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End-to-end payer enrollment for physicians, NPs, PAs, and facilities so you get in-network faster, stay compliant, and keep revenue flowing without enrollment bottlenecks.

60–90
Days avg. Medicare
100%
Payer follow-up
24/7
Status visibility

Medical credentialing is the process of verifying a healthcare provider's qualifications and enrolling them with insurance payers so they can bill for services. Without proper credentialing, claims are denied, reimbursements are delayed, and practices lose revenue.
For US medical billing, credentialing is the gateway to in-network reimbursement. Every new provider, location, or payer relationship requires enrollment. Re-credentialing cycles, CAQH attestations, and license renewals add ongoing complexity that can overwhelm in-house teams.
Payer network
We enroll providers with major national and regional payers the same network displayed across our platform so your panel is complete before claims go out.
Coverage includes UnitedHealthcare, Aetna, Cigna Healthcare, Elevance Health, Humana, Kaiser Permanente, Molina Healthcare, Centene, Blue Cross Blue Shield plans, Highmark, HCSC, Florida Blue, and additional regional carriers upon request.
Our services
Explore our credentialing capabilities cards rotate automatically, or click any service to view details.

Service 01 / 08
Initial enrollment with commercial, government, and regional payers so your providers can bill in-network from day one.
Specialties
Specialty-specific enrollment requirements, privileging, and payer rules—handled by teams who credential your discipline every day.

Anesthesia billing, documentation, and compliance. Surgical and pain management support.
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Echo and cath documentation, codes, and compliance. Cardiology-specific workflows.
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Primary care, chronic care management, and family practice workflows.
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GI procedures, endoscopy coding, and gastroenterology billing support.
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Lab billing, CPT coding, and compliance for laboratory services.
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General practice workflows, E&M coding, and broad-scope support.
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Chiropractic billing, manipulation codes, and documentation support.
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Derm billing, Mohs, and procedural coding. Integrations with common EMRs.
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Podiatry-specific coding, foot and ankle procedures, and billing workflows.
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Surgical and office-based osteopathic billing and workflows.
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Primary care, chronic care, MIPS support, and internal medicine workflows.
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OT billing, rehab codes, and occupational therapy documentation.
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Skilled nursing, therapy services, and Medicare home health agency enrollment.
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Non-skilled home care credentialing, payer enrollment, and compliance support.
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Durable medical equipment supplier enrollment, accreditation, and payer paneling.
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Custom workflows and support for any specialty. Scale with your practice.
View specialty workflows
Anesthesia billing, documentation, and compliance. Surgical and pain management support.
View specialty workflows
Echo and cath documentation, codes, and compliance. Cardiology-specific workflows.
View specialty workflows
Primary care, chronic care management, and family practice workflows.
View specialty workflows
GI procedures, endoscopy coding, and gastroenterology billing support.
View specialty workflows
Lab billing, CPT coding, and compliance for laboratory services.
View specialty workflows
General practice workflows, E&M coding, and broad-scope support.
View specialty workflows
Chiropractic billing, manipulation codes, and documentation support.
View specialty workflows
Derm billing, Mohs, and procedural coding. Integrations with common EMRs.
View specialty workflows
Podiatry-specific coding, foot and ankle procedures, and billing workflows.
View specialty workflows

Surgical and office-based osteopathic billing and workflows.
View specialty workflows
Primary care, chronic care, MIPS support, and internal medicine workflows.
View specialty workflows
OT billing, rehab codes, and occupational therapy documentation.
View specialty workflows

Skilled nursing, therapy services, and Medicare home health agency enrollment.
View specialty workflows
Non-skilled home care credentialing, payer enrollment, and compliance support.
View specialty workflows
Durable medical equipment supplier enrollment, accreditation, and payer paneling.
View specialty workflows
Custom workflows and support for any specialty. Scale with your practice.
View specialty workflowsOur process
A proven five-step workflow from document collection to approved enrollment with full visibility at every stage.
We gather provider credentials, licenses, certifications, and payer-specific requirements into a centralized checklist.


Your credentialing desk
Specialists, compliance advisors, and RCM coordinators on every account.
Enrollment delays, payer rejections, and missing attestations are revenue risks. Our credentialing desk resolves blockers quickly—with named specialists who know your providers and payer mix.
Payer-specific experts who manage applications, follow-ups, and committee inquiries daily.
Monitor licenses, DEA, malpractice coverage, and re-attestation deadlines across your roster.
Direct access for enrollment blockers, payer rejections, and urgent panel-opening requests.
Align credentialing status with billing so claims are never filed before effective dates.
Dedicated specialists and streamlined workflows reduce average enrollment time compared to in-house credentialing.
A single point of contact who knows your practice, providers, and payer mix—no ticket queues or handoffs.
Visibility into every application, payer, and provider so billing and operations teams always know where things stand.
Rigorous QA on every submission reduces rejections, resubmissions, and costly delays from incomplete paperwork.
We track re-credentialing cycles, license renewals, and CAQH attestations so nothing falls through the cracks.
Credentialing data flows directly into your RCM workflow so claims are never submitted before enrollment is active.
Outsourcing credentialing pays for itself through fewer denials, faster reimbursements, and a team that can focus on patient care instead of paperwork.
Proper enrollment prevents out-of-network and non-participating provider denials that erode revenue.
Get providers enrolled faster so billable services start generating revenue without unnecessary gaps.
Free your clinical and administrative staff from paperwork so they can dedicate time to patients.
Add new providers, locations, or payers without overwhelming your internal team with enrollment backlogs.

Answers to common questions about timelines, costs, documents, and payer enrollment.
Timelines vary by payer and specialty. Medicare and Medicaid enrollment typically takes 60–90 days, while commercial payers often complete in 45–120 days. We track every application in real time and follow up proactively so delays are minimized.
Common requirements include your medical license, DEA certificate, board certification, malpractice insurance, CV, W-9, hospital privileges (if applicable), and payer-specific forms. We provide a customized checklist for each payer and provider so nothing is missed.
Pricing depends on the number of providers, payers, and services needed (initial enrollment, re-credentialing, CAQH, PECOS, etc.). We offer transparent, per-provider or bundled pricing with no hidden fees. Request a quote for a tailored estimate.
Re-credentialing is the periodic renewal of your enrollment with payers, typically every 2–3 years depending on the insurer. Missing a re-credentialing deadline can result in claim denials and payment holds. We monitor expiration dates and manage renewals before they lapse.
CAQH ProView is a centralized database used by most commercial payers to verify provider credentials. A complete, attested CAQH profile is required for efficient enrollment. We set up, maintain, and re-attest your CAQH profile so payers receive accurate, up-to-date information.
Yes. We credential physicians, nurse practitioners, physician assistants, and other licensed providers across all practice settings—including group practices, hospitals, ASCs, and telehealth.
Give it a try
Book a walkthrough of our credentialing workflow—payer tracking, document checklists, CAQH management, and billing integration. No obligation, tailored to your roster and payer mix.
