Credentialing is not paperwork. It is the foundation that determines whether a provider gets paid. The full suite of Credentialing and Enrollment services from initial data collection through payer approval and system load verification.
Strategic Alignment. Clean Revenue Activation.
Pricing:
1–2 Providers: $1,200 per month
3–5 Providers: $1,800 per month
6+ Providers: Custom Quote
Structured across a 7-month engagement and no limits on payers.
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Direct oversight by a Healthcare Business Consultant
Standardized credentialing file creation
Credentialing tracker & renewal schedule
Recommend the optimal mix of commercial, Medicare, and Medicaid plans.
Align enrollments with growth and referral goals
No arbitrary limits on payer submissions
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License, DEA, malpractice, board certifications
Ownership documentation
Work history validation
NPI & taxonomy review
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CAQH profile creation or optimization
Attestation alignment
NPDB queries
Profile-payer alignment review
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Medicare, Medicaid, and Commercial payer applications
Application submission and tracking
Follow-up on discrepancies
Direct payer communication
Escalation support when needed
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Confirm provider loading in payer systems
Verify directory accuracy
Confirm claim readiness
Reduce risk of early denials
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Credentialing renewal tracker
CAQH re-attestation schedule
Internal workflow training for designated staff