Negotiations
Medical Credentialing & Payer Contracting
Enrolled, contracted, and billing, without the wait.
Tristate manages the full credentialing and payer enrollment lifecycle for your providers, new enrollments, re-credentialing, CAQH maintenance, and payer contracting. We submit complete applications fast, follow up proactively, and track every renewal so nothing lapses.
What You Get
- New payer enrollments and re-credentialing for all target payers
- CAQH profile creation and ongoing maintenance
- Primary-source verification coordination
- Weekly status reports and a re-credentialing calendar
- Benchmarks: ≥95% on-time submission, ≤5 avg days to submission, ≥90% first-submission approval rate
What We Need From You
Provider CV, DEA certificate, state licenses, malpractice certificate, NPI/taxonomy codes, signed Authorized Agent Agreement.
Typical Timeline
Applications submitted within 5 business days of receiving complete documentation. Payer processing timelines (60–120 days) are outside Tristate’s control.
Why Tristate
“We track every renewal so nothing lapses, and our 5-day submission target keeps your providers billing as fast as the payer allows.”