Credentialing Readiness Audit Within 24 Hours
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.
Payer Selection and Network Mapping
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.
NPI, CAQH, and PECOS Synchronization
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.
Application Preparation and Same-Day Submission
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.
Contract Review and Billing Activation
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.