Provider Credentialing Services
New providers cannot bill until they are enrolled. We manage applications, CAQH profiles and re-credentialing so providers start seeing insured patients sooner.
Problems we solve
- Applications delayed by incomplete or outdated information
- Expired credentials discovered after claims are denied
- Providers seeing patients before enrolment is active
How it works
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Document collection
Licences, certifications, malpractice cover and work history are gathered and verified.
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Application and CAQH
Applications are completed and the CAQH profile is kept current and attested.
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Follow-up
We chase each payer and record effective dates and contract details.
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Maintenance
Expiry dates and re-credentialing deadlines are tracked and reminders sent.
What you will see in reporting
- Application status by payer
- Effective dates
- Upcoming expiries
Who it suits
Valuable for growing practices, new providers and groups adding payers or locations.
Specialties we support
- Primary Care
- Dental Practices
- Orthopedics
- Cardiology
- Mental Health
- MSOs & DSOs
- Urgent Care
- Dermatology
- Physical Therapy
- Ophthalmology & Optometry
Related guides
Provider Credentialing: A Step-by-Step Guide
What credentialing involves, the documents you need, why it takes time and how to avoid delays.
2 min read
Outsourcing vs In-House Billing: How to Decide
Pros, cons and costs of outsourced and in-house billing, plus questions to ask a billing partner.
2 min read
Frequently asked questions
How long does credentialing take?
It varies by payer and can take several weeks to a few months, which is why starting early matters.
Do you load fee schedules?
Yes. Once contracts are active we can load fee schedules so expected payments are known.
Book a free consultation
Tell us about your practice and the support you are looking for. We will arrange your free consultation.