Credentialing, CAQH & Payer Enrollment
Getting paid starts with being in network. We build your CAQH profile, submit Medicare and Medicaid enrollments, and work the commercial payer applications through to an effective date and a contract you can actually bill against.
Scope
- CAQH ProView build, attestation and quarterly maintenance
- NPI type 1 and type 2 registration and updates
- Medicare PECOS enrollment, reassignment and revalidation
- State Medicaid enrollment
- Commercial payer applications and contract requests
- Re-credentialing and roster maintenance for groups
Investment
Credentialing begins at $897 for a practitioner's core payer set, with per-payer add-ons quoted in writing. Group and multi-provider rosters are priced by provider count.
Tracking
Every submission is logged with a date, a payer representative name where available, and a follow-up cadence. You receive a status grid rather than a promise.
What you receive
- Completed CAQH profile with current attestation
- Submitted Medicare, Medicaid and commercial applications
- Payer-by-payer status grid with effective dates
- Copies of every executed contract and welcome letter
- Re-credentialing calendar
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