Credentialing and payer enrollment, handled from first application to revalidation
Until a provider is enrolled with a payer, visits with that payer’s members can’t be billed in network. We complete the applications, answer payer follow-ups and keep every file current, so enrollment doesn’t hold up your schedule.
What we take care of
Whether you are adding one clinician or opening a new location, we handle the paperwork and the follow-up with each payer.
- 01
NPI and CAQH ProView
We set up or clean up NPI records in NPPES and keep CAQH profiles complete, with documents uploaded and re-attestation done every 120 days.
- 02
Medicare enrollment in PECOS
Individual, group and facility enrollments, reassignment of benefits, changes of information and five-year revalidations.
- 03
Medicaid and managed care plans
State Medicaid enrollment plus applications to the Medicaid managed care organizations in your area.
- 04
Commercial payer contracting
Applications and network requests with commercial and Medicare Advantage plans, including status checks until each plan confirms your effective date.
- 05
EFT and ERA setup
Electronic payment and remittance enrollment with each payer, so deposits and payment details arrive electronically.
- 06
Expiration tracking
We monitor license, DEA, board certification and malpractice dates and send reminders before anything lapses.
How enrollment works with us
- 1
Collect documents once
You send licenses, certifications, insurance and practice details through one checklist. We keep them on file for every future application.
- 2
Submit to each payer
We complete and submit each application and record when it was sent and who received it.
- 3
Follow up until approval
Payers often take several weeks to a few months. We check status regularly and answer their questions so applications don’t stall.
- 4
Confirm and maintain
You receive the effective date and provider ID for each plan. We then handle revalidations, updates and renewals.
Find out what your billing is missing
Request a free audit of your claims, denials and unpaid balances. We will show you, in writing, where revenue is getting stuck and what it takes to fix it.
- No cost and no obligation
- Covered by a business associate agreement
- Written findings you keep