Credentialing gaps and missing electronic connections are two of the quietest ways practices lose revenue. We handle both together, since one often depends on the other.
Enrolling providers with Medicare, Medicaid and commercial payers from scratch.
Building a complete, accurate CAQH profile that payers can pull from.
Linking CAQH to each payer and tracking applications through to approval.
Ongoing re-attestation and renewals so active status never lapses.
The behind-the-scenes connections that let claims, payments and remittances flow electronically — set up once, and kept current alongside your credentialing.
Setting up electronic data interchange connections with payers and clearinghouses for claims submission.
Enabling electronic remittance advice so payment details post faster and more accurately.
Getting payments deposited directly, cutting down on paper checks and posting delays.
Regular re-attestation so your CAQH profile never lapses and continues to support active credentialing.
Including two categories that are often handled poorly elsewhere — DME and NEMT — where enrollment rules differ from standard provider credentialing.
Initial enrollment and re-credentialing for solo providers, single-specialty groups and multi-specialty practices.
Enrollment support for DME suppliers, including the accreditation and payer-specific documentation this category requires.
Enrollment for NEMT providers, a category with its own payer requirements distinct from standard medical credentialing — handled from initial application through approval.
Once credentialing and EDI/ERA/EFT are live, claims can start flowing cleanly.
Denials tied to enrollment gaps get flagged and resolved through recovery work.
See the full list of specialties and taxonomies we credential and bill for.
