialing Process: Alpha Core Healthcare will guide you through the DEA registration process as part of their comprehensive credentialing services.

CLIA Waiver: Empowering In-House Lab Testing with Compliance and Confidence

In today’s fast-paced healthcare environment, the ability to perform simple, reliable lab tests in-house is a major advantage for providers. A CLIA Waiver, granted by the Centers for Medicare & Medicaid Services (CMS), allows healthcare practices and facilities to conduct low-complexity laboratory tests without the need for full laboratory certification. At Alpha Core Healthcare, we help you navigate the CLIA waiver process—from initial application to ongoing compliance.

Importance of CLIA Waiver

Having a valid CLIA waiver is crucial for healthcare providers who wish to perform waived laboratory tests. Without it, providers may face:

Alpha Core Healthcare’s services help mitigate these risks by ensuring timely and accurate CLIA waiver applications and renewals.

How to Get Started

To initiate the process of obtaining or renewing your CLIA waiver with Alpha Core Healthcare:

Contact Alpha Core Healthcare: Reach out via their website or by phone.
Provide Necessary Documentation: Submit required documents such as your laboratory personnel qualifications and test procedures.
Begin the Credentialing Process: Alpha Core Healthcare will guide you through the CLIA waiver application process as part of their comprehensive credentialing services.

CAQH Setup & Maintenance: Centralized, Compliant, and Credentialing-Ready

In the healthcare industry, accurate and up-to-date provider information is essential for seamless credentialing and payer enrollment. The Council for Affordable Quality Healthcare (CAQH) offers a centralized platform—CAQH ProView®—that simplifies how providers share and manage their professional data. At Alpha Core Healthcare, we specialize in setting up and maintaining CAQH profiles to ensure your organization stays compliant, credentialing-ready, and connected with key payers.

Importance of CAQH Profile Maintenance

Maintaining an active and accurate CAQH profile is crucial for healthcare providers. An up-to-date profile:

Expedites Credentialing: Insurance companies can quickly verify your information, speeding up the credentialing process.
Ensures Continuous Enrollment: Regular updates and reattestations prevent lapses in your ability to bill insurance companies.
Reduces Administrative Work: A single, centralized profile minimizes the need for repetitive paperwork.

Getting Started with Alpha Core Healthcare

Contact Alpha Core Healthcare: Reach out via their website or by phone to begin the process.
Provide Necessary Documentation: Submit required documents such as your professional license, NPI number, and other credentials.
Begin the Credentialing Process: Alpha Core Healthcare will guide you through the CAQH setup and maintenance as part of their comprehensive credentialing services.

NPI Creation & Maintenance: A Critical Step in Provider Credentialing

Every healthcare provider and organization in the United States is required to have a valid National Provider Identifier (NPI) to bill insurance, enroll with payers, and comply with HIPAA regulations. Whether you’re starting a new practice or updating existing provider data, NPI creation and maintenance is a foundational component of your credentialing and revenue cycle process.

At Alpha Core Healthcare, we ensure your NPI application and updates are handled accurately, efficiently, and in full compliance with federal guidelines.

What is an NPI?

The National Provider Identifier (NPI) is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States. It is required for:

Get Started Today

Whether you’re a solo practitioner, group practice, or healthcare organization, Alpha Core Healthcare is your trusted partner in NPI management. Let us streamline the process so you can focus on patient care.

📞 Contact us at +1 302-304-8686
📧 Email: hello@alphacorehealthcare.com

Demographic Updates: Keeping Your Provider Data Accurate, Compliant, and Reimbursable

In healthcare, accurate provider information is more than just good practice—it’s essential for maintaining payer relationships, avoiding claim denials, and ensuring compliance with regulatory standards. At Alpha Core Healthcare, we specialize in managing demographic updates for providers and organizations to ensure their data is current across all payer systems and directories.

What Are Demographic Updates?

Demographic updates refer to changes in a provider’s official information, such as:

Practice location(s)
Phone or fax numbers
Tax ID or NPI associations
Business name or legal entity
Office hours
Billing address or contact details
Taxonomy or specialty changes

These updates must be reported to CMS, Medicare/Medicaid, commercial payers, and systems like CAQH, PECOS, and NPPES.

