Credentialing
Provider credentialing and payer enrollment
We prepare your payer applications and keep your CAQH profile current, and we follow up with each payer as your agreement describes.
It's free, and you can keep your current biller
Seeing patients before enrollment clears
You hire a nurse practitioner to start in June, and the application goes in that spring with one small error on it. The payer may not tell you for weeks. Meanwhile she's seeing patients, and those claims have to be held or might not get paid at all.
And approval isn't the end of it. A revalidation date can pass without anyone noticing, and the first sign is often a payment that stops coming.
The paperwork we take on
- Application preparationWe prepare payer applications from one verified set of provider details.
- CAQH profile upkeepWe keep the profile complete and remind the provider when attestation is due.
- Follow up with payersWe keep checking status as your agreement describes, and you can see where each application stands.
- Revalidation trackingWe track upcoming dates so enrollment doesn't lapse by accident.
How it runs
- 1
Send us the details
You give us provider details and the list of payers you want.
- 2
We submit
We prepare the applications and send them to each payer.
- 3
We track status
We follow up with each payer and tell you where things stand.
How this is priced
Credentialing is a fixed project fee per payer application, quoted in writing. Any fees charged by payers or states are paid by the practice.
How our pricing worksCredentialing questions
What people ask about this
Can you guarantee a payer will approve us?
No. The payer decides on enrollment, and some panels are closed. We can keep your application complete and follow up on it.
How long does credentialing take?
It varies a lot by payer and state, and it often takes months. We won't promise a date the payer controls, and we'll report status as your agreement describes.
Can we use credentialing without your billing service?
Yes. It's a separate project with its own fee.
Find out what your claims are leaving behind
Send us your denial and A/R reports and you'll have a written report within 48 hours, for free. You can keep your current biller while you decide.
