Credentialing & Provider Enrollment
Stop losing months of revenue to paperwork. We get your providers enrolled and keep them enrolled.
Overview
Every week a provider waits on payer enrollment is a week of visits you either can't bill or must hold. Credentialing is pure process work — forms, portals, follow-up calls — and it rewards teams that do it every day.
We prepare and submit applications for Medicare, Medicaid, and commercial payers, keep CAQH profiles attested, chase payers weekly for status, and track every license, DEA registration, and board certification so nothing lapses silently.
What's Included
Application Management
Complete preparation and submission for government and commercial payers.
CAQH Setup & Attestation
Profiles built, documents loaded, and re-attested on schedule.
Weekly Payer Follow-Up
We call and document payer status weekly — applications never sit unnoticed.
Revalidations
Medicare and payer revalidation deadlines tracked and completed early.
Expirables Tracking
Licenses, DEA, malpractice, and board certifications monitored with advance alerts.
Contracting Support
Fee schedule collection and participation status confirmed in writing before you see patients.
Frequently Asked Questions
Commercial payers typically take 60–120 days and Medicare 45–90 days. We can't change payer timelines, but weekly follow-up and error-free first submissions routinely cut 3–6 weeks compared to practices doing it themselves.
Yes. We start with a status audit of every provider-payer combination, prioritize by revenue impact, and rebuild the tracking so you always know exactly where each application stands.
We manage group NPI setup, new practice locations, tax ID changes, and adding providers to existing group contracts — the scenarios where small errors cause the longest delays.