Credentialing & Enrollment
We streamline the complex process of provider credentialing and payer enrollment to get you in-network faster. Our expert team manages every step from initial application to final approval, ensuring your providers can start billing and receiving reimbursement without unnecessary delays.
Key Aspects of Credentialing & Enrollment
Our credentialing specialists navigate the intricate requirements of each payer, hospital, and health system to ensure accurate and timely approval. We handle CAQH profile management, primary source verification, committee presentations, and ongoing monitoring to keep your providers in good standing across all networks.
Initial Credentialing
Comprehensive credentialing for new providers including CAQH profile creation, application completion, and primary source verification. Average completion time of 60-90 days depending on payer requirements.
Re-Credentialing Management
Proactive monitoring of credentialing expiration dates and timely submission of re-credentialing applications. We ensure uninterrupted participation in all payer networks and hospital privileges.
Payer Enrollment Services
Complete enrollment with Medicare, Medicaid, and commercial insurance plans. We handle all paperwork, follow-up communications, and expedite approvals to minimize revenue delays.
Hospital Privileging Support
Assistance with hospital medical staff applications, committee presentations, and privilege delineation. We coordinate with hospital credentialing offices to streamline the approval process.
Accelerating Your Path to In-Network Status
Time is money in healthcare, and credentialing delays can significantly impact your revenue. Our team leverages established relationships with payers and deep knowledge of each organization’s requirements to expedite approvals. We maintain detailed tracking systems, provide regular status updates, and proactively address any issues that arise. From NPPES registration to final contract execution, we handle every detail so you can focus on patient care.
If an application is denied, we immediately investigate the reason and develop a remediation strategy. This may involve providing additional documentation, correcting errors, or appealing the decision. Our experience with payer requirements helps us resolve issues quickly and achieve successful outcomes.
We provide counseling, therapy, stress management programs, psychiatric evaluations, medication management, mindfulness training, and wellness programs
We provide counseling, therapy, stress management programs, psychiatric evaluations, medication management, mindfulness training, and wellness programs