Provider Enrollment & Credentialing
Credentialing done right — so your providers bill in-network from day one
We run payer enrollment, CAQH, revalidations and re-credentialing end to end. No dropped applications, no surprise out-of-network denials, and no revenue stuck behind a 120-day approval nobody chased.
Credentialing at a glance
- Turnaround
- 60–90 days, actively pushed
- Payers
- Medicare, Medicaid & all major commercial
- CAQH
- Built, attested & maintained
- Revalidations
- Tracked before they lapse
What we handle
From a solo provider joining a new group to a full practice adding payers, we own the paperwork and the follow-up — the part that actually eats your staff’s week. Initial enrollment, CAQH, re-credentialing, revalidations, and EFT/ERA setup all sit with one team.
How we run your credentialing
- Audit & document intakeWe confirm NPIs, licenses, DEA, malpractice and work history, and flag anything that will slow a payer down before we ever submit.
- CAQH build & attestationWe create or clean up CAQH, upload every document, and keep attestations current so payers never bounce an application.
- Payer applicationsMedicare (PECOS), Medicaid and commercial applications submitted correctly the first time, matched to each payer’s exact format.
- Follow-up until approvedWeekly payer calls and portal checks with escalation — you get a live status tracker instead of a black hole.
- Approval & revalidation calendarEffective dates confirmed, EFT/ERA set up, and every revalidation and re-credentialing date put on a calendar we watch for you.
What we need from you
One clean handoff and we take it from there:
- Individual & group NPI
- Active state license(s)
- DEA / CDS certificate
- Malpractice certificate of insurance
- CV with a gap-free work history
- Practice details & Tax ID / EIN
- Voided check for EFT enrollment
What your practice gets
- In-network on the earliest possible effective date
- No revenue lost to expired or missed revalidations
- A single point of contact who owns every application
- A live status tracker for every provider and payer
- Retro-billing pursued wherever payers allow it
- Clean, maintained CAQH that stops future denials
Adding a provider or a new payer? Let’s get it moving.+1 786-788-7313Start credentialing
