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Insurance Credentialing and Provider Enrollment

You can't bill a payer until you're enrolled with them. Our insurance credentialing service prepares and submits your applications, sets up and maintains your CAQH profile, and follows up every week until each payer confirms you are in network.

What's included for $150 per payer

A one-time fee per insurance payer, with no hidden fees.

  • Application preparation and document collection
  • CAQH ProView setup, attestation and maintenance
  • Submission to each commercial, Medicare or Medicaid payer
  • Weekly follow-up until you are paneled
  • Status updates so you know where each application stands

How credentialing impacts practice revenue

Claims sent before enrollment is effective are often denied or paid out of network. Starting credentialing early — and tracking effective dates — protects revenue when you add a provider or open a new location.

Timelines

Payer processing times vary widely and are controlled by the payer. We can't guarantee approval or a specific turnaround, but we keep applications moving and tell you promptly if a payer requests more information or closes its panel.

Insurance Credentialing by specialty

See how we apply insurance credentialing to specialty-specific rules:

Frequently asked questions

How much does insurance credentialing cost?

$150 per insurance payer, one time. That includes application prep, CAQH setup and maintenance, submission and weekly follow-up until paneled.

Can you guarantee I'll be accepted?

No one can. Payers decide panel acceptance. We make sure your applications are complete, accurate and actively followed up.

Let's talk about your practice

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