PROVIDER CREDENTIALING
Credentialing tracked from application to approval.
A provider who isn't fully credentialed can't get paid, no matter how clean the claim is. We manage the credentialing paperwork and follow-up so approvals don't stall.
WHAT'S INCLUDED
A complete, hands-on service — not a checklist.
CAQH profile management
Provider CAQH profiles built, attested and kept current.
Primary source verification
Education, licensure and work history verified against primary sources.
License & DEA tracking
Expiration dates tracked proactively so nothing lapses unnoticed.
Application submission
Credentialing applications prepared and submitted to each payer.
Status tracking
Clear visibility into where each provider stands in the credentialing process.
Re-credentialing reminders
Renewal cycles tracked so re-credentialing happens before it's urgent.
OUR PROCESS
How we run this service day to day.
Document collection
Licenses, certifications, malpractice coverage and work history are gathered.
CAQH profile build
A complete, attested CAQH profile is created or updated for the provider.
Application submission
Credentialing applications are submitted to each relevant payer.
Follow-up & tracking
Applications are actively followed up until a determination is made.
Ongoing maintenance
Expirations and re-credentialing deadlines are tracked on a recurring basis.
WHY IT MATTERS
What this means for your practice.
- ✓Fewer delayed start dates caused by incomplete credentialing.
- ✓Less staff time spent chasing paperwork and payer follow-up.
- ✓Proactive tracking that prevents lapsed licenses or insurance.
- ✓A single source of truth for every provider's credentialing status.
RELATED SERVICES
This service works closely with:
COMMON QUESTIONS
Medical Provider Credentialing Services — FAQ
Timelines vary significantly by payer — often 60 to 120 days — and depend on how complete the provider's documentation is at the start. We'll give you a realistic estimate for your specific payers.
Credentialing verifies a provider's qualifications and history; enrollment is the process of getting that credentialed provider added to a specific payer's network so claims can be paid. We handle both, and they're closely linked.
Yes — we track re-credentialing deadlines and manage the renewal process so credentials don't lapse.
Ready to put this to work for your practice?
Tell us about your practice and we'll show you where revenue is slipping through the cracks.