Provider Credentialing & Payer Enrollment

Get Credentialed Faster,
Start Earning Sooner

We manage your entire credentialing and enrollment process CAQH setup, payer applications, follow-ups, and re-credentialing so your providers get in-network, stay compliant, and start generating revenue without the costly delays.

500+
Payer Networks
99%
First-Pass Approval
30 Days
Avg. Turnaround
HIPAA Compliant
CAQH Verified

Enrollment Status

Live provider dashboard

98%
M
Medicare
Approved
BC
Blue Cross Blue Shield
Approved
AE
Aetna
In Review
UH
UnitedHealthcare
Submitted
Enrolling providers with:
Medicare Medicaid Aetna Cigna Humana UnitedHealthcare
How It Works

Our Credentialing Process, Step by Step

A clear, proactive process built to get your providers in-network fast — with full visibility at every stage and zero guesswork.

01

Discovery & Documentation

1–2 days

We collect provider details, licenses, NPI, and required documents, then map out every payer you need to enroll with.

02

CAQH Setup & Verification

3–5 days

We build or update your CAQH profile and complete primary source verification so applications move forward without avoidable rejections.

03

Payer Application Submission

Per payer

We prepare and submit clean enrollment applications to Medicare, Medicaid, and all of your target commercial payers.

04

Follow-Up & Tracking

Until approved

We chase every application proactively, resolve payer queries, and keep you updated until each approval lands.

05

Approval & Go-Live

Go-live

You receive confirmed effective dates and contracts — your providers are in-network and ready to start billing.

06

Re-Credentialing & Maintenance

Ongoing

We handle ongoing CAQH attestations, renewals, and expirables so you never fall out of network or lose revenue.

What's Included

One Service, Every Step Covered

From first application to ongoing maintenance, we handle the full credentialing and enrollment lifecycle — so nothing slips through the cracks.

CAQH Profile Management

Complete setup, attestation, and continuous upkeep of your CAQH profile to keep applications moving without delays.

Payer Enrollment & Applications

End-to-end enrollment with Medicare, Medicaid, and commercial payers — clean, complete applications submitted on your behalf.

NPI Registration

Type 1 and Type 2 NPI registration and updates, ensuring your provider and group identifiers are accurate and active.

Primary Source Verification

Verification of licenses, education, board certifications, and work history to meet every payer's compliance standard.

Contract & Fee Schedule Review

Review of payer contracts and fee schedules so you join networks on terms that protect your reimbursement rates.

Re-Credentialing & Maintenance

Automated tracking of renewals, revalidations, and expirables so your providers never fall out of network.

Why It Matters

Every Day Uncredentialed Is Revenue Lost

A provider who isn't enrolled can't bill — and the longer applications sit, the more reimbursement slips away. Here's the difference the right partner makes.

Going It Alone

The slow, costly way

  • Applications stall for months with no one following up
  • Claims denied because providers aren't in-network yet
  • Revenue lost to delayed start dates and go-lives
  • Expired credentials trigger sudden network drops
  • Staff buried in payer paperwork instead of patients
  • No visibility into where any application stands
With Revenue Control

The fast, managed way

  • Clean applications submitted and tracked to approval
  • Providers in-network before they see their first patient
  • Faster go-lives that protect revenue from day one
  • Proactive renewal tracking prevents lapses
  • Your team stays focused on care, not credentialing
  • Real-time status updates at every stage
Free Credentialing Assessment

Ready to Get Your Providers Credentialed & Earning?

Book a free assessment and we'll review your current enrollment status, flag the gaps costing you revenue, and map the fastest path to getting paid.

No obligation No long-term contracts 100% HIPAA compliant