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Provider Credentialing

Provider credentialing services decide when a doctor, therapist, or practice can finally accept insurance payments. Without approved credentialing, new patients walk in but the office cannot bill their plans. Money sits unpaid for months. Many providers wait 90 to 180 days or longer before the first claim goes out. Our team finishes the entire physician credentialing process in fast credentialing 30-45 days for most clients.

We handle everything from medicare credentialing and medicaid credentialing to commercial carriers. That includes delegated credentialing contracts that let us submit directly and skip long payer queues. We manage CAQH credentialing profiles, quarterly attestations, and every follow-up call. Practices and solo providers join panels faster and protect cash flow from the first week patients are seen.

Mental health providers get extra attention because insurance paneling for therapists moves slowly on its own. We open doors to Aetna, Cigna, United, Blue Cross, and many regional plans that accept behavioral health clinicians. The moment insurance credentialing for physicians or therapists is complete, reimbursement starts flowing.

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Common Problems Providers Face with Credentialing

Applications Rejected Because of Missing or Incorrect Documents

One small error sends the whole package back to the start. A missing date on malpractice history or an old address on a license triggers an automatic denial. Providers lose four to eight weeks each time this happens. Most offices resubmit two or three times before approval.

CAQH Attestation Delays and Expired Documents

CAQH credentialing requires updates every 120 days. Many providers forget until a payer flags the file. Expired documents freeze every new application. Staff scramble to upload new copies while claims stay on hold.

Medicaid Credentialing State-by-State Differences and Long Wait Times

Medicaid credentialing rules change in every state. Some states take 60 days just to open the file. Others need site visits or extra forms. Providers who want to know how to get credentialed with medicaid often give up after the first round of paperwork.

Commercial Insurance Panels Closing or Taking 6-12 Months

Popular plans close panels for months at a time. Even when panels are open, review cycles stretch past six months. New practices sit empty while they wait for insurance paneling.

How Our Provider Credentialing Services Solve These Issues

Delegated Credentialing Agreements Already in Place with Major Plans

Our delegated credentialing contracts with dozens of payers let us approve files in-house. Applications skip the standard 120-day line and move straight to committee review.

Full Application Preparation and Submission for Every Payer

We collect every document once. Then we build clean applications for Medicare, Medicaid, and all commercial plans. Nothing gets returned for errors because we check each field before submission.

Dedicated CAQH Management and Weekly Follow-Up Team

Your assigned specialist updates CAQH credentialing profiles the same day new documents arrive. We track expiration dates and re-attest on time so nothing ever lapses.

Fast-Track Medicaid Credentialing in All 50 States

We file medicaid credentialing applications the correct way for each state on day one. Relationships with state agencies keep files moving. Most providers are active in 45 days or less.

Medicare Credentialing and PECOS Management Included

Medicare credentialing and PECOS updates finish in two to three weeks. We handle group and individual enrollments so new locations or providers bill Medicare right away.

Insurance Paneling for Therapists and Mental Health Groups

Insurance paneling for therapists is one of our busiest services. We place counselors, psychologists, and psychiatrists on behavioral health panels that stay closed to direct applicants.

Benefits You Get with Professional Credentialing Services

  • Start Seeing Patients and Billing Insurance in 30-45 Days
  • Zero Denied Claims Because of Lapsed or Missing Credentials
  • Higher Reimbursement Rates from In-Network Contracts
  • Less Administrative Work for You and Your Staff
  • Ongoing Re-Credentialing Monitoring So You Never Lose Status
  • One Point of Contact for All Payers and Updates

Real Case Studies – Results from Actual Clients

A licensed clinical social worker in Texas wanted Aetna, Cigna, United, and five more plans. We finished insurance paneling for therapists in 38 days total. She billed her first insurance patient on day 40.
Solo Therapist Added to 8 Major Plans in 38 Days
A new psychiatry practice needed all 12 MDs and NPs on panel at once. Using delegated credentialing and parallel submissions, every provider went live in exactly 45 days.
Psychiatry Group of 12 Providers – Full Paneling in 45 Days
A new psychiatry practice needed all 12 MDs and NPs on panel at once. Using delegated credentialing and parallel submissions, every provider went live in exactly 45 days.
Primary Care Practice Recovered $87,000 After Fixing Expired Credentials

Why Providers Choose Our Credentialing Company

  • 98% First-Time Approval Rate Across All Applications
  • Experience with Over 250 Commercial and Government Payers
  • Specialized Team for Mental Health and Behavioral Health Billing
  • Transparent Weekly Status Reports and Direct Access to Your Specialist
  • No Hidden Fees – Flat Pricing Per Provider or Per Application
FAQ

Frequently Asked Questions

About Provider Credentialing Services

Without help most providers wait 90-180 days. With our fast credentialing 30-45 days process you start billing insurance much sooner.

Delegated credentialing means certain plans let us review and approve providers directly instead of sending files to the insurance company. This cuts months off the timeline for many contracts.

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Every state has different forms and rules. Tell us your state and specialty and we complete the full medicaid credentialing application for you. We already know the portals and requirements for all 50 states.

Yes. We build your CAQH profile from scratch if needed and keep it current. We also send reminders and complete attestations every 120 days so nothing expires.

Yes. We add licensed therapists, counselors, and social workers to commercial and Medicaid panels every week. Most mental health providers are live and billing within 45 days.

Common items include medical license, DEA, malpractice insurance face sheet, CV, diplomas, and proof of education. We give you a short checklist and collect everything for you.

Yes. We track expiration dates and start re-credentialing services months ahead so your status never lapses and payments never stop.