Contracting And Credentialing
A provider who isn't enrolled can't be paid
A provider who isn't enrolled can't be paid. Enrollment gaps and missed revalidations hold up claims that were otherwise fine.
What's Included
- Payer enrollment and contracting support
- PECOS management
- CAQH upkeep
- Revalidation and re-credentialing tracking
- Status reporting
Who does what
What We Do, And What We'll Ask Of You
Enrollment and contracting
- What software does
- Tracks each application and its status.
- What a person does
- Our team prepares and submits applications, and follows up with the payer.
- What we need from you
- Provider documents, signatures and CAQH access.
Revalidation and upkeep
- What software does
- Tracks expiration and revalidation dates across providers and payers.
- What a person does
- Our team starts renewals early and keeps CAQH and PECOS current.
- What we need from you
- Word of any change in license, location or staff.
SampleSampleEnrollment trackerFictional example for illustration. Not a real client, patient, payer or result.
See what you'd track with us
| Provider | Payer | Status | Next step |
|---|---|---|---|
| Provider A | Medicare (PECOS) | Active | Revalidation due Oct 2027 |
| Provider A | Plan A | With payer | Day 34. Next follow-up on the 15th |
| Provider B | Plan B | Needs you | Malpractice certificate requested from your office |
| Provider B | CAQH | Active | Re-attestation due Jan 2027 |
The number we watch: Time to enrollment. Days from a complete application to active status with the payer. Payers set the final timing.
Frequently asked questions
Got Any Questions?
It depends on the payer. We give you a realistic range at the start and report status until it's done.
Yes. We track dates and start early, so enrollment doesn't lapse.