Credentialing & Payer Enrollment
Full-lifecycle provider enrollment and proactive re-attestation to protect your billing privileges.
Providers cannot collect payment until they are formally credentialed. We prepare enrollment packets, maintain CAQH ProView profiles, submit PECOS and Medicaid filings, and track revalidation deadlines so clinical revenue flows uninterrupted.
What We Handle
- Commercial insurance provider credentialing (BCBS, Aetna, UHC, Cigna, Humana)
- Medicare PECOS (CMS-855I/855B) and state Medicaid enrollment filings
- Proactive 120-day CAQH ProView attestation and primary-source document maintenance
- Group NPI affiliations, new location additions, and hospital privileging packets
What You Receive
- A comprehensive live status tracker covering every provider, payer, and revalidation date
- Proactive follow-up with payer contracting committees until effective dates are issued
- Elimination of unexpected billing holds caused by expired credentialing profiles
See where your revenue is leaking
Start with a free 10-point A/R and denial audit. We sign a BAA before any patient data is shared.
Request the free audit Request our BAA