Provider enrollment is the process of getting your practice and individual providers approved to participate in insurance networks — including Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, and others. Without active enrollment, you cannot bill or receive reimbursement from these payers for patient services. Our provider enrollment service manages the entire lifecycle: CAQH attestation, payer applications, follow-ups, and approval tracking so you get paid for every eligible visit.

Timelines vary significantly by payer. Medicare enrollment typically takes 30–60 days. Medicaid varies by state, ranging from 45–120 days. Commercial payers like Aetna, Cigna, and UnitedHealthcare generally take 60–90 days. Some plans like BCBS or regional HMOs can take 90–150 days depending on their internal review cycles. Our team proactively follows up with each payer weekly — and we handle re-credentialing so you never face enrollment gaps.

We enroll providers with all major government and commercial payers, including Medicare (Part A & B), Medicaid (all states), Blue Cross Blue Shield (national and regional plans), Aetna, Cigna, UnitedHealthcare, Humana, Tricare, and over 50 regional and specialty plans. We tailor our enrollment strategy to your specialty, location, and patient population — ensuring you join the networks that actually reimburse well for your services.

Absolutely. We specialize in first-time provider enrollment for newly licensed providers, new practice openings, and providers moving to a new state or specialty. We handle all foundational steps: NPI application, CAQH profile creation and attestation, PECOS enrollment for Medicare, and state-specific Medicaid enrollment. Once these are complete, we submit all payer applications on your behalf and manage every follow-up until approval.

Payers frequently request supplemental documents — such as updated malpractice certificates, board certifications, work history verification, or CAQH re-attestation. Our team monitors every pending application daily and responds to these requests within 24 hours. We coordinate with you only when provider-specific signatures or documents are needed. This proactive follow-through is what turns a 6-month enrollment into a 60-day enrollment.

Yes. Most payers require re-credentialing every 2 to 3 years. We track all critical dates — including provider licenses, DEA registrations, malpractice policies, CAQH re-attestation deadlines, and payer-specific re-credentialing cycles — and initiate renewals 90+ days in advance. Losing an active payer contract due to a missed re-credentialing deadline can cost your practice months of reimbursements. We make sure that never happens.

Yes — for certain payers. Medicare, many Medicaid programs, and several commercial payers allow retroactive billing once enrollment is approved, meaning claims for services rendered during the pending period can be submitted back to the effective date. We advise you on which payers permit retroactive billing and help you capture all eligible revenue once approval is granted. We also explore provisional billing arrangements like locum tenens where applicable.