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Service 04 / Credentialing

Provider Credentialing & Payer Enrollment Services

A provider who cannot bill still costs you a salary. We handle enrollment end to end and chase it weekly, because applications nobody calls about sit longer than applications somebody does.

28 days
Average enrollment
500+
Payers in network
99%
Success rate
All 50
States active
Credentialing Services

Credentialing Delays Cost You Thousands. We Eliminate the Wait.

A new provider who isn't credentialed can't bill. An expired CAQH attestation can cost you payer contracts. Our credentialing specialists manage every detail so your providers are enrolled, active, and generating revenue on schedule.

  • Medicare Part A & B enrollment (CMS-855 applications)
  • All 50 state Medicaid programs enrollment
  • All major commercial payer credentialing
  • CAQH profile setup and continuous re-attestation
  • NPI registration (Type 1 & 2) and taxonomy management
  • Group practice enrollment and re-credentialing
  • Hospital privilege applications and peer review
  • State medical license verification and tracking
  • DEA and CDS registration management
  • TRICARE, CHAMPVA, and VA Community Care enrollment
  • Credentialing status tracking and proactive expiration alerts
Payers we credential with
MedicareAll 50 MedicaidBCBSAetnaUnitedHealthcareCignaHumanaMolinaCenteneTRICARE+ 490 more
How enrollment runs
01

Provider Data Collection

We gather all required documentation: licenses, DEA, malpractice, NPI, training certificates, and work history. Our checklist ensures nothing is missed on the first submission.

02

CAQH Profile Management

Complete CAQH setup or audit of existing profiles. Continuous re-attestation monitoring. We alert you 60 days before expiration and re-attest automatically.

03

Payer Application Submission

Simultaneous enrollment with Medicare, Medicaid, and all targeted commercial payers. Payer-specific applications prepared correctly the first time.

04

Active Weekly Follow-Up

Weekly payer follow-up from day one. We escalate when payers stall. Our relationships with credentialing departments move applications faster.

05

Enrollment Confirmation & Activation

We confirm effective dates, obtain provider IDs, and update your billing system immediately so billing can begin the same day enrollment is confirmed.

Why It Matters

Why ours move faster

28-Day Average Enrollment

vs. 90+ days managed in-house. We know the payers, portals, and people.

Zero Application Errors

Dual-review before every submission. Incomplete applications are the #1 cause of delays. We eliminate them.

Proactive Expiration Monitoring

We track every license, DEA, and CAQH attestation, alerting you 60–90 days before expiration.

Protect Your Revenue

Each unresolved credentialing issue costs $10K–$50K/month in delayed billing. We keep that number at zero.

Hiring, or stuck in a backlog?

One provider or fifty, we take the paperwork, the portals and the follow-up calls, and tell you the effective dates when they land.

Start credentialing