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Provider credentialing & insurance enrollment
Complete medical credentialing services for physicians, therapists, labs and home health agencies. We prepare and submit every payer enrollment application, follow up every third day, and show you live status in your client portal.
Follow-up every third day is the whole difference
Credentialing is not difficult work. It is persistent work. Applications stall because nobody calls about them, and a file that sits untouched in a payer queue costs you months of billable time.
Our dedicated credentialing team prepares and submits every application, then follows up with payers every third day until an effective date is confirmed. That cadence is what expedites approvals.
What is included
Charged per payer, so you decide how many to pursue and know the total in writing before anything starts.
Pricing
A flat fee per payer covering the complete process, from document collection through to confirmed effective date and fee schedule. Tell us your payer list and we will confirm the total in writing.
- Preparation and submission of every application
- Follow-up with each payer every third day
- Applications aligned to your taxonomy and state requirements
- CAQH profile setup, attestation and maintenance
- NPI registration and updates
- Contract and fee schedule review before you sign
- Revalidation and re-credentialing tracked ahead of deadlines
- A single point of contact who knows the status of every application
How enrollment runs
Five stages, with a named contact who knows where every application stands.
Scope your payer list
We work out which payers are worth pursuing for your taxonomy, your state and the patients you actually see. Chasing every payer on the market wastes months; a targeted list gets you billing sooner.
Gather and verify documents
Licenses, insurance, education, work history, CAQH. We chase the gaps rather than emailing you a checklist and waiting.
Prepare and submit
Applications completed and submitted to each payer, checked before they go out so they are not returned for a missing field.
Follow up every third day
This is the part that decides how long approval takes. Payers do not chase themselves, and applications that nobody calls about sit in a queue.
Confirm and hand over
Effective dates, participation numbers and fee schedules confirmed in writing, then loaded into your billing so claims go out correctly from day one.
Every application, live in your portal
You get portal access from day one. No chasing us for updates — the updates come to you.
- Manage the whole process
Upload documents, confirm details and see exactly what each payer still needs — no email chains, no wondering.
- Watch applications move
Every payer application is tracked with its live status, from submitted through to approved, updated as things happen.
- Message your coordinator
A named coordinator inside the portal, one click away. Ask a question or request a call without leaving the page.
Payer lists built for your taxonomy and state
Enrollment requirements differ by state and by provider taxonomy, and the payers worth pursuing differ with them. We recommend a targeted list rather than applying everywhere and hoping.
- Commercial payers relevant to your area and specialty
- State Medicaid programs and managed care organizations
- Medicare enrollment and revalidation
- Managed care and marketplace plans where they fit your patient mix
Credentialing questions
How long does credentialing take?
It depends entirely on the payer. Commercial payers commonly take 60 to 120 days; Medicare and state Medicaid programs vary widely. We cannot make a payer move faster than its own process allows, but following up every third day rather than every few weeks removes the dead time where an application simply sits unlooked-at, and that is usually where the delay lives.
How is credentialing priced?
A flat fee per payer, covering the complete process: document collection, application preparation, submission, the follow-up cycle, and confirmation of your effective date and fee schedule. You pick exactly how many payers to pursue and get the total in writing before we start.
Which payers should we enroll with?
That is the first conversation. The right list depends on your taxonomy, your state, and the payer mix of the patients in your area. We will recommend a list and explain the reasoning — including which payers we think are not worth the effort for your practice.
Can you take over credentialing that has stalled?
Yes, and it is a common request. We pick up applications already in flight, find out where each one actually is, and restart the follow-up cycle. Sometimes an application has been sitting complete for weeks with nobody calling about it.
Do you handle revalidation?
Yes. Revalidation deadlines are tracked ahead of time, because missing one can suspend your ability to bill a payer entirely and getting reinstated takes far longer than revalidating on schedule.
Tell us which payers you need
Send us your taxonomy and state and we will come back with a recommended payer list and a total cost.