Days, Typical Timeline
Years of Payer Relationships
Dedicated Credentialing Team
Credentialing and contracting are the foundation of a practice's relationship with insurance companies — and the process is slow, paperwork-heavy, and easy to get stuck on. We handle license verification, payer applications, and contract negotiation so you're accessible to more patients and reimbursed at rates that reflect your actual value, not whatever a payer offers by default.
What's included
Every step of getting — and staying — in-network
From your first application to years of ongoing maintenance.
Provider Enrollment
Applications completed and submitted to every payer you need, tracked until each one is approved.
CAQH Registration
Your CAQH profile is set up and kept current, since an outdated profile stalls every payer that relies on it.
Medicare & Medicaid
Government payer enrollment handled to spec — the paperwork most practices dread most.
Commercial Insurance
Credentialing with Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, and other commercial payers.
Re-Credentialing
Renewals tracked and filed before they lapse, so your network status never quietly expires.
Contract Negotiation
Reimbursement rates negotiated using your practice's real data, not accepted at the first offer.
Hospital Privileges
Applications and documentation for hospital and facility privileging, handled alongside payer enrollment.
NPI & DEA Registration
Essential registrations set up correctly the first time, so nothing blocks a later application.
Payer networks
Credentialing with the insurers that matter most
According to Forbes, Blue Cross Blue Shield, UnitedHealth Group, Anthem, Aetna, Cigna, and Humana are the leading U.S. health insurers by market share — a sample of the payer networks we credential practices into.
How it works
From application to in-network, start to finish
-
01
Gather documents
Licenses, certifications, malpractice history, and references collected and organized once, up front.
-
02
Verify & submit
Credentials are verified with issuing bodies and applications submitted to every payer you need.
-
03
Negotiate contracts
Once approved, we negotiate reimbursement rates and terms instead of accepting the payer's first offer.
-
04
Ongoing maintenance
CAQH stays current and re-credentialing gets filed on schedule, so your status never lapses unnoticed.
One file, one specialist
A specialist who knows your file, not a queue
Credentialing paperwork gets stuck when nobody owns it end to end. Your application is tracked by one specialist from first submission to final approval — so nothing sits waiting for someone to notice it's overdue.
Talk to a credentialing specialistTwenty-plus years of leverage
Contracts negotiated, not just accepted
A payer's first offer is rarely their best one. We use practice-specific data — like patient volume in your specialty and area — along with two decades of payer relationships to negotiate rates that actually reflect your value.
Ask about your contracts
Questions, answered
Credentialing, answered
What practice owners ask most before handing off credentialing and contracting.
What is medical credentialing?
Medical credentialing is the process of verifying a provider's qualifications — license, education, malpractice history, and more — and enrolling them with insurance payers so they can join a network, bill for services, and get reimbursed.
How long does credentialing take?
Typically 60 to 120 days, depending on the payer and how quickly documentation comes together. Medicare enrollment specifically often falls on the shorter end of that range.
What's the difference between credentialing and contracting?
Credentialing verifies who you are and that you're qualified. Contracting is the separate negotiation that sets your actual reimbursement rates and terms with a payer. You need both to be an in-network, paid provider.
Do you handle CAQH and re-credentialing?
Yes. We register and maintain your CAQH profile and handle re-credentialing on the cycle most payers require, so your enrollment never lapses without your involvement.
Can you negotiate better in-network rates?
Yes. Contract negotiation is part of our credentialing service — we use payer relationships and practice-specific data like patient volume to negotiate favorable rates, not just accept the first offer.
Ready to get in-network?
Let's start your application.
Get a free credentialing review — we'll show you where your applications and contracts actually stand.
No contracts to review. No pressure. Just numbers.