Services

Full-scope credentialing, enrollment & licensing support

Everything a practice needs to get contracted, stay compliant, and get paid — under one specialist team. Every engagement starts with a free audit.

CAQH Credentialing

CAQH ProView is the backbone of commercial credentialing. We build your profile from scratch or clean up an existing one, authorize the payers you need, and keep it current every 120-day attestation cycle so it never lapses.

  • Initial profile build & document upload
  • Payer authorization management
  • 120-day re-attestation reminders & filing
  • Data consistency checks against NPPES

Provider Enrollment

From commercial panels to Medicare and Medicaid, we file and track every enrollment application so you're billing as soon as a payer will allow it.

  • Commercial payer enrollment
  • Medicare (CMS-855) filing via PECOS
  • State Medicaid enrollment
  • EDI & EFT enrollment
  • Workers' compensation enrollment

Hospital & Facility Credentialing

Privileging at a hospital or facility has its own review cycle, committee process, and documentation standards. We manage the full submission and follow-up.

  • Hospital medical staff privileging
  • Facility & ancillary credentialing
  • Multi-state facility compliance
  • Committee review tracking

Recredentialing & Revalidation

Approvals aren't permanent. We monitor expiration dates, exclusion screening, and payer revalidation cycles so nothing quietly lapses after you're in-network.

  • Recredentialing cycle management
  • OIG/SAM exclusion screening
  • License & DEA expiration tracking
  • Medicare revalidation filing

Payer Contract Negotiation

Being in-network only pays off if the rates make sense. We review your fee schedules and negotiate directly with payers on your behalf.

  • Reimbursement rate review
  • Contract renegotiation
  • Fee schedule benchmarking
  • Ongoing rate optimization

Licensing Support

Whether you're newly licensed or expanding into another state, we manage the application and renewal process for physicians, NPs, and behavioral health clinicians.

  • New state license applications
  • Multi-state licensure for telehealth
  • Renewal tracking & filing
  • DEA registration support

Not sure which services you need?

Start with a free audit — we'll tell you exactly what's missing.