Commercial enrollment routinely takes 90 to 120 days, and payers almost never pay retroactively for services rendered before the effective date. Every week a file sits is a week of full salary against zero billable encounters.
Most practices overrate the paperwork and underrate what happens after it's submitted. A payer that goes quiet for six weeks will stay quiet unless someone is working the file on a schedule — and that single difference is what separates a 90-day effective date from a 190-day one.
We track every payer file continuously rather than waiting for the payer to come back to us, and you see status by provider in your reporting instead of having to ask.
Provider-level and group-level enrollment, end to end — including the maintenance most practices forget until a contract lapses.
PECOS registration, CMS-855I and 855B, state Medicaid portal enrollment, reactivation, reinstatement, revalidation, and change-of-location or participation-status updates.
Claims past 90 days get worked las because they're hardest. The older the balance, the lower the odds anyone collects it.
CAQH profile build plus the re-attestation that comes due every 120 days, NPI Type I and Type II, DEA registration, state licensure, and hospital affiliation applications.
The two- to three-year payer re-credentialing cycles, Medicare and Medicaid revalidation, and CAQH upkeep — tracked so a lapse never takes a provider out of network unnoticed.
Full-service billing clients — credentialing is part of the engagement. Your pod handles enrollment, revalidation and payer contracting with no separate credentialing invoice and no cap on provider count. The fees below don't apply to you.
Credentialing only — keep your current billing setup and use us for enrollment alone, priced from the published schedule. Nothing about it obligates you to move your billing, and if you do move later, credentialing folds into the engagement.
Full service
Credentialing included, no separate fee
Standalone
Priced per the schedule below
Provider cap
None, at any tier
Switching later
Credentialing folds into the engagement
Enrollment timelines are the one thing you can't compress after the fact. The earlier a file opens, the sooner they can bill.