Credentialing & Enrollment
Un-credentialed providers cannot get paid. We manage enrollment, credentialing, and re-credentialing across commercial, Medicare, and Medi-Cal payers so your providers are ready to bill — and stay that way.
Why practices choose us for this
- Faster time to first billable claim for new providers
- No revenue gaps from lapsed credentialing
- CAQH and payer portal management
- Tracked expirables and renewals
What's included
Payer enrollment
Commercial, Medicare, and Medi-Cal enrollment handled end to end.
CAQH management
We keep CAQH profiles complete, attested, and current.
Re-credentialing
Proactive tracking so renewals never lapse.
Status transparency
Know exactly where every application stands.
When you need credentialing
Credentialing is not a one-time task — it is triggered every time your provider roster or payer mix changes.
A new provider is joining
Get new physicians and mid-levels enrolled and billable as fast as payer timelines allow.
You are opening a practice or location
Stand up group and individual enrollments, NPIs, and taxonomies from scratch.
You are adding a payer
Contract and enroll with a new commercial, Medicare, or Medi-Cal managed care plan.
Credentials are expiring
Stay ahead of re-credentialing and expirables so nothing lapses and blocks payment.
Common enrollment delays we prevent
- Incomplete or un-attested CAQH profiles
- Wrong taxonomy or missing NPI-2 group linkage
- Applications that sit unworked in a payer queue
- Effective-date gaps that make early claims non-billable
- Missed revalidation and expirable deadlines
- No visibility into where an application actually stands
How enrollment works
A tracked, transparent process from first application to active billing status.
Gather & verify
Licenses, NPI, DEA, CAQH, and practice details collected and validated.
Submit applications
Commercial, Medicare, and Medi-Cal applications filed correctly the first time.
Payer follow-up
We chase every application so nothing stalls in a payer queue.
Approval & effective dates
We confirm par status and effective dates so billing starts clean.
Maintain & re-credential
Expirables and revalidations tracked so you never lapse.
Let's talk about credentialing & enrollment
Tell us about your practice and we'll show you exactly how we can help — at no cost and no obligation.
- No long-term lock-in
- Physician-founded, Southern California team
- A clear plan tailored to your specialty
Credentialing & Enrollment questions
How long does credentialing and enrollment take?
It varies by payer — commercial plans often run 60–120 days and Medicare/Medi-Cal can be longer. We submit clean applications and follow up aggressively to avoid the delays that add weeks.
Do you manage CAQH?
Yes. We build, complete, attest, and maintain CAQH profiles, which most commercial payers pull from during credentialing.
Can you handle re-credentialing and expirables?
Yes. We track revalidation dates, license and DEA expirables, and re-attestation so nothing lapses and interrupts billing.
Can you enroll a brand-new practice or location?
Yes. We handle group and individual enrollment, NPI setup, and payer contracting so a new practice can bill correctly from day one.
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