Provider credentialing that gets you billing sooner
We prepare and submit credentialing applications with every payer you need, keep CAQH current and follow up until each network approves your provider.
What’s included
- Payer selection based on your location and patient mix
- NPI (NPPES) setup and updates
- CAQH ProView profile and attestation
- Commercial, Medicare and Medicaid applications
- Status follow-up with every payer
- Effective date and participation confirmation
- Credentialing tracker shared with you
How we handle it
Collect
Licenses, DEA, board certification, malpractice, work history and NPI.
Prepare
CAQH profile completed and attested, applications filled out.
Submit and follow up
Applications submitted and followed up every 1 to 2 weeks.
Confirm
Participation and effective dates confirmed before claims go out.
Details that matter
Commercial credentialing often takes 60 to 120 days, and longer with some payers or in busy seasons. The most common cause of delay is not the payer. It is an incomplete application, an expired document or a CAQH profile that was not re-attested.
We confirm the effective date with each payer before billing, because claims for services before that date are usually denied.
What we need from you
- State license(s), DEA and board certification
- Malpractice insurance certificate
- CV with month-and-year work history
- NPI, TIN and practice location details
- CAQH login if you already have one
Questions about provider credentialing
Can we see patients before credentialing is done?
You can, but claims to that payer may be denied or paid out of network. Some payers allow retroactive effective dates; many do not.
Do you credential nurse practitioners and therapists?
Yes. We credential physicians, NPs, PAs, psychologists, counselors, therapists and other licensed providers.
See where your revenue is going.
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.