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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.

The actual problem

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.

What we run

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.

How it starts

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.

Weeks 1–2

Inventory

Every provider, every payer, every date. We usually find at least one window nobody was tracking.

Week 3

Triage

Anything expiring inside ninety days gets worked first, in order of billing exposure.

Ongoing

Run the calendar

Windows opened early, followed up in your working hours, and closed with a confirmation rather than an assumption.

Monthly

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.

Straight answers

Credentialing, specifically.

The questions that come up on every first call about this one.

How far ahead do you start a re-credentialing window?
Early enough that a slow payer cannot cause a lapse, typically well before the deadline, with follow-up scheduled rather than reactive. The date the payer needs it is not the date we start.
Do you handle Medicaid and Medicare as well as commercial?
Yes. The government payers are usually where the timelines are least forgiving, so they get the earliest start.
What happens if something has already lapsed?
We tell you immediately, quantify the billing exposure, and work the reinstatement first. We would rather deliver bad news in week one than manage it quietly.
Can you do credentialing without doing our billing?
Yes. It stands alone, and it is a common first engagement because the scope is clean and the result is verifiable.

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