Nationwide Provider Enrollment & Medical Credentialing Services
We get your providers credentialed, enrolled, and in-network with the payers you need — and we keep them that way. The work is done in-house by a US-based team. We do not outsource it.
Credentialing, handled — the way it should be.
Credentialing is where practice revenue quietly dies: a provider who can't bill, a file frozen over a missed deadline, weeks lost to a payer's backlog. Here's how we take it off your plate.
- We do the work in-house. We never outsource.Your providers' data and paperwork stay with our US-based team from start to finish. Nothing gets farmed out to a third party overseas.
- Done for you — not one more piece of software to run.There's no platform to learn and no seats to manage. A specialist does the work and keeps you informed. You do not have to become a credentialing expert.
- We know payer agreements, not just paperwork.We understand how contracts and fee schedules actually affect what a practice collects — so enrollment isn't just filed, it's filed to work in your favor.
- We keep you billable after you're approved.Credentialing isn't one-and-done. We handle CAQH re-attestation, Medicare revalidation, and recontracting so a missed deadline never freezes your file.
Everything you need to get billable, in one place.
Whether you're a solo provider getting on your first panels or a group managing a full roster, we cover the whole enrollment and credentialing lifecycle.
Provider Enrollment
Get physicians, groups, and facilities enrolled and in-network.
Learn moreMedical Credentialing
Applications, CAQH, and payer follow-up managed end-to-end.
Learn moreInsurance Credentialing
Panel enrollment with commercial payers so you can bill sooner.
Learn moreMedicare Enrollment (PECOS)
PECOS applications, revalidations, and reassignments handled for you.
Learn moreCAQH Credentialing
CAQH ProView setup, attestation, and upkeep — without the stalls.
Learn morePayer Contracting
Insurance contract negotiation for stronger reimbursement.
Learn moreHospital Credentialing
Facility privileging and primary-source verification.
Learn moreCredentialing Maintenance
Recredentialing and expirable tracking so nothing lapses.
Learn moreSee exactly where you are — anytime.
This is the difference between a service and a black box. We do the work, and we give you a live window into it. No software for you to run — just a clear view of where every application stands, which payers are moving, and what's coming up for renewal.
Every application, live status.
In Progress, In Review, Submitted, Complete — across every provider and every payer. Per-application status pills, the latest specialist note, and one-click access to supporting documents.
- Stages Four-state pipeline
- Notes Live specialist log
- Docs Linked in-row
See which payers move fast. Per application.
Average submit-to-approval days, per payer. Per-application cycle times. The honest version of “faster turnaround” — the data, by name.
- Payers 100s
- View Per payer · Per app
- Export CSV · Excel · PDF
Know what's expiring — months before it does.
At-risk counts at every horizon. A five-year forward outlook chart. A filterable record table for every credential across your roster, with CSV / Excel / PDF export.
- Outlook 5 years
- Filters Provider · Type · Group · Status
- Export CSV · Excel · PDF
Built for the practices the big platforms overlook.
We work with solo providers, small and mid-size groups, facilities, and newly independent physicians, NPs, and PAs — the people who need credentialing handled, not a platform to buy and operate. If you want the headache off your plate without hiring for it, that's us.
- Solo & independent providers
- Group practices (1–25 providers)
- New & newly-independent providers
- Facilities, ASCs & ancillary services
In-house, US-based, since 2008.
A focused, US-based team that has done one thing since 2008 — and does it in-house.
Doing this one thing
Provider enrollment and credentialing is all we do — and we've done it since 2008.
In-house team
Every application is worked by our own US-based staff. Nothing is sent offshore.
Your files stay in-house
Provider data and paperwork stay with us from intake to approval — not handed to a subcontractor.
Provider enrollment & credentialing questions.
Direct answers to what practices ask most.
What is provider enrollment?
Provider enrollment is the process of getting a provider registered and approved to bill a health plan — Medicare, Medicaid, or a commercial payer — for the care they deliver. It covers the application, the payer's review, and being added to the network so claims get paid. We handle that end to end.
How long does provider enrollment take?
Most commercial payers take roughly 90–120 days, and Medicare enrollment through PECOS usually runs about 60–90 days — an overall industry range of 60–180 days depending on the payer, specialty, and how complete your file is (ranges reported by Verisys, EHR Source, and others). We manage the full timeline and keep you posted, but the actual approval dates are set by the payers and CMS, not by us.
What's the difference between credentialing and enrollment?
Credentialing is the verification of a provider's qualifications — education, training, licensure, and work history. Enrollment is registering that verified provider with a specific payer so they can bill and be paid. You generally need both, and we handle them together.
How much does provider credentialing cost?
It depends on how many providers and payers you need, so every engagement is quoted individually — we don't publish a flat price. Industry-wide, credentialing services commonly run about $200–$500 to set up a provider and roughly $50–$200 per provider per month for ongoing maintenance (ranges reported by Medwave and credex). Tell us your situation and we'll send an exact quote.
Can I bill insurance while credentialing is pending?
Usually not — most payers won't pay claims until a provider is approved and has an effective date, and retroactive billing is limited by timely-filing rules and each payer's effective-date policy. That's exactly why starting early matters, and why we push every application to move as fast as the payer allows.
Ready to get your providers billable?
Tell us who needs credentialing and which payers you're after. We'll send back a clear quote — in-house, US-based, and no long-term contract required.
Provider Enrollment Services is a credentialing and payer-enrollment service; approval decisions and timelines are determined by the payers and CMS, not PES.