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Credentialing Services for Medical Practices

Get in network with the payers your patients carry, and stay there.

Insurance Credentialing

Get in network with the insurance companies your patients carry. We handle your CAQH profile, every payer application and the follow-up until your contracts are active.

Paid upfront$150 per payer

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CAQH Management

Your CAQH ProView profile completed, kept current and re-attested on time, so payers can always pull a clean, up-to-date profile.

Paid upfront$150 per year

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Re-credentialing

Re-credentialing and revalidation completed before deadlines, so you never fall out of network or have claims deny for a lapsed enrollment.

Paid upfront$100 per payer

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Insurance Contract Negotiation

Your payer contracts reviewed and your rates benchmarked, with a clear case put to payers for better reimbursement and fairer terms.

50/50 payment$500 per contract

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Insurance Paneling

Get accepted onto insurance panels that are hard to join, by finding where panels are open and applying with the strongest case.

Paid upfront$250 per payer

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ERA & EFT Enrollment

Electronic remittance and direct deposit set up with every payer and your clearinghouse, so payments arrive faster and post automatically.

Paid upfront$50 per payer ยท free with billing

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Medical License Services

State license applications and renewals prepared and tracked for physicians, nurse practitioners, physician assistants and therapists, including multi-state licensing for telehealth.

Paid upfront$350 per state, plus board fees

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DEA Registration

Federal DEA registration and state controlled substance registrations filed and renewed on time, for every state where you prescribe.

Paid upfront$200, plus DEA's registration fee

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Hospital Privileges

Hospital, surgery center and facility privileges applied for and renewed, so you can admit, operate or round where your patients need you.

50/50 payment$400 per facility

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Packages that include credentialing

How it works

  1. Payer plan

    We agree on which payers to apply to, in which order, based on your patients and location.

  2. Document collection

    One checklist for licenses, malpractice, board certification and work history.

  3. Applications and follow-up

    We submit, then call and check portals until each payer decides.

  4. Go-live

    We confirm effective dates and fee schedules so billing can start cleanly.

Frequently asked questions

Can I hire just one credentialing service?

Yes. Every service is available on its own, and related services are bundled in packages that cost less together.

Do you work with my specialty?

Yes. We work with independent practices of every specialty and provider type, and adapt to the rules that apply to yours.

Not sure which credentialing service you need?

Tell us what's slowing your practice down and we'll recommend where to start.

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