Get your providers credentialed and enrolled with the right payer networks faster. Our credentialing specialists manage every application, expirable, and re-credentialing cycle so your providers can focus on patient care while revenue flows from day one.
From initial application assembly to ongoing re-credentialing, we manage the entire provider enrollment lifecycle across every payer, state, and facility your organization requires.
Complete end-to-end enrollment for new providers, including application preparation, primary source verification, CAQH profile setup, and submission to all required commercial, Medicare, and Medicaid payer networks. We manage the entire process to get your providers billing-ready in as few as 45 days.
Proactive re-credentialing management that begins 120 days before each deadline. We update all application data, verify current licenses and certifications, submit renewal applications, and follow up with every payer to ensure continuous network participation with zero gaps in coverage.
Full CAQH ProView profile creation and ongoing maintenance. We build complete, accurate profiles, upload supporting documents, respond to payer data requests, re-attest quarterly, and ensure your providers' CAQH profiles are always current and accessible to credentialing organizations.
Automated tracking of every license, certification, DEA registration, malpractice policy, board certification, and continuing education requirement for every provider in your organization. We send 90-, 60-, and 30-day renewal alerts and manage the renewal process to prevent any lapse.
Strategic support for payer contract negotiations, including fee schedule analysis, market rate benchmarking, and term optimization. We help you understand your current reimbursement position, identify underperforming contracts, and negotiate better rates that align with the value your providers deliver.
For large groups, health systems, and MSOs, we manage delegated credentialing programs that meet NCQA standards. Our team handles the credentialing committee process, maintains compliant files, conducts internal audits, and manages payer delegation agreement requirements.
A streamlined, transparent process that takes the complexity out of credentialing and gets your providers earning revenue faster.
We gather all required provider information, conduct primary source verification of education, training, licensure, board certification, and work history, and build a comprehensive credentialing file that satisfies the requirements of every target payer.
Our specialists prepare CAQH profiles, complete payer-specific applications, compile supporting documents, and quality-check every submission for completeness and accuracy before it leaves our office. Incomplete applications are the top cause of enrollment delays, and we eliminate them.
Applications are submitted to each payer and tracked in our credentialing management system. We follow up at defined intervals, respond to payer requests for additional information within 24 hours, and escalate stalled applications through payer provider relations contacts.
Upon approval, we confirm effective dates, update your billing systems with provider numbers, and transition the provider to our ongoing monitoring program. Expirables, re-credentialing deadlines, and CAQH re-attestation dates are tracked automatically going forward.
Every day a provider is not enrolled with a payer is a day you cannot bill for their services. For a busy provider seeing 20-30 patients per day, enrollment delays of even 30 days can mean $50,000-$150,000 in lost or delayed revenue. Worse, retroactive billing limitations at many payers mean some of that revenue is lost permanently.
Common questions about our provider credentialing and payer enrollment services.