Provider Credentialing Services
Navigate the complex world of insurance credentialing with confidence. We handle the paperwork while you focus on what matters most—your patients.
Why Choose Our Credentialing Services?
Save Time
Credentialing can take 300+ hours. Let us handle it while you see patients.
Reduce Errors
Our expertise minimizes application errors that cause costly delays.
Stay Compliant
We ensure all documentation meets current regulatory requirements.
Track Progress
Regular updates on your application status with each payer.
Our Credentialing Process
Initial Consultation
We assess your needs, target insurance panels, and gather preliminary information to create a customized credentialing strategy.
Document Collection
We compile all required documents including licenses, certifications, malpractice insurance, and educational credentials.
Application Submission
We complete and submit applications to your selected insurance panels, ensuring accuracy and completeness.
Follow-Up & Tracking
We actively monitor application progress, respond to payer requests, and keep you informed throughout the process.
Completion & Maintenance
Once approved, we help you understand your contracts and assist with ongoing maintenance and re-credentialing.
What's Included in Our Credentialing Service
CAQH Profile Setup & Management
Complete setup and ongoing maintenance of your CAQH profile
Primary Source Verification
Verification of all licenses, certifications, and education
Application Completion
Accurate completion of all payer-specific applications
Follow-Up Communications
Regular contact with insurance companies to expedite approval
Status Updates
Weekly progress reports on all pending applications
Re-credentialing Reminders
Proactive notifications for re-credentialing deadlines
Ready to Expand Your Network Participation?
Join hundreds of behavioral health providers who've streamlined their credentialing process. Get in-network faster and start seeing more patients.
Frequently Asked Questions
What is provider credentialing and why is it important?
Provider credentialing is the process of verifying a healthcare provider's qualifications, licenses, and experience to join insurance networks. It's essential for receiving reimbursements from insurance companies and expanding your patient base.
How long does the credentialing process typically take?
The credentialing timeline varies by insurance carrier but typically takes 90-120 days. We work to expedite this process through our established relationships with payers and by ensuring applications are complete and accurate from the start.
Which insurance panels do you help providers join?
We assist with credentialing for all major commercial insurers including Aetna, Cigna, Blue Cross Blue Shield, United Healthcare, Humana, as well as Medicaid and Medicare. We also work with regional carriers specific to your area.
What happens after I'm credentialed?
Once credentialed, you can begin seeing patients under that insurance plan. We also provide ongoing support for re-credentialing, updates to your information, and maintaining your active status with all panels.