Our Credentialing Services
We handle the complete credentialing lifecycle, from initial enrollment to ongoing recredentialing, ensuring your providers are always ready to practice.
Provider Enrollment
Complete enrollment services for new providers with all major insurance payers, Medicare, and Medicaid, ensuring accurate and timely submissions.
Primary Source Verification
Thorough verification of education, training, licensure, and work history directly from primary sources to meet all accreditation standards.
Recredentialing Services
Proactive management of renewal cycles and expiring documents to maintain continuous provider participation with payers and networks.
Network Participation
Strategic guidance on optimal network participation and assistance with adding new practice locations or service areas to existing contracts.
Contract Management
Comprehensive tracking of payer contracts, terms, and reimbursement rates with timely renewal notifications and negotiation support.
Credentialing Audits
Regular audits of your credentialing files to ensure compliance with NCQA, URAC, and Joint Commission standards and identify potential risks.
Our Credentialing Process
We follow a systematic approach to ensure accuracy, compliance, and efficiency throughout the credentialing lifecycle.
Application Preparation
Complete CAQH and payer-specific applications with accurate provider information and supporting documentation.
Primary Source Verification
Verify credentials directly from educational institutions, licensing boards, and certification bodies.
Committee Review
Prepare and present complete files for credentialing committee approval according to established standards.
Ongoing Monitoring
Continuous monitoring of provider status and timely updates to maintain active participation with payers.