Eight credentialing services, one experienced team
We manage every aspect of the credentialing lifecycle from initial enrollment through ongoing maintenance. Whether you need a single service or a complete outsourced credentialing department, we have the right engagement model for your practice.
Provider Credentialing
Complete credentialing for physicians, NPs, PAs, and allied health professionals. Hospital privileges, commercial panels, multi-specialty, and group credentialing with a 99.4% first-pass approval rate.
- All specialties and provider types
- Hospital and facility privileges
- Group and solo practice
- Same-day status updates
Payer Enrollment
Panel enrollment with every major US payer including Aetna, BCBS, Cigna, UHC, Humana, and 200+ regional carriers. Parallel submissions to all target payers with proactive follow-up until approval.
- 200+ payer relationships
- Simultaneous multi-payer submission
- Panel reopening requests
- Commercial and government payers
Medicare Enrollment (PECOS)
Medicare Part B PECOS enrollment, Form 855 paper applications, Medicare Advantage credentialing, revalidation management, and reassignment of benefits for individual providers and groups.
- All 12 MAC jurisdictions
- PECOS and Form 855 applications
- Medicare Advantage credentialing
- 90-day revalidation alerts
CAQH ProView Management
CAQH ProView profile setup, quarterly attestation management, document tracking, payer authorization management, and profile audits to prevent credentialing delays from CAQH issues.
- Initial profile setup
- Quarterly attestation management
- Document expiration tracking
- Payer authorization management
Medicaid Enrollment
State Medicaid fee-for-service enrollment and managed Medicaid credentialing across all 50 states. We know state-specific portals, timelines, and documentation requirements for every state Medicaid program.
- All 50 state Medicaid programs
- Managed care organization credentialing
- State portal management
- Ongoing revalidation management
Contract Negotiation
Insurance contract negotiation for improved fee schedules above payer standard grids. Particularly effective for group practices, high-volume specialties, and providers in underserved geographic areas.
- Fee schedule negotiation
- Contract language review
- Rate benchmarking by specialty
- Renewal and renegotiation support
Revalidation and Maintenance
Ongoing credentialing maintenance including Medicare and Medicaid revalidation, commercial payer re-credentialing, license renewal tracking, and profile updates across all payer systems.
- Zero missed revalidation deadlines
- License and certification tracking
- Payer re-credentialing management
- Real-time status portal
NPPES and NPI Management
NPI registration, Type 1 and Type 2 NPI management, NPPES record updates, taxonomy code management, and coordination of NPI data across CAQH, PECOS, and payer systems.
- Type 1 and Type 2 NPI
- Taxonomy code management
- Address and specialty updates
- Cross-system NPI coordination
Credentialing for every medical specialty
Our team has specialty-specific credentialing expertise across primary care, surgical specialties, behavioral health, allied health, and ancillary providers.
Frequently asked questions about our services
Do you handle credentialing for all provider types?
Yes. We credential and enroll physicians (MDs and DOs), nurse practitioners, physician assistants, psychologists, licensed clinical social workers, licensed professional counselors, physical therapists, occupational therapists, speech-language pathologists, DMEPOS suppliers, and other allied health professionals.
Can you credential providers in multiple states at the same time?
Yes. Multi-state credentialing is a core part of what we do. We manage applications across all 50 states simultaneously from a single point of contact, including state-specific Medicaid programs, regional commercial payers, and state license verifications.
How do you keep clients updated on application status?
Every client has access to our real-time application status tracker. We also send proactive status updates whenever there is a meaningful development. Our team follows up with every open application every 7 to 10 business days and contacts clients immediately when payers request additional information.
What is your pricing model?
We offer both per-provider project pricing and monthly retainer arrangements for ongoing maintenance. Pricing depends on the number of providers, target payers, and states involved. Contact us for a free consultation and custom quote based on your specific situation.
How quickly can you start after a contract is signed?
We begin the intake process within 48 hours of contract execution. Our onboarding team contacts new clients the same business day and initiates the secure document collection process immediately.
Not sure which service you need?
Contact our credentialing team for a free 30-minute consultation. We will review your current provider roster, enrollment status, and credentialing needs and recommend the right approach for your practice.