Provider Credentialing & Payer Enrollment
Get your providers on panel, and keep them there.
Credentialing is where revenue quietly stalls. A provider who isn't enrolled can't bill, and a profile that lapses takes a practice off panel without warning. We handle the applications, the follow-up and the expiry dates — nationwide.
- Applications filed correctly
- Chased until approved
- Nothing lapses
- Off your staff's desk
The problem
An unenrolled provider is an unbillable provider
Commercial payer enrollment commonly runs 90 to 180 days from a clean application. Every week of delay is a week of services that either can't be billed or have to be held and hoped for.
Most of that delay isn't the payer — it's applications returned for missing information, CAQH attestations that lapsed, or nobody following up when a file goes quiet. Those are the parts we control.
What we do
Credentialing, start to finish
Payer Enrollment
Initial credentialing and enrollment with commercial payers, from application through to approved and loaded.
CAQH Management
Profile build, document upload, and quarterly re-attestation so your data never goes stale.
Re-credentialing
Tracked and filed ahead of the deadline, so no one drops off a panel by surprise.
Medicare & Medicaid
PECOS and state Medicaid enrollment, revalidations, reassignments and group linkage.
Payer Contracting
Participation agreements, fee schedule review and rate negotiation where there's room to move.
Hospital Privileging
Facility applications, privilege delineation forms and reappointment cycles.
Why us
We do this every day, so your front office doesn't
Credentialing is nobody's full-time job inside a practice. It gets picked up between patients, and it's the first thing dropped when the day runs long — which is exactly why applications sit unanswered.
We track every file to approval, chase the payer on a schedule rather than when someone remembers, and monitor every expiry date in the background.
We're part of the same group as Six Equation Medical Billing Services, so if billing and credentialing both need attention, that's one conversation rather than two vendors.
Our approach
Get providers on panel faster, and make sure nothing lapses once they're there.
Get started
Fifteen minutes to see where you stand
Tell us how many providers you have, which payers you want on, and where things are stuck. We'll tell you what's realistic and what it takes.