Provider Credentialing & Enrollment
CAQH ProView management, Medicare PECOS and Medicaid enrollment, commercial payer contracting, NPI registration, and primary source verification, handled end to end so no provider bills out of network.
Our Credentialing Workflows
From initial enrollment to ongoing re-attestation, we manage every operational step across government and commercial payer networks.
CAQH ProView Management & Attestation
Complete profile creation, ongoing 120-day re-attestations, document maintenance (malpractice COI, state licenses, DEA), and data synchronization.
Medicare PECOS & Medicaid Enrollment
Flawless submission of CMS-855I (individual) and CMS-855B (group) applications, revalidations, and EFT direct deposit setups.
Commercial Payer Contracting & Fee Schedule Review
Application submission for major commercial payers (Aetna, BCBS, Cigna, Humana, UHC) alongside fee schedule analysis for rate optimization.
NPI Setup & Primary Source Verification (PSV)
Type 1 (individual) and Type 2 (organizational) NPI registration, coupled with background PSV checks (state board, NPDB, OIG exclusions).
Re-Credentialing & Expiration Tracking
Proactive tracking system to prevent credential lapses, managing license renewals, DEA updates, and periodic payer re-enrollment audits.
Maximize Your Network Participation
Unlock new revenue opportunities and expand your patient base with comprehensive credentialing.
SCHEDULE FREE CONSULTATION
Provider Credentialing Services
Our credentialing specialists will review your current network status and provide customized recommendations to expand your payer relationships. Get expert insights on enrollment opportunities, application optimization, and ongoing compliance management.
Our medical billing consulting group provides the strategic guidance and tactical support needed to optimize billing processes, technology, and staff skills. With our consultancy solutions, every practice is positioned to thrive through improved medical billing.
Ready to Expand Your Network?
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