Who we help
Credentialing capacity for RCM companies.
For billing companies whose clients keep asking for credentialing, and whose margins die when senior billers get pulled into enrollment paperwork.
Sample file, shown for illustration.
Billing & RCM Companies: the numbers that shape it
services clients expect from one vendor: billing and credentialing
new hires needed to say yes with a white-label partner
impression your client gets is the enrollment work done under your name
Every billing company hears the same question: can you handle credentialing too. Saying no sends the client shopping for a firm that says yes to both, and saying yes without real capacity quietly converts your best billers into part-time enrollment clerks while the margin evaporates.
The partnership model fixes the economics. We run credentialing as your back office, under your brand or as a referral, with handoffs built billing-ready because we live downstream of enrollment ourselves: effective dates confirmed, group linkages correct, EDI and ERA switched on. Your client sees one competent vendor. You see capacity without headcount.
Your version of the problem
What this looks like from your seat
Clients assume you do this
Practices expect their billing company to handle enrollment, and saying no invites them to shop for someone who says yes to both. Saying yes without capacity quietly burns your best people.
Enrollment errors surface as your denials
When credentialing is wrong, it presents as claim rejections, and the client calls you either way. You end up owning the problem without owning the process.
It is a different discipline
Billing skill does not transfer to payer enrollment. The portals, the cadences, the paperwork instincts are their own trade, and learning it on live clients is expensive.
What actually happens
Your first ninety days, honestly
Week 1
Client inventory, one intake per practice
Each client practice gets inventoried once: roster, payer targets, and whatever is already in flight, pulled from payer records so nothing pending gets dropped. Your account managers hand over context; they do not become project managers.
Weeks 2 to 4
The queue starts moving
Applications file in SLA order across clients, each one run through the same pre-checks we publish in the rejections guide, because a bounced enrollment eventually surfaces as your denial rate and your client conversation.
Months 2 and 3
Production cadence, visible per client
Filings, approvals, and chases run on a weekly rhythm you can see per client practice, with anything past a payer's stated window escalated rather than aged. Volume pricing steps down automatically as monthly application counts cross the published tiers.
Day 90 and after
A number you can promise clients
With real throughput data behind you, your team quotes enrollment timelines to clients from evidence instead of hope, under your brand or ours, whichever the relationship calls for.
How we work for you
Built for your shape of the work
White-label or referral, your call
We run credentialing under your brand as your back office, or take referrals directly. Either way your client relationship stays yours.
Clean handoffs to billing
Because we live downstream of enrollment ourselves, effective dates, group linkages, and EDI setup are delivered billing-ready, not thrown over a wall.
Capacity without headcount
Take on credentialing clients without hiring and training a credentialing team first; scale the work up and down with your pipeline.
In your client portal
Production your clients can be shown
When credentialing is part of your service, your clients' where-is-it questions become your where-is-it questions. Each client practice gets its own portal board answering them directly: what is in flight, what filed this week, what a payer is sitting on, and what got escalated. Hand the client their link, or keep it internal and let your account managers read from it. Either way, nobody emails anyone to find out where something stands.
The full process, step by stepSample data, for illustration.
Where the work lives
The services that carry your weight
Provider enrollment
The production line itself, priced per application so your margin math stays simple.
See the servicePractice data management
Client group records and linkages kept straight, because mislinked providers surface as your denial spikes.
See the serviceEDI, ERA and EFT
The piece your billers feel first: rails confirmed with real transactions before anyone calls it done.
See the serviceCompliance monitoring
Roster-wide calendars across every client, so a lapsed attestation never becomes a denial wave you have to explain.
See the serviceThe research that matters to you
Published volume pricing
Per application rates with tiers at 10 and 50 monthly, so your quoting is arithmetic.
Read itThe Wait Times Index
The stated windows your account managers can quote to clients with a straight face.
Read itWhy applications get rejected
The bounces that turn into your denial conversations, and the pre-checks that prevent them.
Read itAsked constantly
Straight answers
White-label or referral, how do the two differ in practice?
White-label means we work under your brand, inside your client relationship, with your name on the communication; the client experiences a bigger, more capable version of you. Referral means we take the client directly and you stay out of the delivery. Firms choose per client, and both keep the billing relationship untouched.
How do handoffs to our billing team work?
Enrollment closes billing-ready or it is not closed: effective dates confirmed in writing, group and location linkages verified, EDI, ERA, and EFT proven with live transactions. Your team gets a start-billing date they can trust instead of an approval letter and a prayer.
Can you absorb a client with a credentialing mess we inherited?
That is a common entry point. We audit what actually exists in payer records, triage by revenue impact, and rebuild from the record outward. It is quotable work: the audit produces a fixed-scope list before you or the client commit to anything.
Clients asking for credentialing? Say yes without building a department.
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.