Go Credentialing.Payer Enrollment Experts

Payers we credential with.

Every payer below has a maintained playbook checked against the payer’s own provider manual and credentialing policy, with the verification date on record. That is what keeps applications out of the rejection queue.

The playbook library in numbers

THE PLAYBOOK LIBRARY · COUNTED, NOT CLAIMED
19

payer playbooks published, each against the payer's own manuals

16

state playbooks published, statutes and portals included

125

payers deep in the directory our filing work runs on

50

states we file in, playbook published or not

Government

National commercial

Blues

Medicaid MCOs

Specialty networks

Contracted with a payer that is not listed? We handle regional and specialty networks case by case; name it when you get in touch and we will tell you honestly whether we know its process well enough to run it.

Before you pick a card

The library, explained

Which payer credentials fastest?

Medicare, when the file is clean: a complete PECOS web application can process in about a week, though 45 to 60 days is the fair planning number. Commercial payers mostly state 45 to 90 days from a complete application, and the Wait Times Index on this site lists each payer's own figure with the month we verified it. The honest answer for a full commercial panel is 90 to 120 days end to end.

How many payers do you publish playbooks for?

Nineteen payer playbooks and sixteen state playbooks are published today, each hand written against that payer's own manuals or that state's own statutes. Behind them sits a payer directory 125 deep that our filing work runs on. We file in all fifty states and with regional payers case by case, and we say honestly when we do not know a network's process well enough to promise a timeline.

Why do some payers and states not have a guide?

Because a guide only publishes when it passes verification. Every page here has to trace to the payer's own published documents or the state's own statutes, and a record that fails that check gets no page rather than a vague one. When a missing payer matters to your panel, we still run the enrollment; the playbook exists internally before it is polished enough to publish.

How often are these playbooks reviewed?

Payer playbooks review on a quarterly cycle and state playbooks on a longer one, because statutes change slower than payer policy. Every page shows the month it was last verified and the month of its next scheduled review, and a figure that fails re-verification is removed rather than left to go stale.

Need enrollment with any of these?

Tell us which payers and which states. You get the realistic timeline and the price before you commit to anything.