The Most Common Inquiries
About Our Credentialing Services

Cost savings free up staff to do other important duties. Our agents work diligently to get you credentialed in a timely manner.  

Rates are affordable and flexible to meet your needs.  

Transparency with providers is our promise.  We cannot guarantee that all insurances will welcome you into their network, but we also don't give up the first time.  

This should be a time of excitement, but it's often a more stressful experience for our providers.  It's important that or providers trust and receive responses by phone/email to get their questions answered.  The provider will have a trusted partner that cares about your success.  

• Psychiatric Nurse Practitioners
• Family Practice 
• All Other Nurse Practitioners
• Physician and PA's

We would love to work with you on your new journey.

For an initial FREE consultation, please send the following information to [email protected].  Name of the practitioner, name of practice, telephone number.  We can schedule it Monday through Friday before 6:00 pm. MST 

If we are a good fit for you, we can get started right away.  Further direction will be sent to you by contact email.

The sooner you get us the “supporting documentation” to get started, a CAQH review is completed.  This helps us prepare for payer review of the provider credentials.  The average time it takes from letter of intent to contract is 120 days.  With that said, we are diligent in our follow up and have completed within 90 days for some payers.  We like to be transparent and if other companies are giving you shorter timelines, then they are not being honest.  

Absolutely! We guarantee the highest level of security for provider's information and documents. Our staff is trained on all government and state guidelines, including the Insurance Portability and Accountability Act (HIPAA). We are happy to discuss this in more detail upon the initial consultation.

Our service fees are posted on our website and are the most flexible to meet your needs.  We often do promotions for new referrals, so your colleague's can get a discount when referred to our services by our trusted providers.  

We do not.  With that said, there are extended medical billing consulting support services to assist providers and their billing agents with proper payer setup and or initial claim denials that may occur when getting started.  

Cost varies, depending on support needed. 

Our team has 30 + years in medical billing and revenue practice management experience, so our providers feel supported even after credentialing.  

Our expertise lies with getting providers contracted, but we care that you are also getting paid per your contracts, so please know that we have you covered.

Depending on the payer's timeframe for reapplying, we will monitor and continue working with payer on your behalf.  This will require a bit of patience as time frame can be anywhere from 3-6 months for panel closures.

The rate covers document review, caqh audit and the letter of intent + follow up.  We cannot guarantee providers will be accepted to participate in all plans.  We will send two FREE reapplications before exhausting efforts.  The rate is non-refundable even if payer panels are closed.  

With that said, we are a small company with a lot more flexibility than larger companies.  Providers may also opt into another plan if they choose. 

No worries, we will always have your back.

The major insurance payers, Cigna, UHC and Blue Cross are in all states, but they are not the only insurances companies contracting with small providers.  We will provide a comprehensive list of insurance companies in your state/locality so that you have as many options as possible.  This includes managed care insurance payers that have both Medicare and Medicaid options.  

They KEY is, if providers want to work with managed care plans for either Medicare and Medicaid, they must be state certified first.  There is a sequential process so that providers get the most out of their contracts when enrolling  the first time. 

This is an absolute great question that can have many answers.  The most important thing is to establish a partnership with your credentialing agent.  Providers should be able to reach out during hours they are available.  We understand that during the day, if you are not working a full time job on top of starting a new practice, that is highly unusual.  Our providers text agents when convenient, day, evening and night with questions and we welcome it.

It's unfortunate that there is not a one fit's all process to credentialing.  Even after years of experience, it still as cumbersome as ever.  We have learned that most payers just require a clean enrollment application, valid documents and A LOT of patience.  The last one is the most difficult because 120 days can seem like a long time.  I recommend putting the date on a calendar and not hit the panic button because it takes as long as the insurance takes and it cannot be escalated.