Provider credentialing & payer enrollment
Get enrolled.
Get paid.
Credentialing with Medicare, Medicaid, and commercial payers in all 50 states, run from playbooks verified against each payer’s own manuals, by people who read them so you never have to.
maintained against the payers' own manuals
Medicaid, licensure, and supervision rules
Medicare, Medicaid, and commercial panels
tracked to the day so nothing silently lapses
The service desk
Pull any folder on the desk
Five services, one team that owns the outcome. Every folder is part of the same enrollment file, and this is what the paperwork inside actually looks like.
Enrolled with every payer that matters
- Medicare, Medicaid, and commercial panels in all 50 states
- Applications verified against federal registries before filing
- Payer follow-up on each payer's real cadence until approved
- Deficiency responses and resubmission at no extra cost
Why this exists
Payer enrollment is where practice revenue quietly dies
A provider who is not enrolled cannot bill. A provider enrolled wrong gets paid wrong for years. And every payer runs the process differently, on purpose, with rules that change under you.
Most credentialing services run on institutional memory: how it worked last time, at the last job, for a different payer. We keep maintained playbooks for every payer and state we file in, re-verified on a standing cycle against the payer’s own provider manuals and credentialing policies, because the application that follows last year’s rules is this year’s rejection.
That discipline sounds obvious. It is also rare, which is why the average enrollment takes months longer than the payer’s own published window, and why so much of our work begins as rescue: files that sat, applications that vanished into the wrong network, rosters that drifted until the remittances stopped making sense.
Where it goes wrong
Three ways enrollment dies, all preventable
The rejection loop
A stale attestation or one mismatched address gets the file rejected, and a rejection does not fix anything, it sends the provider to the back of a fresh 45 to 90 day queue. Twice through that loop is half a year gone.
The wrong-network dead end
Behavioral health aimed at the medical network, a location the payer never learned about, a group linkage nobody set: applications like these do not fail loudly. They evaporate, and everyone waits on nothing.
The silent lapse
CAQH expires every 120 days. Licenses, DEA registrations, and revalidations run on their own clocks. Any one lapse stops claims cold, and the spreadsheet tracking them is only as alive as the person who owns it.
From the payers’ own manuals
We do not guess what payers want. We read it.
These are the payers’ own rules, taken from provider manuals and credentialing policies we re-verify on a standing cycle. It is the difference between a playbook and a rumor, and it is why our applications go through the right door the first time.
See every payer we coverCredentialing decision up to 45 days, behavioral health routed through Optum's separate Provider Express process.
Contract first, then credentialing, with a network decision the payer puts at roughly 45 days. CAQH except in Arkansas.
CAQH ProView required everywhere except Arkansas, recredentialing every 36 months, credentialing status answered by phone.
PECOS enrollment, with effective dates that can reach back up to 30 days before a complete application in most physician cases.
Verified against payer-published documents, July 2026.
Watch an enrollment run
The actual shape of the work
The file moves station to station and takes a stamp at each one. The same run for one provider or fifty, and you can see where every file sits at every moment.
You sign up with an NPI
the registry fills your profile
One verified record forms
licenses, CAQH, history, documents
Every check turns green
identity, exclusions, 83,842 records
Filed clean, receipt captured
confirmation number on every payer
Chased to approved and billable
effective date locked in writing
Why practices switch
Credentialing without the guesswork
Verified against the source
Every payer we work runs on a playbook checked against that payer's own provider manual and credentialing policy, with the verification date on record. Payer rules change; the playbooks change with them.
Applications that survive first review
Every application is pre-checked against that payer's actual rejection patterns before it is submitted, because the first submission is the one that counts and rejections restart the payer's clock.
Closed at the money, not the approval
We confirm the effective date, the contract linkage, and electronic claims, remittance, and payment setup, and an enrollment closes when the first claim pays. Because that was always the point.
Deadlines tracked, not remembered
Re-attestations, recredentialing, revalidations, license renewals, and monthly exclusion screening run on a standing calendar with named owners. A lapsed date stops claims cold, so no date lives in anyone's memory.
Everything under one roof
The whole enrollment lifecycle
Provider Enrollment
Initial credentialing and payer enrollment for physicians, mid-levels, and behavioral health providers, run against playbooks verified from each payer's own manuals.
- 45 to 90days a commercial payer typically takes from a complete application
- 120days between CAQH re-attestations; one lapse stalls every payer reading the profile
- 50states we file in, Medicare, Medicaid, and commercial
Provider Licensing
State medical licenses, renewals, and multi-state expansion.
Provider Onboarding
New hire to first billable visit, with nothing forgotten in between.
Provider Data Management
One clean provider record, everywhere the payers look.
Practice Data Management
Group records, locations, and tax IDs that payers agree on.
Hospital Privileging
Medical staff applications and reappointments, chased to decision.
EDI, ERA & EFT Enrollment
Claims out, remittances back, payments deposited, per payer.
Compliance Monitoring
Exclusions, licenses, and expirables watched continuously.
Who we help
Credentialing breaks differently for everyone
Before you ask
The four questions everyone starts with
How long does credentialing take?
The payer sets the floor: commercial payers publish windows of roughly 45 to 90 days from a complete application, Medicare commonly lands in 30 to 60 days through PECOS, and state Medicaid varies from weeks to months. Plan on 90 to 120 days for a full commercial panel. What we control is what causes most real delay: complete first submissions and follow-up that never lets a file sit.
What does it cost?
Two models: a fixed price per payer application for defined projects, and a monthly per-provider rate for ongoing management of a roster. Either way the quote is exact and in writing before we start, after one conversation about your payers, states, and the condition of your records. No setup fees, and deficiency responses are included rather than billed as extras.
Do you replace our billing company or work alongside it?
Alongside, cleanly. Credentialing hands off to billing at the effective date, and because we confirm EDI, remittance, and payment setup as part of closing an enrollment, your biller receives a start-billing date they can trust. Many of our clients come to us through their billing company.
What do you need from us to start?
About an hour of gathering at intake: CVs, license details, malpractice face sheets, identifiers, and CAQH access or permission to create profiles. After that, our questions are rare and specific. You answer things once and we carry them everywhere they need to go.
Stop losing revenue to enrollment delays.
Payers, states, roster. Send those three and you get the realistic timeline and a written price the same business day.