Go Credentialing.Payer Enrollment Experts

Who we help

Credentialing at roster scale.

For group practices, MSOs, and clinics where enrollment is a pipeline, not an event, and where one stalled application is a staffing problem.

Roster-scale pipeline Published pricing All 50 states HIPAA compliant

Provider Organizations & Groups: the numbers that shape it

PROVIDER ORGANIZATIONS & GROUPS · THE NUMBERS THAT SHAPE IT
120

day CAQH cycle, multiplied by every provider on the roster

36

month recredentialing waves that cluster unless flattened

1

stalled application is one provider who cannot cover the schedule

At group scale, credentialing stops being a task and becomes a system, and systems that live in one coordinator's head fail the day that coordinator is out. The mathematics are unforgiving: every provider is a CAQH cycle, a recredentialing date, a set of payer linkages, and a license calendar, and every hire, departure, and location change touches most of them at once.

The groups that run smoothly are not the ones with fewer problems. They are the ones where enrollment runs as a standing pipeline with visible status, so the question is never whether something was forgotten, only what is currently in flight and what it waits on. That is the operation we run.

Your version of the problem

What this looks like from your seat

Volume turns edge cases into weekly events

At ten providers, the odd payer quirk is an annoyance. At fifty, every payer's quirk is happening to someone right now, and the coordinator carrying it in their head becomes the single point of failure.

Turnover never stops

Providers join, leave, change locations, and change supervision arrangements continuously. Every movement is a set of payer updates, and the backlog compounds silently until claims start failing.

Group and individual records must agree

The group contract, the location records, and each provider's linkage have to line up per payer. Most group-scale payment weirdness traces back to a linkage nobody checked.

What actually happens

Your first ninety days, honestly

1

Week 1

The inventory, from payer records

Everything in flight and everything on a clock gets inventoried by pulling actual status from the payers rather than trusting the spreadsheet. Groups are always carrying two or three files that quietly died months ago; this is the week those surface.

2

Weeks 2 to 4

Stabilize what is urgent

Stalled files get chased through the channels each payer answers, expiring documents renew before they lapse mid-review, and the roster-wide calendar gets built: every CAQH date, recredentialing window, and license renewal with a named owner.

3

Months 2 and 3

The pipeline takes over

New hires enter a standing intake instead of an email thread, recredentialing waves flatten into scheduled work instead of quarterly panics, and the portal board replaces the where-are-we meeting.

4

Day 90 and after

Steady state, visibly

By this point the pipeline has history in it: real cycle times per payer, a calendar with nothing surprise-shaped on it, and a coordinator freed for the judgment calls instead of the chasing. Growth stops being gated on paperwork capacity.

How we work for you

Built for your shape of the work

Pipeline, not projects

Onboarding, changes, and recredentialing run as one standing pipeline with per-provider status you can see, so no application depends on one person remembering it.

Roster-wide maintenance

CAQH attestations, revalidations, and expirables handled on a calendar across the whole roster, with the audit trail kept as a by-product rather than an afterthought.

Payer-fluent escalation

When an application sits past the payer's own stated window, we escalate through the channel that payer actually responds to, which our playbooks record because we use them daily.

In your client portal

The whole roster on one board

At group scale the question is never one application, it is the shape of all of them: how many in flight, what is past a payer's window, which recredentialing wave is next, and whether anything expired while everyone was busy. Your portal shows the roster as a board, and any file on it opens into its full history.

The full process, step by step
Example: Roster board · 24 providers Tracked live
In flight9 applications
Approved this month4, effective dates in writing
Past payer window3, escalated this week
Next recred wave5 providers, prepped early
Your client portal renders this board for the whole roster, with every file one click deep.

Sample data, for illustration.

Asked constantly

Straight answers

Can you take over from our in-house coordinator without losing history?

Yes, and carefully. The first step is an inventory of everything in flight and everything on calendar, pulled from payer records rather than memory, so nothing currently pending gets dropped in the handoff. Coordinators usually stay for the clinical-adjacent work they prefer; we take the payer grind.

How do you report status across a large roster?

One live view: every provider, every payer, current stage, current blocker, and who owns it. The measure of good reporting is that nobody has to email anyone to find out where something stands.

What does a typical group engagement include?

New provider onboarding, terminations and changes, CAQH upkeep across the roster, recredentialing and revalidations, expirables tracking, and payer issue escalation. Effectively a credentialing department, priced per provider per month, without the hiring.

How many providers is your coordinator carrying alone?

Tell us your roster and where things stand today. You get a straight answer on timeline and price, whatever you decide to do with it.

Talk to a specialist

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