Credentialing, tracked to the date.
Payer enrollment and re-credentialing run as a calendar with owners, not as a pile of PDFs somebody means to get to.
A lapsed credential is a billing outage nobody scheduled.
Credentialing fails quietly. A re-attestation window passes, a roster update never reaches a payer, and the first symptom is a month of denials for a provider who was perfectly qualified the whole time.
The work is not hard. It is relentless, date-driven, and catastrophic to forget, which makes it exactly the wrong thing to keep in someone’s inbox alongside their real job.
The whole job, not the convenient half.
Anyone can take the easy part. The value is in owning what happens when something does not fit the process, which is where most outsourcing arrangements quietly hand the work back.
Initial enrollment
New providers onboarded across your commercial, Medicaid, and Medicare payer mix.
Re-credentialing
Every window tracked to its date, with the work starting early enough to absorb a payer being slow.
CAQH maintenance
Attestations kept current so a stale profile never blocks an enrollment.
Roster management
Adds, terms, and location changes pushed to payers and reconciled against what the payer actually recorded.
Payer follow-up
The phone calls, in your working hours, until a confirmation number exists.
Status reporting
One live view of where every provider stands with every payer.
Nobody hands this over on day one.
We take work in stages, each with a written definition of done and a clean rollback point. If we are wrong about something, you find out early.
Inventory
Every provider, every payer, every date. We usually find at least one window nobody was tracking.
Triage
Anything expiring inside ninety days gets worked first, in order of billing exposure.
Run the calendar
Windows opened early, followed up in your working hours, and closed with a confirmation rather than an assumption.
Reconcile
What we believe versus what the payer’s system says. Those disagree more often than anyone expects.
The people doing your work have names and a shift.
You get the same team, in your working hours, with a named owner per queue. Not a ticket pool that rotates every quarter.
Credentialing, specifically.
The questions that come up on every first call about this one.
How far ahead do you start a re-credentialing window?
Do you handle Medicaid and Medicare as well as commercial?
What happens if something has already lapsed?
Can you do credentialing without doing our billing?
Revenue cycle
We own your billing end to end, from the moment a service is recorded to the moment it is paid, and you stop managing any of it.
Admin & support
Front desk, scheduling, intake, and patient communication, staffed through your working day, inside your systems.
IT consultancy
A first-principles look at an operation that has stopped making sense, delivered by people who will have to live with the answer.