Medical Credentialing Services
You can’t bill insurance until you’re credentialed. And every day you wait is revenue you lose. We handle the entire credentialing process — CAQH, NPI, state licensing, and payer enrollment — so you can start collecting as fast as possible.
Average turnaround: 60–90 days. We track every application, follow up weekly with payers, and keep you informed at every step. No black holes. No surprises. For industry standards, see the CAQH ProView.
Credentialing timeline
Timeline varies by payer and specialty. We follow up weekly to keep applications moving.
What our credentialing service includes.
CAQH Profile
Complete profile creation, document upload, attestation, and quarterly re-attestation management.
NPI Registration
Type 1 (individual) and Type 2 (organization) NPI registration and maintenance with NPPES.
Payer Enrollment
Individual applications to each insurance payer in your target market. Medicare, Medicaid, commercial, and managed care.
Re-credentialing
Tracking expiration dates, submitting renewals on time, and updating rosters when providers join or leave.
License Verification
State license verification, DEA registration, malpractice insurance coordination, and board certification tracking.
Status Tracking
Weekly follow-ups with payers. You always know where each application stands and expected effective dates.
Every month without credentialing costs you $8,000–15,000 in unbillable services.
If you’re seeing patients before credentialing is complete, you can’t bill insurance for those visits. That revenue is gone. The longer credentialing takes, the bigger the hole. We get it done in 60–90 days, not 6 months.
Start Credentialing TodayCredentialing Fee Schedule
Fees below apply per provider, per payer, per application unless otherwise noted. All services are billed upon initiation.
| # | Service Description | Fee |
|---|---|---|
| I. | Medicare – Initial Enrollment / Revalidation | $400 |
| II. | Medicare DME – Enrollment / Revalidation | $400 |
| III. | Medicare – Linkage of Provider / EFT / Demographic / Ownership Update / Term Request | $150 |
| IV. | Medicaid – Initial Enrollment / Revalidation | $400 |
| V. | Medicaid Revalidation (Short Form Application) | $250 |
| VI. | Commercial Payers – Initial Enrollment | $350 |
| VII. | Commercial Re-Credentialing / Follow-Up Only | $250 |
| VIII. | Linkage of Provider / Demographic / Ownership Update / Term Request | $150 |
| IX. | CAQH Profile Creation / Commercial Lab Enrollment | $400 |
| X. | NPI Set-Up / CAQH Re-Attestation | $100 |
| XI. | Workers’ Comp | $300 |
| XII. | Letter of Intent | $150 |
| XIII. | Participation / Panel Status Check (Call/Email) | $60 |
| XIV. | Monthly Maintenance Fees (CAQH, Availity, UHC Re-Attestation) | $60/mo |
Monthly Maintenance Fees are billed on a per-provider, per-month basis and cover ongoing attestation and profile management across CAQH, Availity, and United Healthcare portals.
Fees are subject to change. A signed service agreement and initial payment are required before enrollment work begins. Rush processing may incur additional fees.
Ready to get credentialed?
We’ll review your current credentialing status and build a timeline to get you enrolled with every payer you need.
Schedule Free Consultation