Credentialing is mostly a very long exercise in following up.
There are applications. Portals. CAQH. Documents. Emails. Payer calls. More documents.
And then, occasionally: “It's still processing.”
If you'd prefer not to personally manage all of that, we can help.
Aetna — group application
Submitted · docs complete
BCBS — individual
Still processing · followed up Tue
New hire — CAQH
Attested · roster updated
New networks
Getting started
For clinicians or practices joining new insurance networks, we can support things like:
- Payer applications
- Contract initiation
- Individual provider credentialing
- Group applications
- Letters of Intent when needed
- Application submission
- Payer follow-up
- Status tracking
- Documentation requests
- Enrollment troubleshooting
Ongoing
Then your practice grows. And credentialing starts all over again.
Credentialing isn't always a one-and-done project.
For growing practices, it becomes an ongoing operational function.
We can help with that too.
Ongoing support may include:
- CAQH maintenance
- Roster management
- Revalidations
- Demographic updates
- Payer communication
- Provider additions
- Contract maintenance
- Escalations
- Contract negotiation when appropriate
Wondering whether anyone is watching your applications?
Somebody should be. We'll tell you exactly where each one stands.
Honesty
One important thing about credentialing:
We cannot control the payer. We wish we could.
We can't make an insurance company approve an application on Tuesday because everyone would really prefer Tuesday.
What we can do is submit accurately, track what's happening, follow up, respond when the payer needs something, and keep you informed.
You should not have to wonder whether anyone is paying attention to your application.
Strategy
And sometimes the bigger question is: should you credential with this payer at all?
Credentialing is part paperwork and part strategy.
- Which plans are clients asking for?
- Which panels are open?
- Which clinicians need more referrals?
- What does reimbursement look like?
- Does joining this network support where the practice is trying to go?
Those are useful conversations to have before completing five applications because someone said you should “take more insurance.”
Once you're in-network, the next question is whether the claims actually pay — that's Billing + Revenue Cycle Management. And if the underlying question is really about growth, let's start there instead.
Let's Talk About Credentialing
Which panels, which clinicians, and what's already stuck. Bring all of it.
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