Credentialing Ops

Providers credentialed, enrolled, and kept current

Credentialing Ops: our ops team and vetted partners handle credentialing and payer enrollment applications, keep CAQH profiles current, and track every expiring license and certificate so nothing lapses unnoticed.

Run by our ops team and vetted partners

Scope your credentialing work All AI Ops

What's included

We prepare and submit the applications, follow up with each payer and facility, and keep the records current after approval.

  • Initial credentialing

    New providers credentialed with the payers your practice works with, from first application through approval.

  • Payer enrollment and contracting applications

    Enrollment and contracting applications prepared, submitted, and followed up with each payer.

  • CAQH profile upkeep

    Profiles kept complete, documents current, and attestations done on time.

  • Re-credentialing and expirables

    Licenses, DEA registrations, board certifications, and malpractice coverage tracked, with renewals started ahead of expiry.

  • Hospital privileges

    Privileges applications and reappointments prepared for the facilities where your providers round.

  • NPI, PECOS, and Medicare updates

    NPI records, PECOS, and Medicare enrollment updated when providers join, leave, or move locations.

How it works

Credentialing is mostly paperwork and follow-up. We own both and keep you posted on where each application stands. AI tracks expirables and builds the follow-up queue, and our team prepares each application and works the payers.

  1. 01

    Collect provider documents

    We gather licenses, certificates, work history, and the other documents applications ask for.

  2. 02

    Prepare and submit

    Applications are completed, checked, and submitted to each payer or facility.

  3. 03

    Signatures and gaps go to you

    Signatures, attestations, and questions only the provider can answer come back to your team with a clear ask.

  4. 04

    Track to approval and beyond

    Each application is followed up until a decision, then re-credentialing and expiry dates go on the tracker.

Where the line sits

We prepare and track applications. Payers and facilities make the decisions and set the timelines, and providers sign and attest for themselves.

  • Providers attest for themselves

    We prepare the paperwork. Signatures and attestations come from the provider.

  • Payers set the timeline

    Each payer and facility works at its own pace. We follow up and tell you where things stand, but we can't promise a date.

  • Contract terms are your decision

    We submit contracting applications. Accepting or negotiating rates stays with the practice.

FAQ

Frequently Asked Questions

Payers and facilities set their own timelines, and they vary. We submit complete applications, follow up on a regular schedule, and tell you where each one stands.

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