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Every day your providers aren’t credentialed is a day you’re seeing patients you can’t bill for. Payer delays stretch into months, your staff spends hours chasing application status with no answers, and the revenue gap keeps growing. If you’re opening new locations next month or adding providers to your roster right now, that timeline problem is already costing you.
One O Seven RCM delivers expedited provider credentialing services across all 50 states, and we’ve built the entire process around one goal: getting your providers approved and billing as fast as possible. Our credentialing services start at $99 per payer with no hidden fees. We target 60 to 90 day completion versus the industry average of 3 to 6 months. And we achieve a 99% first-time payer approval rate because we audit every file before a single application goes out. That’s not a marketing claim. That’s what happens when you fix the errors before submission instead of after rejection.
If you need provider enrollment and credentialing services that actually move, this is where you start.
Most credentialing delays come from errors that never should have reached the payer. Our medical billing and credentialing experts verify every detail before submission so your file moves forward the first time.
One O Seven RCM assigns one credentialing specialist to your file from intake to final payer approval. No ticket systems, no handoffs, and no confusion about who is working your case.
From Medicare and Medicaid to BCBS, Aetna, UHC, Cigna, Humana, and every major commercial payer, we manage provider enrollment and credentialing across every state and every network.
You always know where your credentialing applications stand. We send structured progress updates on every payer, every application, and every pending action so there is never a question about your status.
One O Seven RCM delivers professional provider credentialing services at a price that makes sense for solo practitioners, group practices, and multi-location healthcare organizations.
Your providers deserve credentialing that moves. One specialist, 900+ payers, 99% first-time approvals.
End-to-end payer enrollment services cover NPI registration, CAQH setup, PECOS enrollment, and payer-specific application submission. We manage individual providers, group practices, and multi-location organizations under one coordinated workflow. Our pre-submission audit catches every data mismatch before applications go out.
CAQH, the Council for Affordable Quality Healthcare, is where most commercial payers pull your data during the payer credentialing process. Expired attestations and outdated documents are among the top three causes of credentialing delay. We build, update, and maintain your CAQH profile continuously so payers always see a current, complete record.
Medicare credentialing runs through PECOS, the Provider Enrollment, Chain, and Ownership System, and it's one of the most rejection-prone processes in the payer landscape. Taxonomy mismatches, broken reassignment links, and address inconsistencies are the most common rejection causes. Our medicare credentialing services manage PECOS enrollment and state-specific Medicaid applications across all 50 states.
BCBS, Aetna, UHC, Cigna, Humana, and 900 plus additional networks each run different portals, checklists, and panel rules. Our insurance credentialing services prepare payer-specific applications with pre-submission verification on every file. That's what prevents the silent rejections that add months to your timeline without explanation.
Most payers require recredentialing every two to three years. Medicare mandates revalidation on a five-year cycle with interim updates required in between. A missed deadline triggers billing interruption and network termination. We track every expiration date across your active payer roster and submit renewals before deadlines hit.
Providers practicing in hospital settings need a separate privileges application managed through the hospital's medical staff office. We coordinate admitting, courtesy, and surgical privileges applications in parallel with your payer enrollment so both processes advance simultaneously, not sequentially.
Most providers sign payer contracts without reviewing the fee schedule. That locks in below-market reimbursement rates for years. We review every in-network contract for CPT code coverage, fee schedule accuracy, and dispute resolution terms before you sign. When rates fall below market benchmarks, we pursue negotiation before execution.
Submitting applications is only half the job. Payer queues stall without active follow-up, and most credentialing companies don't chase. We conduct weekly payer follow-up calls and portal status checks on every active application. When a payer requests additional documentation, we respond the same day and keep your timeline on track.
Within 24 hours of onboarding, your dedicated specialist audits every credentialing element: NPI registration, CAQH profile completeness, taxonomy code alignment, state license dates, DEA registration, malpractice insurance currency, and TIN verification. Every error gets caught here before any application goes out. That's what drives our 99% first-time approval rate.
We analyze your specialty, location, and reimbursement goals before selecting target payers. Open versus closed panel status varies by region, and submitting to a closed panel without an appeal strategy wastes months. Telehealth providers get full multi-state enrollment coordination from this step forward.
The NPI Registry, CAQH ProView, and PECOS must contain identical information or payers reject applications without explanation. We build or rebuild your profile across all three systems and cross-verify every data point. Medicare PECOS rejections most commonly stem from taxonomy mismatches and address inconsistencies between NPI and PECOS records.
Each payer runs different portals, forms, and documentation requirements. We prepare payer-specific applications using current portal requirements, verify every document at primary source, and submit within 24 hours of file completion. Clean submissions built around each payer's current rules are what produce consistent first-time approvals in credentialing in medical billing.
Payer queues stall without active follow-up. We conduct weekly calls and portal status checks on every active application. When a payer requests additional documentation, we respond the same day. Providers receive biweekly written updates so there's never a question about where each payer application stands in the payer credentialing process.
Payer approval triggers immediate contract review. We check every in-network contract for fee schedule accuracy, CPT code coverage, and dispute resolution terms before you sign. EFT and ERA enrollment completes at this stage so payments flow electronically from the first billing cycle. No gap between approval and revenue.
"I'd been trying to get credentialed with Aetna and BCBS for four months before finding One O Seven RCM. My dedicated specialist caught three taxonomy errors in my CAQH profile that nobody had flagged. We were approved with both payers in 11 weeks. The biweekly updates made the whole process feel manageable for the first time."
"We were opening locations in Texas and Florida simultaneously and needed credentialing in both states at the same time. One enrollment manager handled everything, coordinated both state Medicaid applications, and had our billing system ready the day our first contract arrived. We didn't lose a single billing day in either location."
"We were opening locations in Texas and Florida simultaneously and needed credentialing in both states at the same time. One enrollment manager handled everything, coordinated both state Medicaid applications, and had our billing system ready the day our first contract arrived. We didn't lose a single billing day in either location."