Services
Credentialing & Payor Contracts
Get providers enrolled, keep them enrolled and understand what your contracts actually pay.
What we do
A provider who is not credentialed cannot bill, and a contract that has not been reviewed in years may be paying less than it should. This service covers both sides: getting and staying enrolled with payers, and understanding the terms you have agreed to.
Provider enrollment
We prepare and submit enrollment applications to commercial and government payers, follow up on status and keep you updated until each enrollment is complete.
Re-credentialing
We track re-credentialing and revalidation dates and start the paperwork early so providers do not drop out of network.
CAQH support
We help keep CAQH ProView profiles complete, attested and up to date, which many payers rely on.
Contract review
We read your payer contracts and summarize the key terms in plain language: fee schedules, timely filing limits, appeal windows and renewal dates.
Rate benchmarking support
We compare your contracted rates for your most common codes against reference points such as Medicare rates, so you can see where a contract may be below market.
Renegotiation support
Where it makes sense, we help prepare a renegotiation request with the data payers expect to see, and support you through the conversation.
Our workflow
- 1
Inventory
List every provider, payer, enrollment status and contract on file.
- 2
Fix gaps
Submit missing enrollments and update CAQH and payer records.
- 3
Track dates
Set up a calendar of re-credentialing and contract renewal dates.
- 4
Review contracts
Summarize terms and benchmark key rates.
- 5
Support renegotiation
Prepare requests and track payer responses.
What you can expect
These are the standards we work to and report against. They are commitments we aim for, not guarantees, because some steps depend on payers and on information from your practice.
- A clear status list for every provider and payer, updated regularly.
- Early reminders before re-credentialing deadlines.
- Plain-language contract summaries.
- Honest advice on which contracts are worth renegotiating.
Enrollment timelines and renegotiation outcomes depend on payers. Payers set their own processing times and decide whether to change rates. We support the process; we cannot guarantee results.
Common questions
Find out where your revenue is leaking.
A free, no-obligation review of your claims and payor contracts, explained in plain language.