Provider Credentialing Services
A provider who is not enrolled cannot bill that payer as in-network. We prepare the applications, follow them through, and keep track of the dates that can interrupt your payments.
Where credentialing goes wrong
Late starts
Payer review can take months, so applications that begin close to a hire date can delay billable work.
Stale profiles
An expired license, an out-of-date CAQH attestation or an old address can stall an application.
Missed renewals
A missed revalidation or recredentialing notice can interrupt payments for a provider already in network.
What is included
- Commercial, Medicare and Medicaid enrollment
- CAQH ProView setup and attestation reminders
- NPI and PECOS updates
- Group and individual provider linking
- EFT and ERA enrollment
- Application status follow-up
- Recredentialing and expiry tracking
Scope is confirmed for each client during the assessment.
How we work
Collect once
We gather licenses, certificates and history into one provider file.
Apply and follow up
We submit to your target payers and check on each application until there is a decision.
Track renewals
We watch expiry and revalidation dates and start the paperwork ahead of them.
Talk to us about Credentialing
Share a few details about your practice. We will review them and call you within one business day.