CAQH maintenance, payer applications, re-credentialing calendars, and status tracking so new providers bill sooner and existing providers never lapse.
Credentialing
Provider credentialing and payer enrollment tracked to completion.
- CAQH profile management
- Re-credentialing calendar
- Enrollment status visibility
Cross-cutting · supports every stage
Specialists own every step. Automation handles the repetitive work. Nothing waits in a queue nobody is watching.
Gather
CAQH profile, supporting documents, and expirables are collected and verified once, then kept current.
Apply
Payer applications, PECOS, and state Medicaid enrollment submitted with complete documentation checklists.
Track
Status follow-up with every payer, effective dates captured, and issues escalated before they stall.
Maintain
Re-credentialing calendar, revalidation, and roster updates so no provider ever lapses.
AI-assisted pattern detection and decision support that works alongside our billing professionals — never instead of them.
Expirables and re-credentialing dates are monitored automatically.
Application-status patterns flag payers that are running slow.
Specialists handle every payer conversation.
Specialty-aligned specialists who know your payer rules.
If it's not here, an RCM specialist will answer it directly.
It varies by payer — commonly 60 to 120 days or more. We can't shorten a payer's process, but we submit complete applications and follow up so nothing stalls.
A structured review of denials, A/R aging, coding, and underpayments — findings are yours to keep, whether or not we work together.
- · Findings you keep, whether or not we work together
- · No patient information requested
- · A named RCM specialist, not a sales queue
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