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Credentialing done before your new provider sees their first patient

A provider without active enrollment is a provider generating denials. We handle initial credentialing, re-credentialing, CAQH, and payer enrollment so your clinical schedule and your revenue cycle actually match.

90-day average enrollment completionAll major commercial, Medicare, MedicaidCAQH maintained quarterly
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90 daysaverage enrollment completion
100%CAQH maintenance on schedule
24/7expirables tracking

What gets missed when credentialing goes wrong

Every day a new hire is unenrolled is a day their visits get denied. Payers backdate approval inconsistently. Some credit from application receipt. Some from approval date. The difference is 60 to 90 days of revenue. We track it so your hires bill from day one.

What the service covers

  • Initial credentialing and enrollment for new providers
  • Re-credentialing on payer schedules (typically every 24 to 36 months)
  • CAQH ProView profile setup and quarterly attestation
  • NPI registration (Type 1 and Type 2)
  • Medicare PECOS enrollment and revalidation
  • Medicaid enrollment per state
  • Commercial payer enrollment (BCBS, UHC, Aetna, Cigna, Humana, and regional)
  • Hospital privileging support
  • License and DEA tracking with expiration alerts

Every week a provider is uncredentialed is a week of billable work you cannot bill. Credentialing is revenue, not paperwork.

ASA Management playbook

Timeline you can actually plan around

Week 1

Intake, document collection, CAQH setup.

Weeks 2 to 4

Primary source verification, application prep, payer submissions.

Weeks 4 to 12

Payer review. We follow up weekly with every payer until approval.

Ongoing

Maintenance: re-credentialing, expirables tracking, CAQH attestations.

Further reading

Where to go next

Pick a thread and keep pulling. Every engagement starts with the piece that has the biggest revenue leak.

ServiceMedical BillingServiceRevenue Cycle ManagementServicePractice ConsultingSpecialtyOrthopedic Surgery BillingSpecialtyPodiatry BillingSpecialtyNeurology Billing
Can you enroll us with payers we are not currently contracted with?
Yes. We research payer mix in your area, recommend new contracts to pursue, handle the applications, and follow up until approval.
What if a payer denies enrollment?
Denial reasons are usually fixable: incomplete application, missing LOR, non-matching NPI details. We address and re-submit within 10 business days.
Do you handle hospital privileging?
Yes. We support initial and reappointment applications and coordinate with medical staff offices.
Start here

See the revenue leak before you sign anything.

A 30-day claim review, written findings, and a number. That is enough to decide.

Request a free audit Call (973) 699-6689
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