Frequently Asked Questions

We provide Credentialing, Contracting, Auditing, and Consulting services to outpatient providers across the country. Our expertise spans all insurance networks of your preference.

When utilizing our services, we handle the entire process of obtaining, completing, submitting, and tracking provider enrollment applications with each insurance payer. All correspondence from the insurance companies will be directed to us, allowing you to focus solely on your patients. Once approvals are granted by the insurers, we will promptly forward you the approval notifications along with pertinent details such as the effective date for billing, copies of the In-Network contracts, and your provider ID#. With this information in hand, you'll be fully prepared to commence billing claims.

Average ​processing time for Medicare is about 45 days, Medicaid is about 60 days, all other payers are ​between 90-120 days, depending on how fast or slow the payer processes the application/forms. (Some insurances can take longer than 120 business days​)

We typically need a copy of the following items from the provider: State License, Graduate Degree, Malpractice Insurance policy, Voided check for EFT enrollments, and a copy of your IRS CP575G form.

Tiered Credentialing Pricing, per Clinician

• 1-3 insurances: $270 each
• 4-8 insurances: $230 each
• 9-12 insurances: $200 each
• 13+ insurances: $170 each
• Each package includes the following services: Consultation, Credentialing, Contracting, CAQH Management, and obtaining a Type 2 NPI# for the business (if applicable).
• No Set Up fees, and No Monthly Recurring Fees!
• We offer payment installment plans for projects exceeding $3,000

Yes, we ask our clients to reach out to us every 3-4 weeks for an update, and we will gladly send it out.

We can submit an appeal for network reconsideration if the provider chooses, but these rarely get processed.

We are a nationwide service, offering credentialing services in all states, for all insurances, for all provider types.

There are no hidden, or extra fees outside of what is quoted to you on the agreement you sign for our services.