Services · Credentialing

Provider Credentialing and Payer Enrolment Services

We streamline the credentialing and enrolment process to ensure timely payer approvals and uninterrupted reimbursement — with full lifecycle tracking.

Provider Enrolment

Enrolment with commercial and government payers including panel applications and payer contracting.

Medicare & Medicaid Enrolment

Application preparation, submission, follow-up and approval tracking for federal and state programmes.

CAQH Profile Creation & Maintenance

Profile build, attestation and ongoing maintenance to keep data current for every payer.

NPI Registration & Updates

Type 1 and Type 2 NPI registration, updates and linkage across entities.

PECOS Enrolment & Revalidation

PECOS enrolment, revalidation and record maintenance for Medicare participation.

Provider Re-Credentialing & Renewals

Advance renewal management so privileges and participation never lapse.

Hospital Privileging Support

Privileging applications, documentation assembly and committee follow-up support.

License, Certification & PSV

Primary source verification of licences, certifications, education and work history.

Group Practice Enrollment

Group enrolment, location and entity setup, and practitioner roster management.

Credentialing Status Tracking

Active follow-up with payers and regular status reporting to your team.

Provider Data Maintenance

Tax ID and practice information updates, plus compliance monitoring across records.

Credentialing Project Management

A named owner for every provider, with milestone tracking from application to approval.

Credentialing timeframe

Typical duration is 60 to 120 days (approximately 2 to 4 months), depending on the payer. We manage the submission, follow-up and escalation so your team is not chasing status updates.

Commercial payersMedicareMedicaidCAQHPECOSNPIHospital privileging

Why choose our credentialing services

  • Faster provider onboarding
  • Reduced enrolment delays
  • Improved compliance with payer requirements
  • Continuous credential monitoring and renewals
  • Dedicated support throughout the credentialing lifecycle
Enrolment operations

A credentialing function you can forecast against

Most delayed first payments trace back to credentialing and enrolment. We run it as a project with owners, milestones and reporting rather than a shared inbox.

  • Provider roster dashboard with current status by payer
  • Expirables calendar for licences, DEA and certifications
  • Pre-submission document completeness checks
  • Payer follow-up cadence with documented contact notes
  • Escalation to payer provider relations when stalled
  • Revalidation forecasting to avoid lapses
Credentialing specialist coordinating payer enrolment

Onboarding new providers?

Start credentialing before the start date and we will have payer applications in flight on day one.