Complete Credentialing
& Medical Billing
Services.
Get credentialed faster, submit cleaner claims, reduce denials, and collect revenue sooner. Niyutsa Technologies manages provider enrollment, payer credentialing, medical billing, coding, AR follow-up, eligibility, prior authorization, and end-to-end RCM across all 50 states.
Five ways credentialing and billing problems compound each other
Delayed credentialing blocks billing
A provider who is not yet enrolled with a payer cannot be reimbursed by that payer, no matter how clean the claim is.
Claim errors slow payment
A rejected or denied claim adds days to payment even when the underlying service was performed correctly.
Denials drain cash flow
Denials that are never worked back to their root cause become revenue that quietly disappears.
AR backlogs hide collectible revenue
Aging receivable that no one is actively following up on eventually crosses a payer's filing or appeal deadline.
Eligibility and authorization mistakes create avoidable write-offs
Coverage or authorization problems that could have been caught before the visit become write-offs after it.
Find Out What Is Slowing Down Your Revenue
Send us your current credentialing, billing, or AR challenge. A Niyutsa specialist will review your situation and respond within one business day.
By the numbers
Ten years of enrollment data, across every specialty and every state.
Physicians, APPs, and group practices across all specialties
First-submission approval rate across commercial and government payers
Full-scope credentialing and enrollment in every US state
Average reduction in time-to-billing versus managing credentialing in-house
Decade of specialized healthcare credentialing expertise
Enrolled providers with over 200 commercial, Medicare, and Medicaid payers nationwide
Credentialing & Revenue Cycle Management
From first application to ongoing maintenance, we handle every step of the credentialing and enrollment lifecycle.
Credentialing & Provider Enrollment
Provider Credentialing
Full-cycle credentialing for physicians, APPs, therapists, and specialists. We handle CAQH ProView, primary source verification, hospital privileging, and ongoing maintenance.
Payer Enrollment
Commercial insurance enrollment with all major payers, Aetna, BCBS, Cigna, UHC, Humana, Anthem, and regional plans across all 50 states. Individualized and group enrollment.
Medicare / PECOS Enrollment
New enrollments, revalidations, changes of information, and opt-out processing through Medicare PECOS. Specialty-specific guidance for all provider types.
Medicaid Enrollment
Multi-state Medicaid enrollment and re-enrollment through state portals. We track state-specific requirements, deadlines, and documentation mandates.
CAQH & NPPES Management
Complete CAQH ProView profile setup, quarterly attestations, and NPPES NPI registration/updates. We eliminate the quarterly attestation burden entirely.
DMEPOS & Specialty Enrollment
Specialized enrollment for DMEPOS suppliers, DME providers, labs, imaging centers, and behavioral health providers with complex payer-specific requirements.
Contract Negotiation
Review, negotiate, and execute favorable reimbursement terms with commercial payers. We analyze fee schedules and advocate for competitive rates.
Revalidation & Maintenance
Proactive tracking of revalidation cycles, license renewals, DEA renewals, and payer-required updates. Zero lapses in provider status.
Directory & Demographic Updates
Provider directory accuracy management across payers. Update practice locations, specialty codes, accepting new patients status, and billing information.
Licensing Support
State medical licensing coordination, DEA registration, CLIA, and specialty board certification tracking. Multi-state licensing for telehealth providers.
Medical Billing & Revenue Cycle Management
Eligibility Verification & Prior Authorization
Coverage confirmed and authorizations obtained before the visit, so a preventable denial never has the chance to happen.
Medical Billing & Coding
Charge entry, CPT/ICD-10-CM coding, claim scrubbing, and electronic submission handled from your documentation.
Claims Submission & Scrubbing
Every claim validated against payer-specific and NCCI edits before it ever leaves your practice.
Payment Posting
Remittances reconciled against your contracted rate, not just posted at face value.
Denial Management
Denials categorized by root cause, corrected and resubmitted, or formally appealed within the payer's window.
Accounts Receivable Follow-Up
Outstanding claims worked systematically by age, payer, and denial reason — not left to age past a filing deadline.
CPT / HCPCS / ICD-10 Coding Review
Certified coders review encounters against documentation, with provider queries where a note doesn't support the code.
Complete RCM & White-Label Support
All of the above as one engagement — or white-labeled under your brand for billing companies and RCM partners.
Enrollment done right, every time
A proven six-step process refined over a decade. No guesswork, no surprises, just systematic enrollment.
Discovery & Intake
We review your practice's specialty, payer targets, and existing credentialing status. A dedicated specialist is assigned within 24 hours.
