Questions
The things people ask before they hand it over.
We prepare and submit the paperwork that puts a provider on an insurance payer's panel and keeps them there. That means completing enrollment and credentialing applications, gathering the supporting documents each payer asks for, building and maintaining your CAQH profile, and following each file until the payer makes a decision. You provide the information once; we handle the forms, the submissions, and the follow-up.
It depends on the payer, and anyone who quotes you a single number is guessing. Each insurance company sets its own review process and its own timeline, and some take considerably longer than others. What we control is that your file is complete and submitted correctly, that we respond to payer questions promptly, and that you are told where things stand along the way.
Not always, but for many payers and many situations it helps to have it in place first, and some processes expect it. During intake we work out the right sequence for your specialty and the payers you want, so the applications do not end up waiting on each other.
CAQH ProView is a common credentialing database that many insurance payers pull provider information from. Having a complete, attested profile saves you from filling in the same information repeatedly, and several payers will not move forward without access to it. We build yours, attest it, and keep it current so it does not lapse at an inconvenient moment.
Less than you might think. To begin we just need to know your specialty, roughly where you practice, and which payers you want to work with. After that we send a specific list of documents to gather. Most of it is paperwork you already have on hand: your license, your NPI, malpractice coverage details, and your education and work history.
Yes. Re-credentialing is the same review repeated on a cycle, and it is easy to miss because nothing announces it — claims simply start being denied. We track each payer's re-credentialing window and work the file before it comes due, requesting updated documents from you once and handling the rest.
No. We handle credentialing and enrollment only — getting you approved and keeping you approved. Billing, coding, claim submission, and reimbursement are a separate service, and we would rather tell you that plainly than blur the line.
That is a good fit for us. A new practice usually has a group enrollment and several individual provider enrollments that have to happen in a particular order, plus Medicare and Medicaid and the state programs. We map the sequence, prepare the applications together, and keep the set moving so your start date is not held up by paperwork.