Provider credentialing and payer enrollment
Credentialing delays cost a new provider $30,000 or more in unbillable visits. We get you enrolled on time.
Credentialing, start to finish
Commercial payers
Aetna, BCBS, Cigna, UnitedHealthcare and regional plans.
Medicare and Medicaid
PECOS, state Medicaid, revalidations and reassignments.
CAQH management
Built, attested and kept current every 120 days.
Re credentialing
Licenses, DEA and malpractice tracked before deadlines.
Groups and facilities
New locations, group contracts and privileges.
Contracts and fee schedules
Logged so billing knows what each payer owes.
What to expect, week by week
Payers typically take 60 to 120 days in total. See the credentialing checklist.
- Within 48 hours
Intake
Licenses, IDs, malpractice and history collected securely.
- Week 1
CAQH and applications
Profile completed and applications submitted.
- Weeks 2 to 12
Weekly follow up
Every payer chased weekly, status reported to you.
- On approval
Billing handoff
Effective dates confirmed and billing begins.
Credentialing questions
How long does provider credentialing take?
Most commercial payers take 60 to 120 days from a complete application. Medicare enrollment through PECOS is often faster. We submit within 48 hours of receiving documents and follow up weekly.
What does CAQH have to do with credentialing?
Most commercial payers pull provider data from CAQH ProView. It must be complete and re attested every 120 days, or applications stall. We maintain it for you.
How much does credentialing cost?
Credentialing starts at $1,000, with volume discounts for groups and bundled pricing for billing clients.
Can you credential a group or a new location?
Yes. We handle group contracts, new locations, reassignments and facility privileges alongside individual enrollment.
See what your claims data says
Send us 90 days of claims. We return a clear report on denials, under coding and unworked AR, free.