Specialties / Gastroenterology / Credentialing & Payer Enrollment

Gastroenterology · Credentialing & Payer Enrollment

Credentialing & Payer Enrollment for Gastroenterology Practices

Credentialing that covers both sides of a GI practice — the physicians and the endoscopy center they perform in.

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Dual-Track
Provider and Facility Enrollment
Parallel
CAQH, PECOS, and Medicaid
Any Size
Solo to Practice-Owned ASC

Gastroenterology credentialing is rarely just provider credentialing. A practice that performs procedures in its own endoscopy suite or ASC has a facility to enroll as well, often as a separate entity with its own Medicare enrollment, its own payer contracts, and its own timeline. A physician can be fully credentialed and still unable to bill for a procedure because the site where it happened isn't enrolled yet. We run both tracks in parallel and track them against the date you actually intend to start performing procedures.

What Matters Here

Why gastroenterology needs this differently

The facility and the physician are two separate enrollments

An endoscopy center or ASC enrolls in its own right. Practices frequently discover this only when facility-component claims deny while professional-component claims pay.

ASC enrollment carries requirements a physician enrollment does not

Facility enrollment can involve accreditation status, state licensure, and site survey requirements that run on timelines outside the practice's control and need to be started early.

Hospital privileges are frequently a payer prerequisite

Some payers condition participation on admitting privileges or a documented transfer agreement. Privileging runs on the hospital's committee calendar, not yours, and that calendar sets your floor.

What's Included

Credentialing & Payer Enrollment, built for gastroenterology.

A dedicated implementation team and full transparency through your client portal — the same standard as everything else we run, tailored to how gastroenterology practices actually operate.

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CAQH setup and attestation maintenance for every gastroenterologist and advanced practice provider
Medicare PECOS enrollment for both physicians and the endoscopy center or ASC
State Medicaid enrollment for providers and facility
Commercial payer contracting for professional and facility components
Hospital privileging coordination and transfer agreement tracking where payers require it
Accreditation and licensure document tracking for facility enrollment
Revalidation calendar management so no enrollment lapses

More for Gastroenterology

Call Center Support for Gastroenterology Practices

Phone support built around the one thing that decides whether an endoscopy slot produces revenue: whether the patient completed their prep correctly.

Full-Cycle RCM for Gastroenterology Practices

End-to-end revenue cycle management built around screening-to-diagnostic conversions, endoscopy bundling edits, and anesthesia coverage disputes.

Back-Office Outsourcing for Gastroenterology Practices

The administrative work behind biologics, infusions, and pathology that quietly consumes a GI practice's staff hours.

Website & Social Media for Gastroenterology Practices

Built to answer the question that generates the most confused calls in GI: what a colonoscopy actually costs.

Credentialing & Payer Enrollment for Other Specialties

Behavioral Health

Enrollment across the specific MBHOs and payers behavioral health providers actually bill — Optum, Magellan, Beacon, and more.

Primary Care

Enrollment across every commercial payer, Medicare, and Medicaid — sized for a solo provider or a growing panel.

Cardiology

Payer enrollment and hospital privileging support for cardiologists reading and operating across multiple sites.

Multi-Specialty Groups

Enrollment managed across every specialty and payer relationship in your practice, from one dashboard.

Labs & Diagnostics

CLIA-aware enrollment and payer credentialing for independent labs and diagnostic networks.

Ready to get started?

A free revenue cycle assessment — you'll get a written breakdown of where the gaps are, whether or not you move forward with us.

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