Demographic changes don’t need to slow down your practice or threaten your revenue stream. Let Alpha Core Healthcare handle the details with precision and professionalism—ensuring your information stays accurate everywhere it counts.

License Research – Business & Professional: Ensuring Legal Readiness Across All Healthcare Operations

Before a healthcare organization or provider can deliver services, bill insurers, or comply with state and federal regulations, the appropriate business and professional licenses must be secured and maintained. At Alpha Core Healthcare, we provide comprehensive license research services to identify and verify the exact licensing requirements for your healthcare entity—saving you time, avoiding legal risks, and ensuring your operations are fully compliant from day one.

What Is License Research?

License research involves verifying, tracking, and gathering detailed information on required state and federal licenses for healthcare professionals and healthcare businesses. This process includes:

Why Choose Alpha Core Healthcare?

EFT Enrollment: Faster, Safer Payments for Your Healthcare Organization

In today’s fast-paced healthcare environment, getting paid accurately and on time is essential. Electronic Funds Transfer (EFT) is the modern standard for receiving insurance payments—and it offers a faster, more secure alternative to paper checks. At Alpha Core Healthcare, we handle the complete EFT enrollment process to ensure your reimbursements are deposited directly into your account without delays or disruptions.

What Is EFT Enrollment?

EFT enrollment allows healthcare providers to receive payments electronically from insurance companies, Medicare, Medicaid, and other payers. Rather than waiting for paper checks, funds are deposited directly into a designated bank account.

EFTs offer:

Why Choose Alpha Core Healthcare for EFT Enrollment?

Expert Guidance: We understand the nuances of each payer’s EFT process and documentation needs.
Time-Saving Efficiency: We handle the paperwork, so your team can stay focused on patients and operations.
Secure Processing: We ensure your financial information is managed with the highest security and compliance standards.

Re-Credentialing: Keep Your Provider Status Active, Compliant, and Billable

In the evolving world of healthcare compliance and payer requirements, re-credentialing—also known as reappointment or revalidation—is an essential process that ensures healthcare providers continue to meet industry standards. At Alpha Core Healthcare, we take the complexity out of re-credentialing by managing the entire process for you—accurately, efficiently, and on time.

What Is Re-Credentialing?

Re-credentialing (also known as revalidation) is the periodic process by which healthcare providers must renew and reverify their credentials with insurance payers, hospitals, and government programs. It is typically required every 2–3 years, depending on the payer or facility.

The process involves updating and validating:

We Handle It All, So You Can Focus on Care

Re-credentialing is time-consuming, but essential. Alpha Core Healthcare handles the process from start to finish—gathering documents, submitting forms, following up with payers, and ensuring your provider status stays active.

Network Research: Identify the Right Payer Networks for Maximum Revenue and Reach

Joining the right insurance networks is a vital step in a healthcare provider’s business strategy. It determines which patients you can serve, how much you’ll be reimbursed, and how competitive you are in your local market. At Alpha Core Healthcare, our network research services help providers make informed decisions by identifying, evaluating, and targeting the most beneficial payer networks for their specialty and location.

What Is Network Research?

Network research is the process of identifying and evaluating which insurance plans and networks a provider or practice should pursue for participation. This includes assessing:

Make Smart Payer Decisions with Alpha Core Healthcare

Network participation is about more than just paperwork—it’s about positioning your practice for long-term success. With our Network Research Services, you gain the insight you need to grow strategically, profitably, and compliantly.

Contact us today for a customized Network Research report.
📧 Email: hello@alphacorehealthcare.com
🌐 Website: www.alphacorehealthcare.com

Application Follow-Up: Keeping Your Credentialing and Enrollment on Track

Submitting a payer or credentialing application is just the first step. What happens next can determine how quickly you can start seeing patients, billing payers, and generating revenue. At Alpha Core Healthcare, our application follow-up services ensure your submitted documentation is tracked, updated, and processed efficiently—eliminating delays and avoiding revenue disruption.

What Is Application Follow-Up?

Application follow-up is the process of tracking submitted credentialing, enrollment, or update applications to confirm they are being processed, identify any missing information, and expedite approval.

Whether you’re enrolling with Medicare, Medicaid, or commercial insurance plans, follow-up is a critical part of the process that can directly impact:

What Is Application Follow-Up?

Our Application Follow-Up services reduce the time it takes to get enrolled, credentialed, or updated—so you can focus on patient care and business growth.

