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.
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.
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 →