Credentialing & payer enrollment
Credentialing handled, so new providers can start billing as soon as possible
A provider who isn't enrolled with a payer can't be paid by it, and enrollment can take weeks or months. We handle the applications and the follow-up they need, start as early as possible, and track re-credentialing dates so nothing lapses.
What we do
- Payer enrollment applications for new providers and new locations
- CAQH profile set-up and regular re-attestation
- Follow-up with each payer until enrollment is approved
- Electronic claims and payments enrollment (EDI and ERA/EFT)
- Re-credentialing and license expiration dates tracked
Questions about credentialing & payer enrollment
How long does enrollment take?
It depends on the payer. Some approve in a few weeks, others take a few months. Starting early is the most important thing, and we follow up until it's done.
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