Get Credentialed.
Get Paid. Faster.
We manage the entire credentialing and enrollment process — from application to approval — so your providers can see patients and collect revenue without delays or paperwork headaches.
Credentialing Done Right. Every Time.
Credentialing is one of the most complex, time-consuming administrative tasks in healthcare — yet a single error or delay can halt your revenue entirely. Our specialists manage the entire process, from initial applications to ongoing re-credentialing, so your practice never misses a beat.
We maintain deep relationships with payer credentialing departments, know exactly what each payer requires, and follow up relentlessly until every provider is fully approved and generating revenue.
- New provider enrollment with all payers
- Medicare & Medicaid enrollment (CMS 855I/B/A)
- CAQH profile creation, maintenance & attestation
- Commercial payer contracting & negotiations
- Re-credentialing before expiration dates
- Hospital & facility privileging support
- Provider data updates & demographic changes
Full-Spectrum Credentialing Services
From brand-new providers to established practices — we handle every credentialing scenario.
New Provider Enrollment
We handle the complete enrollment application for new providers joining your practice — gathering all required documentation, completing payer applications, and following up until approval and effective date confirmation.
Medicare & Medicaid Enrollment
Expert management of CMS 855I, 855B, and 855A forms, PECOS enrollment, and state Medicaid applications. We navigate the complexities of federal program enrollment so you don't have to.
Re-Credentialing Management
Most payers require re-credentialing every 2–3 years. We track every expiration date and initiate renewal applications 90–120 days in advance, ensuring zero lapse in your participation status.
CAQH Management
We create, update, and maintain your CAQH ProView profile — the universal credentialing database used by most commercial payers. Regular attestations and document uploads keep your profile current and compliant.
Payer Contracting
Beyond enrollment, we assist with reviewing payer contracts, understanding fee schedules, and negotiating better reimbursement rates — making sure your participation actually benefits your bottom line.
Facility & Group Enrollment
Credentialing for group practices, surgery centers, urgent care facilities, and new practice locations. We handle both individual provider and organizational enrollment simultaneously to minimize delays.
Our Credentialing Process — Step by Step
A proven, systematic approach that gets providers enrolled faster and keeps them enrolled without gaps.
Discovery & Document Collection
We begin with a credentialing discovery call to identify all target payers, understand your practice structure, and collect required documents — DEA certificate, state licenses, malpractice insurance, board certifications, NPI, tax ID, and more.
Comprehensive document checklistCAQH Profile Setup & Attestation
We create or update your CAQH ProView profile, upload all required documents, and complete the quarterly attestation — ensuring your universal credentialing profile is complete, accurate, and ready for payer use.
All payers use CAQHPayer Application Submission
We complete and submit credentialing applications to every target payer simultaneously — commercial insurers, Medicare, Medicaid, and managed care organizations — using payer-specific forms and portal systems.
Parallel submissions for speedActive Follow-Up & Status Tracking
We contact each payer every 10–14 days to check application status, respond to information requests, and resolve any issues. Our credentialing tracker gives you real-time visibility into every application's progress.
Bi-weekly follow-up per payerApproval & Effective Date Confirmation
Once approved, we obtain the provider's effective date and payer-assigned ID numbers, verify they are correctly loaded into your billing system, and confirm your practice can begin submitting claims immediately.
Same-day system updatesOngoing Maintenance & Re-Credentialing
We maintain a credentialing calendar for your entire provider roster — tracking license renewals, DEA expirations, malpractice coverage, and re-credentialing deadlines so nothing ever lapses.
Proactive 90-day renewal alertsPayers We Credential With
The Cost of Getting Credentialing Wrong
Credentialing mistakes don't just cause delays — they can result in claim denials, retroactive takebacks, exclusion from payer networks, and significant revenue loss. Our team ensures every detail is handled correctly the first time.
- Avoid retroactive claim denials due to enrollment gaps
- Prevent revenue loss from out-of-network billing errors
- Eliminate manual paper-chasing and payer phone holds
- Protect your practice from OIG exclusion risks
- Ensure new providers are revenue-generating on day one
- Stay ahead of re-credentialing deadlines automatically
Enrollment Takes 60–120 Days
Most payers take 2–4 months to complete credentialing. We start the process immediately and push every application to reduce this timeline by 30–50%.
Uncredentialed Claims = Lost Revenue
Claims submitted before a provider's effective date are denied and often cannot be rebilled. Our same-day approval confirmation protects every dollar.
Re-Credentialing Lapses Are Common
Many practices lose payer participation simply because they missed a re-credentialing deadline. Our automated calendar and 90-day advance alerts make this impossible.
Payer Follow-Up Is a Full-Time Job
Tracking application status across dozens of payers requires constant follow-up. Our dedicated credentialing team handles every call, portal check, and information request so your staff doesn't have to.
Get Your Providers Credentialed Faster.
Don't let credentialing delays cost your practice another day of revenue. Our team is ready to start your applications immediately.
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