Provider credentialing & payer contracting
We enroll your providers with insurance companies, keep CAQH and licenses current, and review your payer contracts so you're paid fairly. No more claims denied because an enrollment slipped.
- Applications filed and followed up until approved
- CAQH re-attested on time, every time
- Every expiration date tracked in one calendar
- Contract rates reviewed against your volume
Sound familiar?
"Our new doctor still isn't in network."
"We found out a credential lapsed when claims bounced."
"CAQH keeps asking us to re-attest."
"Our insurance rates haven't changed in years."
In network, and staying there.
Initial credentialing
Enrollment with Medicare, Medicaid and commercial plans.
CAQH management
Profiles kept complete, current and re-attested.
Re-credentialing & tracking
Licenses, DEA, board certifications and payer cycles tracked.
Group & location updates
New addresses, tax IDs and locations filed with every payer.
Payer contract review
Rates, terms and filing limits reviewed in plain English.
Rate negotiation support
Your data packaged into a case for better reimbursement.
How we get you credentialed
- Step 1
Inventory
Every provider, payer and expiration date in one place.
- Step 2
Applications
Complete applications filed with each payer.
- Step 3
Follow-up
Regular status checks until each one is approved.
- Step 4
Maintenance
Renewals and updates handled before they're due.
Credentialing questions
More credentialing answers →How long does it take to get credentialed with insurance companies?
It often takes 60 to 120 days per payer, and sometimes longer. Complete applications, a current CAQH profile and steady follow-up keep it on the shorter end.
Can a new provider see patients before they're credentialed?
They can, but many insurers won't pay for visits before the effective date. Rules differ by payer, so check each one and start credentialing as soon as the provider signs.
What is CAQH, and why do I have to re-attest?
CAQH ProView is the shared profile most insurers use to check provider information. You must re-attest every 120 days, or insurers can pause credentialing or flag your file.
Can I negotiate higher rates with insurance companies?
Often, yes, especially if your contracts haven't been reviewed in years. The strongest case pairs your current rates with patient volume, quality results and what makes you hard to replace.
Find the gaps before claims do.
We'll check every provider's enrollments and expirations and show you what needs attention. Free, no obligation.