Credentialing is not hard. It is just relentless.
Every payer wants the same information in a different format, on a different portal, with a different definition of “complete” — and none of them will tell you the application has stalled. A provider who is not in network is either not seeing those patients or seeing them at out-of-network rates, and that clock starts the day they join you.
What it costs to do it yourself
Not the fee — the elapsed time. A credentialing file that sits for three weeks because nobody chased a missing attestation is three weeks of a provider’s schedule billed at the wrong rate, or not billed at all. Multiply by the number of payers in your mix.
The other cost is attention. Credentialing is the kind of task that fits in the gaps of somebody’s week, which means it moves at the speed of the gaps. It is a bad fit for a practice manager who has a waiting room.
How we run it
Your office fills out one application. After that it is ours: we submit to each payer, track every file, respond to requests for more information, and follow up on the ones that go quiet — which is most of them, at least once.
- One intake from you; no re-keying the same CV into nine portals
- Every application logged and tracked, with accurate records kept for re-credentialing
- Regular progress updates until the file closes — including the ones stuck on the payer’s side
- All medical plans, specialties, hospital privileges and facility applications
- Complete confidentiality on everything you send us
Your first credentialing is free.
One payer application, at no charge, once you sign a billing agreement. If you are adding a provider this year, that is real money and roughly a fortnight of somebody’s attention returned to them.
- No charge, no credit against future work, no catch
- Applies to one payer application of your choosing
- Additional applications quoted at a flat rate per payer
Timing, honestly
Payers set the pace, not us. Some turn a clean application round in a couple of weeks; some take several months and there is no lever anyone can pull. What we control is that nothing sits waiting on our side, and that you always know which stage each application is at.
Credentialing gaps are a revenue leak, not an admin task
They rarely show up on a denied-claims report, which is why they run so long before anyone notices.