Medicare enrollment
PECOS applications (CMS-855I, 855B, 855R), reassignment to your group, and revalidation tracking with your state's Medicare contractor.
Provider credentialing that gets you in network, sooner
Every week you wait on a payer is a week of patients you can't bill. We prepare complete applications, follow up relentlessly, and track every date — from your first Medicare enrollment to each re-credentialing cycle.
Credentialing in : Medicare enrollment with and Medicaid enrollment with .
Credentialing in →What's Included
Enrollment with the payers your patients carry
Medicaid enrollment
State Medicaid provider enrollment, then credentialing with the managed care plans that administer Medicaid in your area.
Commercial payers
Aetna, Cigna, UnitedHealthcare, Humana, Blue Cross Blue Shield plans, and regional payers — applications through contract loading.
CAQH ProView
Profile setup, document uploads, payer authorizations, and re-attestation every 120 days.
NPI & practice setup
Individual and group NPIs, NPPES updates, taxonomy codes, and practice location details that match across every payer.
Re-credentialing & maintenance
A calendar of license, DEA, malpractice, and payer expiration dates — renewed before anything lapses.
Our Process
Clear steps, no guesswork
Commercial credentialing commonly takes 60–120 days. Complete applications and steady follow-up are what keep it on the shorter end.
Step 1
Document checklist
We collect licenses, DEA, malpractice, CV, and NPI details once — and reuse them everywhere.
Step 2
Payer strategy
We prioritize payers by your patient mix and check which panels are open in your area.
Step 3
Applications & follow-up
Submissions, then scheduled follow-ups with each payer until a decision is made.
Step 4
Contracts & effective dates
We confirm effective dates and fee schedules, and load them so billing can start cleanly.
Credentialing FAQ
Credentialing questions
Commercial payer credentialing commonly takes 60 to 120 days, and Medicare enrollment often takes 30 to 60 days once a complete application is submitted. Timelines depend on the payer, the state, and how quickly documents and signatures are provided. Starting early is the best way to avoid seeing patients you can't bill for.
CAQH ProView is the online profile most commercial payers use to review a provider's credentials. We create or update your profile, upload documents, complete re-attestation every 120 days, and keep it current so payer applications are not delayed.
Typically your state license, DEA and state controlled substance registration if applicable, board certification, malpractice insurance face sheet, CV with month and year dates, NPI numbers, W-9, and practice location details. We send a simple checklist and track down anything that is missing.
Some commercial payers close panels in certain areas or specialties. When that happens we look at options such as requesting an exception, applying through an affiliated group, or prioritizing other payers that serve your patient population, and we tell you plainly what is realistic.
Spend less time chasing claims and paperwork — and more time with patients.
Tell us what you need: billing, credentialing, a new state license, or more patients. We'll reply with a clear plan and a quote within one business day.
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