Why Provider Credentialing Directly Impacts Your Revenue
Without proper credentialing, you cannot bill insurance — period. Every day your credentialing is incomplete is a day you cannot bill the payer, which translates directly to lost, unrecoverable revenue. For a physician seeing 20 patients daily, a 30-day enrollment delay can mean $30,000–$60,000 in deferred reimbursement.
What's Included
- CAQH Profile Setup & Maintenance
- NPI Registration (Type 1 & Type 2)
- PECOS Enrollment for Medicare
- Medicaid Provider Enrollment
- Commercial Payer Applications (Aetna, BCBS, Cigna, UHC, Humana)
- Primary Source Verification (PSV)
- Contract Review & Negotiation Support
- Re-Credentialing & Re-Attestation
- Ongoing Tracking & Status Updates
How Long Does Provider Credentialing Take?
Medicare PECOS Enrollment: 30–60 Days
Standard processing from a clean, complete submission. We submit error-free applications the first time to avoid resubmission delays.
Medicaid Enrollment: 45–90 Days
Varies by state. We track your application weekly and respond immediately to any state requests for additional information.
Commercial Payer Credentialing: 60–120 Days
We maintain direct relationships with credentialing departments at all major commercial payers to expedite where possible.