We begin by gathering all necessary provider information — NPI, licenses, malpractice insurance, education history, DEA certificates, and more. Each document is verified for accuracy before submission to ensure a clean start with no rework.

We create and maintain your CAQH (Council for Affordable Quality Healthcare) profile — ensuring it’s complete, up to date, and attested on time. This prevents unnecessary payer delays or credential lapses.

Our credentialing specialists identify and prioritize the insurance networks that align with your patient base and practice type. We complete and submit enrollment applications for Medicare, Medicaid, commercial payers, and managed care plans. We handle all follow-ups, correspondence, and status tracking until approval is confirmed.

Beyond credentialing, we help practices understand and negotiate fee schedules where applicable — ensuring your reimbursements align with your services and market standards.

Re-credentialing & Renewals

For group practices, hospitals, and DSOs, we manage multi-provider onboarding and maintenance — ensuring every new or departing provider is accurately reflected across all networks and payer databases.