Documentation & Verification
We collect, organize, and verify all required documentation, matching payer-specific requirements before submission.
Application Preparation
Our specialists prepare every payer application with precision, using payer-specific templates built from years of enrollment experience.
Submission & Tracking
Applications are submitted electronically and by mail to all target payers simultaneously, with tracking in our system from day one.
Follow-up & Escalation
We follow up with every payer on a structured cadence, escalating when needed to avoid unnecessary delays.
Activation & Maintenance
Once approved, we confirm your effective date, update your provider directory, and transition to ongoing maintenance to protect your enrollment.
You get a named specialist, not a ticket queue
Every provider gets a named credentialing specialist with direct contact information. Not a support queue. Not a rotating team. One accountable person who knows your file.
Faster Time to Revenue
Proprietary workflows and payer-specific experience cut credentialing timelines by 25%+ compared to in-house teams. Every week faster means more billable revenue.
Dedicated Specialist Team
Each provider gets a named credentialing specialist, not a ticket queue. Direct communication, accountability, and expertise in your specialty.
99.4% First-Pass Approval
Our application quality checks eliminate the most common rejection triggers before submission, saving weeks of re-work and re-submission delays.
Proactive Maintenance
Automated tracking of revalidation deadlines, license expiry, and CAQH attestations. You never miss a deadline or lose in-network status unexpectedly.
Real-Time Status Updates
A live credentialing dashboard and regular status calls keep you informed at every step. No chasing us for updates, we push them to you.
All 50 States, Every Payer
From Medicare and Medicaid to commercial giants and regional IPAs, we have enrolled providers with over 200 payers across all US states.
Everything included.
Nothing hidden.
Our flat-rate model means you always know what you're paying. No per-application fees, no surprise charges for re-submissions, no upsells.
- No long-term contracts, month-to-month arrangements
- Flat-rate pricing with no hidden fees
- Guaranteed 48-hour engagement kickoff
- Free credentialing audit for new clients
- Credentialing software included at no extra cost
- HIPAA-compliant secure portal for document sharing
Outcomes practices actually see
The result of coordinating credentialing and billing as one process instead of two disconnected ones.
Faster time to billing
Providers enrolled and effective with payers sooner, so revenue starts flowing instead of waiting on paperwork.
Cleaner first-pass claims
Claims scrubbed against payer and coding edits before submission, cutting the rejection cycle that adds days to payment.
Lower denial leakage
Denials worked back to their actual cause instead of resubmitted blind, so fewer of them repeat.
Better payer follow-up
Outstanding claims tracked systematically by age and payer, rather than left until they age past a filing deadline.
More predictable cash flow
Credentialing and billing coordinated as one process, so an enrollment gap is caught before it becomes a denial pattern.
Built for every healthcare setting
Whether you're a solo practitioner or a national MSO, we tailor credentialing strategies to your size, specialty, and state requirements.
Solo Physicians & Group Practices
From single-provider practices to multi-specialty groups, credentialing built for your scale.
Hospitals & Health Systems
Volume credentialing for employed physicians, locums, and contractors with streamlined MSO workflows.
Behavioral Health Providers
Psychologists, therapists, LCSWs, counselors, navigating complex behavioral health payer panels.
Telehealth Platforms
Multi-state licensing and enrollment for virtual care providers. FSMB Compact and telehealth-specific payers.
Pediatric Practices
CHIP, Medicaid, and commercial enrollment for pediatricians and pediatric specialists.
Dental & Vision Practices
Delta Dental, VSP, MetLife, Cigna Dental, payer enrollment for dental and vision providers.
Physical Therapy & Rehab
PT, OT, SLP, outpatient therapy enrollment with Medicare functional limitation requirements.
Medical Billing Companies
White-label credentialing services for billing companies managing provider portfolios at scale.
Providers who chose better credentialing
Real outcomes from real healthcare practices across the US.
“Niyutsa enrolled our entire 12-provider group practice with three commercial payers in under 60 days. Our previous vendor took four months for four providers. The difference is night and day.”
“We were losing $40K/month in uncollected revenue because of delayed Medicare enrollment. Niyutsa got our new hospitalist credentialed and billing in 38 days. The ROI was immediate.”
“As a telehealth platform, we need multi-state licensure and payer enrollment for dozens of providers at once. Niyutsa built us a custom workflow that scaled with our growth. Exceptional team.”
