We credential providers with all major commercial and government payers, including Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana, Tricare, and many regional and specialty plans. Whether you're a solo practitioner or a multi-location group practice, we tailor our credentialing services to the specific payer mix that makes sense for your patient population and specialty.

Yes. We specialize in first-time credentialing for newly licensed providers, new practice setups, and providers transitioning to a new state or specialty. We guide you through obtaining an NPI number, CAQH profile setup, PECOS enrollment for Medicare, and state Medicaid enrollment — all the foundational steps required before payer applications can be submitted.

Payers frequently request supplemental documents such as malpractice insurance certificates, board certifications, work history attestations, or updated CAQH profiles. Our team monitors all pending applications and responds to these requests promptly, coordinating with you only when provider-specific documents are required. This hands-on follow-through is what separates a smooth credentialing experience from one that stalls for months.

Yes. Most payers require re-credentialing every 2 to 3 years. We track all expiration dates — including provider licenses, DEA registrations, malpractice policies, and payer re-credentialing cycles — and initiate renewals well in advance so your contracts never lapse. Losing an active payer contract due to a missed re-credentialing deadline can mean months without reimbursement from that payer, which we help you avoid entirely.

In some cases, yes. Certain payers allow retroactive billing once credentialing is approved, meaning claims for services rendered during the pending period can be submitted back to the effective date. We advise providers on which payers permit retroactive billing and help you document services appropriately during the waiting period so no revenue is lost once approval is granted. We also explore provisional or locum tenens billing arrangements where applicable.