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Credentialing
We handle the applications, CAQH and follow-up to get your providers enrolled with Medicare, Medicaid and commercial payers.
Enrollment gets your providers set up with payers so claims for their services can be processed. Credentialing, the process of getting a provider approved by a payer, is a key step in the revenue cycle. We spot and fix paperwork problems early, before they delay your reimbursements.
Credentialing and enrollment services allow you to:
Credentialing done right keeps your providers billing without interruption. Our team gathers and reviews the documents, completes the applications and follows up with each payer until approval is complete.
Let us handle the complicated parts. Our staff has the experience and the time to manage every detail until your providers are fully credentialed.
We gather licenses, DEA, board certification, malpractice insurance, CV and practice details once.
Your CAQH profile is created or updated and attested, and NPI and PECOS records are checked.
Applications go to Medicare, Medicaid and the commercial payers you choose, with regular follow-up.
We confirm effective dates and contracts, then keep re-attestations and revalidations on schedule.
It varies by payer and state. Many commercial payers take about 60 to 120 days, and some can take longer. Starting early and following up often makes the biggest difference.
Yes, for the first two months: credentialing and enrollment are free for providers who use our medical billing service, then billed at a very affordable rate.
Usually your state license, DEA (if applicable), board certification, malpractice insurance, CV with work history, NPI and practice details. We send you a simple checklist.
Yes. We track CAQH re-attestation, Medicare revalidation and payer re-credentialing dates and handle them before they lapse.
See the offers for your organization: