Specialties / Primary Care / Credentialing & Payer Enrollment

Primary Care · Credentialing & Payer Enrollment

Credentialing for Primary Care Providers

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

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1 to 40+
Providers Credentialed Concurrently
60–120d
Typical Enrollment Window
100%
Deadline Tracking

Primary care credentialing is often the first payer-enrollment experience a new practice or provider goes through, and getting CAQH, PECOS, and state Medicaid right the first time avoids a billing delay that can stretch well past a provider's actual start date. We manage that enrollment specifically for primary care providers, from a first-time solo practice to a group adding its next provider.

What Matters Here

Why primary care needs this differently

A new provider's start date and their billable date are two different things

Credentialing timelines don't move because a provider is ready to see patients — that gap needs to be planned for, not discovered.

Panel status with major commercial payers varies practice to practice

Some payer panels are open, others require justification or are effectively closed in certain markets — knowing this ahead of time avoids wasted applications.

Re-credentialing cycles are easy to lose track of at a growing practice

As a primary care practice adds providers, tracking every provider's re-credentialing deadline manually gets unreliable fast.

What's Included

Credentialing & Payer Enrollment, built for primary care.

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

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CAQH ProView setup and ongoing quarterly attestation management
Medicare PECOS enrollment and state Medicaid enrollment
Commercial payer panel applications, including closed-panel justification support
New-provider enrollment timed against your actual start date, not just submission date
Real-time status dashboard across all payers
Re-credentialing managed proactively as your provider panel grows

More for Primary Care

Call Center Support for Primary Care Practices

High-volume scheduling, CCM/AWV outreach, and triage support sized to your patient panel.

Full-Cycle RCM for Primary Care Practices

Revenue cycle management built around E/M coding accuracy and CCM/AWV capture at high claim volume.

Back-Office Support for Primary Care Practices

Claims processing and administrative support sized to primary care's high patient volume.

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.

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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