Provider Credentialing
Full-service provider enrollment and credentialing management. We handle the paperwork, track the timelines, and make sure your providers are ready to bill from day one.
Schedule a ConversationCredentialing done right means revenue on time
A provider who cannot bill is a provider who is not generating revenue. Credentialing delays are one of the most common and most preventable causes of revenue loss for growing practices.
We manage the entire credentialing lifecycle: initial enrollment, CAQH maintenance, recredentialing, and multi-location credentialing. Our proactive tracking means nothing falls through the cracks.
Proactive timeline management
We track every application and every deadline. You receive regular status updates and we escalate with payors when timelines slip.
CAQH expertise
CAQH is the foundation of most commercial credentialing. We set up profiles correctly from the start and keep them current, which speeds up enrollment across all payors.
New provider onboarding
When you hire a new provider, we begin the credentialing process immediately. We coordinate with your HR and clinical teams to gather documentation and submit applications without delay.
Standalone or bundled
Credentialing is available as a standalone service or bundled with our RCM offering. Bundled clients benefit from seamless coordination between credentialing and billing.
Frequently asked questions
Provider credentialing is the process of verifying a provider's qualifications and enrolling them with insurance payors so that the practice can bill for their services. It includes primary source verification of licenses and certifications, CAQH profile setup and maintenance, and enrollment with Medicare, Medicaid, and commercial payors.
Timelines vary by payor. Medicare enrollment typically takes 60 to 90 days. Commercial payor credentialing ranges from 30 to 120 days depending on the plan. We begin the process as early as possible and track every application proactively to avoid delays.
Claims submitted before a provider is fully credentialed and enrolled may be denied or require retroactive billing, which many payors do not allow. We help practices plan provider start dates around credentialing timelines to avoid revenue loss during the gap period.
Yes. We track all credentialing expiration dates and manage the recredentialing process proactively. You will never miss a renewal deadline because we manage the calendar for you.
Yes. We handle credentialing for providers across multiple practice locations and tax IDs. This is common for practices with satellite offices or providers who split time between locations.
Our credentialing fees are structured to be transparent and scalable. Ongoing maintenance is priced per NPI per year, and new payor enrollments are priced per NPI per payor. This approach means your costs scale with your actual needs rather than a flat fee that may not reflect your volume. We are happy to provide a specific quote based on your provider count and payor mix.
Get your providers credentialed faster
Every day a provider cannot bill is revenue you cannot recover. Let's talk about your current credentialing situation and where we can help.
Schedule a Conversation