Credentialing & Enrollment
Simplify practitioner enrollment and stay in-network with all major payers.
Avoid the administrative headache of credentialing. We handle initial payer enrollment, CAQH profile setups, Medicare re-validations, and contract rate negotiations for doctors and nurse practitioners.
Enrolling a new practitioner or opening a new clinic location shouldn't involve months of paper-pushing and delayed start dates. Payer credentialing is notoriously tedious, filled with micro-rules, and highly prone to multi-month delays for minor formatting mistakes.
Our expert credentialing department acts as your liaison with insurance networks. We gather your licenses, diplomas, and background checks, compile complete profiles, and navigate the application process from start to finish.
We also monitor re-credentialing cycles, ensuring your panels are never terminated due to missed deadlines. We keep your CAQH, NPI registry, and Medicare PECOS systems perfectly updated, protecting your practice's in-network status.
What you get
- End-to-end Application Care
- We fill out, submit, and track complex enrollment packets for commercial and government panels.
- CAQH Maintenance
- Continuous profile updates and quarterly attestations keeping your credentials perfectly valid.
- Contract Optimization
- We don't just enroll you,we lobby for higher fee schedules based on regional standards.
How it works
- 1
Information Gathering
We compile all provider medical education, certifications, malpractice, and licensing documents.
- 2
Profile Alignment
We build and clean up your CAQH, PECOS, and NPPES profiles to establish perfect consistency.
- 3
Payer Submission
Customized applications are submitted to selected major local, state, and commercial networks.
- 4
Monitoring & Attestation
We follow up with insurance credentialing committees weekly until your contract and in-network dates are live.
Common questions
How long does the provider credentialing process take?
Commercial credentialing typically takes 90 to 120 days. Medicare/Medicaid enrollment can take 60 to 90 days.
Do you assist with commercial contract fee renegotiations?
Yes, we evaluate your existing contracts and present data-backed rate increase requests to payers.
Do you manage credentialing for multi-state clinics?
Yes, we support multi-state provider enrollment and telemedicine credentialing structures.
See what your practice is leaving on the table.
Send us a recent aging report and denial summary. We will show you where the money is stuck and what it would take to collect it.