Provider Credentialing
Credentialing shouldn't slow your practice down.
We manage the entire credentialing lifecycle — from payor enrollment and licensing to practice and provider setup — so your providers are in-network, compliant, and generating revenue faster.
Licensing & Regulatory Management
Keeping credentials current.
- State medical and advanced practice practitioner applications and renewals
- DEA and CDS renewals
- Collaboration with compliance to ensure all regulatory items stay current
- Monitoring expiration dates across all credentials
Practice & Provider Setup
Setting providers up right.
- Ensure providers are linked to the correct Tax ID, Group NP, and payor contracts
- Submission of roster updates to health plans
- Notification of new locations, service lines, and demographic changes
- Coordination with billing to ensure timely claims submission once effective
Provider Enrollment
Getting providers enrolled faster.
- Complete Enrollment in commercial, Medicare, Medicaid, and managed care plans
- CAQH setup, maintenance, and monthly re-attestation
- Monitoring payor panel status and network participation
- Tracking of effective dates and contract renewals
Primary Source Verification
Verifying every detail.
- Verification of licensure, board certification, NPI, DEA, CDS, malpractice, and training
- Coordination with hospitals for privileges and facility-based requirements
- Ongoing verification during renewals and audits