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Credentialing and payer enrollment
Get in-network with the plans your patients use.
Applications, CAQH, Medicare and Medicaid enrollment, and follow-up for new providers, new locations and existing groups, handled start to finish.
- $99 per payer, per provider
- Follow-up every two weeks
- Re-credentialing tracked
Start seeing insured patients sooner.
You generally can’t bill in-network before your effective date. Every week an application sits unnoticed is a week of visits you can’t bill.
Start credentialingApplications that keep moving
Every payer followed up every two weeks, so nothing sits in a queue unnoticed.
Realistic panels only
We tell you which plans are open in your area before you spend time applying.
No accidental lapses
Re-credentialing and revalidation dates tracked so you never fall out of network.
Ready to bill on day one
Effective dates and fee schedules confirmed and loaded for billing.
Everything it takes to get in-network
Payer selection
We help you choose which plans to apply to, based on your area and specialty, and flag panels that are closed.
CAQH profile setup and upkeep
Your CAQH profile completed, documents uploaded and re-attested on schedule.
Medicare and Medicaid
Medicare enrollment through PECOS, state Medicaid applications and managed Medicaid plans.
Commercial applications
Aetna, Cigna, UnitedHealthcare, BCBS plans and others, with follow-up until contracts are signed.
Group and location changes
Adding providers to a group, new addresses, new tax IDs and linking providers to your group NPI.
Re-credentialing and revalidation
We track expiration dates so you don’t fall out of network by accident.
Four steps to in-network
You send documents once. We handle every payer from there.
Collect your documents
License, NPI, malpractice insurance, W-9, CV and work history. We send a simple checklist.
Apply to each payer
We submit applications to the plans you choose, with your CAQH profile complete first.
Follow up every two weeks
Each payer is followed up on a schedule, so nothing sits unnoticed.
Confirm effective dates
When contracts come back, we confirm effective dates and fee schedules, and load them for billing.
Simple credentialing prices
No retainers and no bundles you don’t need.
Per payer, per provider
Application, follow-up every two weeks and effective date confirmation.
CAQH setup from scratch
One time per provider. Free if your CAQH profile is already complete.
CAQH upkeep
Per provider, including re-attestation. Free for our billing clients.
Credentialing questions
Still unsure? Email info@carerevenuemanagement.com or call (850) 515-4548.
How long does credentialing take?
Usually 60 to 120 days per payer, and sometimes longer. Medicare is often faster. Starting early matters, because you generally can’t bill in-network before your effective date.
Can I see patients while credentialing is pending?
You can see them, but claims for those visits may be denied or paid out of network. Some payers allow retroactive effective dates; many don’t. We’ll tell you which do.
Do you credential therapists, PTs and physicians?
Yes. We credential mental health clinicians, physical therapists, physicians, nurse practitioners and physician assistants.
What does credentialing cost?
$99 per payer, per provider. Setting up a CAQH profile from scratch is $149 one-time per provider, or free if your profile is already complete. Ongoing CAQH upkeep is free for billing clients and $25 per provider per month otherwise.
Need to get in-network?
Tell us your specialty, state and the plans you want. We’ll tell you which are realistic and how long they usually take.