Payer Enrollment
Getting a provider onto a commercial panel, from first application to confirmed and billable.
Application preparation
We assemble the full packet — licensure, DEA, board certification, education and training history, work history with gaps explained, malpractice coverage and claims history. Incomplete packets are the single biggest cause of delay.
Submission to each payer
Every payer wants it slightly differently. We file to each one's current process rather than sending the same packet everywhere and hoping.
Follow-up on a schedule
Files go quiet. We contact the payer on a set cadence, escalate when a file stalls, and keep a dated record of every contact.
Confirmation it's actually live
Approved isn't the same as loaded. We confirm the provider is in the payer's system with the right effective date and group linkage before we call it done.
Effective dates and retro billing
Where a payer allows retroactive effective dates, we ask for them — that can recover weeks of otherwise unbillable services.