Service
Provider Credentialing
We get your providers credentialed and enrolled so they can bill without delay, and we track every re-credentialing date so nothing ever lapses.
What’s included
Provider Credentialing
- NPI registration (Type 1 & Type 2) and CAQH profile setup and maintenance
- Medicare and Medicaid enrollment
- Commercial payer enrollment (BCBS, Aetna, Cigna, UHC, and others)
- Application preparation and payer follow-up through enrollment
Overview
The foundation everything else rests on.
Credentialing is the foundation that everything else rests on. Until a provider is credentialed and enrolled with the right payers, they can't bill, and every week waiting is revenue that's simply not coming in. We manage the credentialing and enrollment process from start to finish, chasing payers when applications stall and keeping you updated at every stage.
We treat credentialing as part of the revenue cycle, not a separate admin task. When it's handled right, new providers can start billing faster and nothing expires because someone missed a re-credentialing deadline.
What's included
What our credentialing service covers.
NPI registration (Type 1 & Type 2) and CAQH profile setup and maintenance
Medicare and Medicaid enrollment
Commercial payer enrollment (BCBS, Aetna, Cigna, UHC, and others)
Application preparation and payer follow-up through enrollment
Re-credentialing tracking and compliance management
Credentialing status monitoring and reporting
Not sure where your provider files stand?
A short call is the quickest way to find out what needs fixing first.
Who it helps
Practices we help with credentialing.
- 01
New providers joining a practice
Clinicians who need their NPI, CAQH and payer files ready before they can bill.
- 02
Mental health & psychiatry clinics
Behavioral health practices credentialing therapists, psychiatrists and nurse practitioners.
- 03
Multi-provider group practices
Groups that need to keep many provider files current at once.
Our process
How we handle your credentialing.
- 01
Review
We look at each provider's NPI, CAQH, licenses and documents as they stand today.
- 02
Set up
We fill in or fix profiles and get the applications ready.
- 03
Track
We submit them, check the status and follow up until they are approved.
- 04
Maintain
We keep track of re-credentialing and renewals from then on.
FAQ
Credentialing questions.
Want to talk it through?
Tell us about your practice and we will point you in the right direction.
Contact usCAQH ProView is the database most commercial payers use to check a provider's information. A missing or outdated profile is one of the most common reasons applications get stuck, so we set it up properly and keep it current.
Yes. We keep track of re-credentialing and document expiry dates and take care of renewals well before they become urgent.
It depends on the payer and the state. We cannot speed up a payer, but a complete application and steady follow-up get you through as quickly as possible.
Credentialing and billing run as parallel tracks. Where a provider is already enrolled with some payers, we can begin billing through those while credentialing applications are pending with others. We keep you updated on the status of each so you know exactly when each payer goes live.
Free consultation
Ready to get provider files in order?
Tell us how many providers you have and where their files stand. On a free call we will tell you what to fix first.
- Pick a date and time that suits you
- Confirmation and calendar invite by email
- Talk through your billing, denials and collections
Book a call