New provider billing from day one, not month three
We manage the entire credentialing and payer enrollment process (CAQH setup, applications, follow-up, and tracking), so your providers are in-network and billing as fast as possible.
CAQH ProView Setup & Maintenance
We create and manage your providers' CAQH profiles, the central credentialing database used by most major payers. We keep attestations current so applications never stall.
Payer Enrollment Applications
We prepare and submit enrollment applications to all required payers (commercial, Medicare, Medicaid, and managed care organizations) with complete documentation packages.
Application Tracking & Follow-Up
We call and email payer credentialing departments weekly, so applications don't sit in a queue for months. You get status updates at every milestone.
Re-Credentialing Management
Most payers require re-credentialing every 2–3 years. We track expiration dates and initiate the process 90 days in advance, so providers never inadvertently fall out of network.
License & DEA Verification
We verify and track state medical licenses, DEA registrations, and malpractice insurance, and flag upcoming expirations before they create a credentialing or billing gap.
Expedited Enrollment Support
When a provider starts seeing patients before enrollment is complete, we advise on temporary billing options (locum tenens, incident-to, or roster billing) to minimize revenue loss.
Document Collection
We collect all required documents from the provider, NPI, DEA, medical license, malpractice certificates, CV, references, and practice location details.
CAQH Setup & Payer List Confirmed
CAQH ProView profile created or updated. We confirm the full payer list with you, which networks are required and priority order for enrollment.
Applications Submitted
All payer applications submitted simultaneously with complete documentation packages. Electronic submissions where available; paper applications where required.
Weekly Follow-Up & Status Updates
We contact each payer weekly to check application status, respond to information requests, and move stalled applications forward. You receive a status report every Friday.
Enrollment Confirmed: Provider Live
We confirm effective dates with each payer, update your billing system with provider IDs and contract rates, and verify that claims are processing correctly under the new enrollment.
You do not have to be a billing client to use this service. We take on credentialing and payer enrollment for practices that already have a biller or an in-house team.
- New provider enrollment with Medicare, Medicaid and commercial payers
- CAQH setup and attestation, and re-credentialing tracking
- Adding providers to an existing group contract
- Weekly follow-up and a status report until every effective date is confirmed
Pricing is scoped by the number of providers and payers, and we quote it after a short intake. Ask for a credentialing-only quote through the free assessment form.
Every month of credentialing delay costs your practice real money
A new provider seeing 15 patients per day at an average reimbursement of $150 per visit generates $45,000 in monthly revenue. Every month that provider isn't credentialed is $45,000 you can't collect, or must collect under a temporary arrangement that limits what you can bill.
The national average for payer enrollment is 90–120 days when done internally. Our average is 45 days, half the time, twice the revenue captured.
Want the full breakdown of what causes credentialing delays and how the retroactive billing window actually works? See our credentialing delays solution page for the root-cause analysis, or download our Physician Credentialing & RCM Guide (PDF) for a step-by-step reference.
The real cost of a slow enrollment
A new provider who can't bill is a provider whose revenue is sitting in a queue or being written off. Take a provider generating $40,000 a month in charges: a 90-day enrollment delay puts $120,000 of billed services at risk, and some payers won't backdate the effective date. The math gets painful fast.
Most delays aren't the payer's fault. Applications stall on an outdated CAQH attestation (CAQH requires re-attestation every 120 days), a missing malpractice certificate or a practice location that doesn't match the NPI record. Each one sends the file to the back of the queue.
Enrollment doesn't end when a provider is approved. Commercial payers generally re-credential every two to three years and Medicare revalidates most providers every five. A date missed quietly means a provider dropping out of network.
How we handle a new provider
- Days 1 to 3: Document collectionNPI, license, DEA, malpractice certificate, CV, references and practice location details, gathered in one checklist.
- Days 4 to 7: CAQH and payer listWe create or update the CAQH ProView profile and confirm with you which payers to enroll with, in priority order.
- Days 8 to 14: Applications outAll payer applications go in together, electronically where payers allow it.
- Weekly: Follow-upWe contact each payer every week and send you a Friday status report, so nothing sits in a queue unchecked.
- Go-live: Confirm and verifyWe confirm effective dates, load provider IDs and contract rates in your billing system, and check that the first claims process correctly.
What credentialing and enrollment costs
Credentialing is a standalone service. You don't need to be a billing client, and it works alongside an in-house biller or another billing company. We quote it per provider and per payer after a short intake, so you'll know the cost before we start.
For billing clients, enrollment support for new providers is part of onboarding. Ask about it in the free assessment.
Questions we hear most
How long does payer enrollment take?
Our average is about 45 days, but it varies by payer. Medicare and Medicaid timelines differ from commercial plans, and any missing document resets the clock.
Can a provider see patients before enrollment is done?
Often, yes, but billing options are limited and depend on payer rules. We advise on temporary arrangements such as locum tenens or incident-to billing and on what's allowed for each payer.
What is CAQH, and does it need updating?
CAQH ProView is the shared credentialing database most commercial payers use. Providers must re-attest every 120 days, and an expired attestation stalls applications.
How do you track re-credentialing?
We keep expiration dates for licenses, DEA numbers, malpractice coverage and payer contracts, and start re-credentialing about 90 days ahead.
Related: How credentialing delays cost revenue · Credentialing and enrollment guide · New provider onboarding · Free revenue assessment.
Have a new provider starting soon?
The sooner we start, the sooner they're billing. Contact us today and we'll have applications submitted within 7 days.
Start Credentialing Today →