Contact us today for a customized Network Research report.
📧 Email: hello@alphacorehealthcare.com
🌐 Website: www.alphacorehealthcare.com

Industry Segment

Hospital Billing

At Alpha Core Healthcare, we understand that hospital billing is more than just submitting claims—it’s a complex, high-stakes process that directly affects cash flow, compliance, and patient satisfaction. Our end-to-end hospital billing solutions are designed to optimize your revenue cycle, reduce administrative burdens, and ensure you get paid accurately and on time.

Physician Group Practices

At Alpha Core Healthcare, we understand that physician group practices require a unique blend of flexibility, efficiency, and compliance to thrive in today’s complex healthcare environment. Whether you operate a small multispecialty clinic or a large, multi-location group, our customized solutions for billing, credentialing, and practice management are designed to maximize reimbursement, reduce administrative burdens, and support scalable growth.

Medical Laboratories

At Alpha Core Healthcare, we provide tailored support to independent and hospital-affiliated medical laboratories—ensuring they remain compliant, get reimbursed faster, and scale their diagnostic operations with confidence. From credentialing to revenue cycle management, our services are designed to meet the unique regulatory and billing complexities of the clinical laboratory environment.

Skilled Nursing Facilities

At Alpha Core Healthcare, we recognize the unique challenges that Skilled Nursing Facilities (SNFs) face in balancing regulatory compliance, patient care, and financial sustainability. Our specialized services for SNFs are built to streamline revenue cycle management, credentialing, and regulatory support—allowing your staff to stay focused on delivering exceptional post-acute and long-term care.

Home Health

At Alpha Core Healthcare, we understand the growing demand and operational complexity of delivering healthcare in the home. Our specialized services for Home Health Agencies (HHAs) ensure your organization remains compliant, reimbursed, and operationally efficient—so you can focus on delivering compassionate, high-quality care where patients need it most.

Durable Medical Equipment

At Alpha Core Healthcare, we recognize the critical role Durable Medical Equipment (DME) providers play in supporting patient mobility, recovery, and independence. Our comprehensive billing and credentialing services are designed to help DME suppliers navigate complex payer requirements, reduce claim denials, and accelerate reimbursements—all while ensuring full compliance with industry regulations.

Pharmacy Billing

At Alpha Core Healthcare, we understand the critical role pharmacies play in patient care—delivering medications accurately and efficiently. Our specialized pharmacy billing services are designed to simplify the complexities of third-party payer reimbursements, improve cash flow, and ensure compliance with regulatory requirements.

Home Care

At Alpha Core Healthcare, we understand the unique challenges faced by Home Care agencies in delivering quality, personalized care while managing complex administrative requirements. Our dedicated services help streamline billing, credentialing, and compliance—so your agency can focus on what truly matters: providing compassionate care in the comfort of your patients’ homes.

Why Choose Alpha Core Healthcare?

Your Partner of Choice in Credentialing, Enrollments, and Revenue Maximization

Alpha Core Healthcare is more than a service provider — we become an integral part of your team. With our extensive experience in Credentialing & Enrollments, and focus on accuracy and compliance, we provide customized solutions that contribute directly to your growth and bottom line.

Here's why healthcare providers trust Alpha Core:

Expert Credentialing Professionals

We specialize in what we excel at — streamlining complicated credentialing and enrollment procedures for providers of all specialties. With us, you can eliminate delays, minimize rework, and get timely payer approvals.

End-to-End Revenue Cycle Support

From eligibility verification to claims handling and payment posting, our end-to-end Revenue Cycle Management approach helps enhance your cash flow, lower denials, and increase operational efficiency.

Compliance-Driven Approach

Keep one step ahead of regulatory updates with our comprehensive Billing Assessments & Compliance services. We assist your organization in addressing payer and regulatory requirements with certainty.

Patient-Centric Enablement

We enable your front-end teams with efficient workflows and tools to build a more positive experience for your patients — and an easier process for your staff.

Custom Solutions for Every Practice Size

Regardless of whether you’re an independent provider or a multi-site organization, we craft flexible, scalable solutions to meet your specific requirements.

Transparent Communication & Real-Time Updates

We are strong believers in active communication, and you’ll always know where you stand regarding your credentialing status, billing statistics, and compliance readiness.