“Our behavioral health practice had been denied by Aetna twice before Niyutsa identified the credentialing gaps. They resubmitted, we got approved, and we're now in-network with all major payers.”
“I run a billing company and white-label Niyutsa's credentialing services to my physician clients. They're responsive, accurate, and make my company look good. Highly recommend.”
“The CAQH quarterly attestation alone was costing us 10+ hours of admin time. Niyutsa took it over completely. Our profiles are always current and we've had zero denials due to outdated data.”
Common questions, answered
Can't find your answer here? Our team responds within one business day.
Ask a QuestionTypical timeline: Medicare PECOS 30–60 days · Commercial payers 60–120 days · Medicaid 30–90 days. We submit within 48 hours of intake and follow up weekly.
Credentialing timelines vary by payer and specialty, but most commercial payers take 60 to 120 days from application submission. Medicare PECOS typically takes 30 to 60 days. Medicaid varies by state, ranging from 30 to 90 days. We begin your enrollment immediately upon intake to minimize delays, and our 99.4% first-pass approval rate avoids common re-work delays.
We provide a simple intake form that guides you through the required documents: state medical license(s), DEA registration, NPI number, board certifications, malpractice insurance certificate, work history for the past 5 to 10 years, CV/resume, and government-issued ID. Your dedicated specialist will follow up for anything additional payer-specific.
Absolutely. We specialize in multi-state credentialing and are particularly experienced with telehealth providers who need licensure and enrollment in 10+ states at once. We track all state-specific requirements, fee schedules, and renewal cycles in parallel.
Yes. Medicare enrollment through CMS PECOS is one of our core services, including new enrollments, revalidations, changes of information, and 855 forms. For Medicaid, we enroll providers in all 50 state programs and manage ongoing revalidation requirements.
We handle all payer deficiencies, additional information requests, and denial responses within 24 hours. Our team is familiar with payer-specific escalation paths and appeals processes. We do not charge extra for re-submissions or appeals, it's included in your service.
We offer flat-rate monthly pricing based on the number of providers and scope of services. There are no per-application fees, no re-submission charges, and no long-term contracts. We offer a free credentialing audit to new clients. Contact us for a customized quote.
Yes. Managing CAQH ProView, including quarterly attestations, document updates, and accuracy checks, is included in our ongoing maintenance service. We eliminate the attestation burden entirely, ensuring your profiles never lapse.
We offer a white-label credentialing partnership for revenue cycle management and medical billing companies. You can offer credentialing services to your physician clients under your own brand, powered by Niyutsa's team and infrastructure.
Yes. Niyutsa Technologies provides complete revenue cycle management alongside credentialing: eligibility verification and prior authorization, medical billing and coding, claims submission and scrubbing, payment posting, denial management, and accounts receivable follow-up.
A provider who is not yet enrolled with a payer generally cannot be reimbursed by that payer, regardless of how accurately the claim is coded. Because Niyutsa Technologies handles both functions, an enrollment gap is visible as the cause of a denial pattern instead of being rediscovered later in aged receivable.
Common causes include coverage that was not verified before the visit, a missing or expired prior authorization, documentation that doesn't support the code billed, a coding edit violation, and claims submitted for a provider who was not yet enrolled with that payer. We categorize every denial by its actual cause before deciding whether to correct and resubmit or formally appeal.
Yes. We review aged receivable against each payer's timely filing and appeal deadlines and give a candid assessment of what is genuinely still collectible, then work the recoverable balances by payer and denial reason.
Yes. Both our credentialing and RCM services are available white-label for medical billing companies and RCM firms, delivered under your brand, with rates structured for profitable resale.
Still deciding? Get a second opinion on your revenue cycle.
Same free audit, no obligation — a specialist responds within one business day.
Three pricing models.
No surprise charges.
Adding a payer starts at $100–$250 per application. Ongoing credentialing runs $200–$450 per month on retainer. New practices get a single flat fee of $500–$1,500. No per-application surprises. No long-term contracts.
All plans include CAQH management, development letter response, and re-submissions at no extra cost.
Find Out Where Credentialing Delays, Billing Errors, and Unpaid AR Are Costing You
From provider enrollment to claim submission, denial management, and AR follow-up — a Niyutsa specialist will review your situation and respond within one business day.
Let's talk about your credentialing
Tell us about your practice and we'll respond within one business day with a tailored credentialing plan and pricing. All client work is managed from our Dallas, TX office. Our Delhi team provides after-hours support and extended coverage.
"Niyutsa got our 6 providers credentialed across 5 payers in under 90 days. Incredibly responsive team."