All services
Credentialing
Provider credentialing and enrollment is the critical step that authorizes your practice to bill insurance payers. Our dedicated team manages the entire complex process—from initial applications and contract negotiation to re-credentialing—ensuring rapid approval. This prevents costly delays, minimizes time-to-reimbursement, and keeps your practice fully active and profitable.
Rapid Payer Enrollment and Contract Negotiation, Including Government Plans.
We streamline all necessary submissions to commercial payers, Medicare (Parts A, B, C, and D), Medicaid, and other state and federal programs. Our proactive approach ensures applications are 100% accurate, dramatically reducing turnaround times.
In addition to government programs, we handle credentialing and contracting with major commercial insurers such as Humana, Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield, Anthem, and many regional carriers. By working directly with these networks, we eliminate delays and administrative hassles, allowing new providers to start billing sooner while maintaining continuous authorization for your existing team members.
Key Advantages
How long does the process typically take?
Timelines vary by payer and state, but our expertise significantly reduces delays. We aim to complete commercial enrollments faster than the industry average through meticulous application submission.
What is the scope of your services?
We handle enrollment for new and existing providers, re-credentialing, maintenance of CAQH profiles, and negotiation of payer contracts to ensure optimal participation and favorable fee schedules.
Do you cover all types of payers?
Yes, we manage enrollment for Medicare, Medicaid, TriCare, and all major commercial insurance carriers. Our team is proficient in the requirements and processes of virtually all national and regional payers across the country.