One less thing your practice has to worry about

Q: What documents does the provider need to have ready?

We will need: State medical license, DEA certificate, NPI number, malpractice insurance certificate, board certifications, CV with no employment gaps, and proof of training.

Getting credentialed with insurance networks is what keeps your practice running and your payments coming in. We take care of the entire process from start to finish, so your practice stays enrolled and compliant.

Keep Your Practice Credentialed

Credentialing delays can stop your patients from coming in and receiving payments. We handle applications, verifications, and renewals from start to finish, helping you stay compliant. Without our services, insurers will not pay a single claim.

What we manage on your behalf:

Every license and credential is verified directly at the source, so no application gets kicked back
Full panel enrollment across Medicare, Medicaid, and 50+ commercial payers
CAQH profile built, maintained, and attested, so commercial payers always have current data
Re-credentialing before expiration dates to prevent billing gaps
Hospital and facility privileging handled start to finish, with follow-up until confirmed

Our effortless medical billing solutions

A clear, step-by-step revenue cycle workflow speeds up claim payments. It also maintains the financial strength of your practice.

Build the Patient Profile

Check Before You Claim

Decode the Perks

Turn Claims Into Revenue

Prior to visit, we check the patient's basic information and insurance details. This helps us avoid errors and prevents claims from being rejected later.
On the spot eligibility checks confirm active coverage, plan benefits, deductibles, co-pays, and authorization requirements for each patient visit.
Certified coders review clinical notes and assign precise CPT codes. We scrub claims for errors before submission to maximize first-pass acceptance.
Payments are posted the same day. Denials are flagged, corrected, and resubmitted within 48 hours. We follow up on every aging claim until your account is resolved.

Built on the standards payers audit against

Our specialists operate within the frameworks set by the most recognized accreditation and compliance bodies in healthcare, so every application we submit holds up to scrutiny.

HIPAA compliant

Provider data, license documents, and malpractice records are handled under strict HIPAA protocols with encrypted storage, access controls, and signed BAAs.

CAQH ProView certified

We are experienced in full CAQH profile management, which includes setup, quarterly attestation, and real-time updates. These are the central requirements most commercial payers depend on.

NCQA-aligned process

Our credentialing workflow follows NCQA credentialing standards, the benchmark used by health plans and accreditation bodies to assess provider verification quality.

Certifications

We maintain the highest standards because your trust is important to us. Our certifications reflect our dedication to keeping patient data secure.

Listen to our Happy Client

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Got Questions? We Have Answers.

Straight answers to what practices ask us most before getting started with credentialing.

How long does credentialing actually take?

Most commercial payers take 60–90 days from a complete application submission. Medicare and Medicaid can run 90–120 days, depending on the state and backlog.

Can a provider see patients while credentialing is in progress?

Yes, providers can see patients, but they cannot bill those visits through insurance until enrollment is confirmed. Some payers offer retroactive billing once credentialing is approved, which we always pursue on your behalf. We advise practices on how to handle billing during the pending period.

What documents does the provider need to have ready?

We will need a:

State medical license
A DEA certificate
An NPI number
A malpractice insurance certificate
Board certifications
A CV with no employment gaps
Proof of training

Do you handle re-credentialing when enrollments expire?

Yes. We include re-credentialing for all active providers we manage. We track each end date and start the renewal process 120 days before the deadline.

Which payers do you credential providers with?

We credential with Medicare, Medicaid, and over 50 commercial payers. This includes Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield, Humana, Tricare, and more. We adapt to the payer mix that suits your patient population and specialty.

What happens if a payer requests additional information mid-process?

We handle it directly. When a payer has a question, needs a document, or requests a follow-up, we respond within 24 hours.

Explore Related Services

Explore a range of related healthcare services designed to support your practice. From billing to credentialing, we help streamline operations, reduce errors, and improve revenue flow.

Medical Billing

We handle your entire billing process, including claims, documentation, and compensation work.

Medical Coding

Our experienced coders deliver optimized coding that minimizes errors, audits, and helps you get paid fairly.

Revenue Cycle Management

Practices using our RCM services see a 25% average increase in revenue collections and improved cash flow every month.

Find Out What Your Current Coding Is Actually Costing You

We will audit a sample of your recent charts at no charge and show you exactly where revenue is being missed.