End-to-end solutions for healthcare providers — from initial credentialing through ongoing revenue optimization. All services, with dedicated teams.
We handle the complete credentialing process for new providers — from initial application to final payer approval. Our team submits simultaneously to all major payers and follows up every 5–7 days. We work with all major commercial payers including BCBS, Aetna, Cigna, UnitedHealthcare, and Humana, as well as 500+ regional plans nationwide.
We provide expert credentialing across all provider designations. From primary care physicians and interventional cardiologists to behavioral health therapists and surgical subspecialists—our team handles the unique enrollment rules for every medical specialty.
Re-credentialing is required every 2–3 years to maintain in-network status. Missing deadlines can result in coverage gaps, lost revenue, and having to restart the full credentialing process. See our checklist →
CAQH ProView is used by 1,500+ health plans for credentialing. Submit your credentials once and share with multiple payers — reducing duplicate paperwork and accelerating approvals.
Government program enrollment requires specialized expertise. Our team navigates complex CMS regulations to get you enrolled in Medicare (PECOS) and all applicable state Medicaid programs, including CA's PAVE portal, TX's T3C enrollment system, the Gainwell platform for Alabama & Alaska, APEP for Arizona, and all 46 remaining state Medicaid portals.
Over 50 specific designations of healthcare providers require credentialing to bill insurance networks like Medicare, Medicaid, and commercial payers. We handle the paperwork for all three main categories so you can focus on patient care.
Every medical doctor, regardless of specialty, must be credentialed with insurance networks to bill for services.
Comprehensive enrollment services for advanced practice providers, therapists, and allied health professionals.
Entire organizations must be credentialed and contracted as entities to participate in payer networks.
We credential 50+ provider designations across all insurance networks. Contact us to discuss your specific credentialing needs.
Multi-state credentialing for telehealth providers. We handle Interstate Medical Licensure Compact (IMLC) applications covering 40+ states plus state-specific payer enrollment.
Don't accept standard payer rates. Our former payer insiders negotiate better reimbursement terms on your behalf, with clients seeing an average 15–30% rate increase.
We manage rigorous medical staff applications and peer reference coordination so you can gain admitting privileges faster.
End-to-end RCM services ensure maximum revenue capture from patient scheduling through final payment. Our full-service approach reduces denials and accelerates collections.
Every credentialing gap creates a direct revenue leak. When a provider is not yet enrolled with a payer — or a re-credentialing deadline is missed — claims are automatically denied, triggering costly A/R cycles that can take 60–90 days to resolve. Our integrated RCM approach monitors credentialing status in real time and connects it directly to your billing workflow, so your team never submits a claim to a payer where you are not yet active. The result: a 95%+ first-pass acceptance rate, 30% fewer A/R days, and 25% higher net collections — not from billing harder, but from billing smarter.
Everything you need to know about provider credentialing, timelines, and how we work.
Our credentialing experts will assess your current situation and recommend the right combination of services for your practice — at no charge.