Every network, one project
Commercial plans, Medicare Advantage, Medicaid MCOs, behavioral carve-outs, EAPs, and TPAs handled together instead of one vendor per line.
Insurance Credentialing
Insurance credentialing services for in-network approval
We get providers and groups credentialed and contracted with the health plans your patients actually carry — including the closed panels most vendors write off.
What you get
Panel access, not just paperwork
Filing an application is the easy part. Getting an executed contract and a confirmed effective date is the work.
Closed panels worked, not accepted
A closed panel is a starting position. We build access arguments, subspecialty cases, and employer escalations on the plan's reopening cycle.
Contracts read before you sign
Fee schedule, timely filing, termination, and all-products language reviewed at the one moment you actually have leverage.
Group and individual, aligned
Group TIN contracting and individual provider credentialing sequenced so neither one blocks billing.
Networks
Plans we file with regularly
Plus regional Blues, state Medicaid programs, TPAs, and EAP networks.
- Aetna and Aetna Better Health
- Blue Cross Blue Shield plans (all regions)
- Cigna and Evernorth Behavioral
- UnitedHealthcare, Optum Behavioral, UHC Community Plan
- Humana commercial and Medicare Advantage
- Anthem / Elevance commercial and Medicaid
- Molina, Centene / Ambetter, CareSource, WellCare
- Carelon, Magellan, and other behavioral carve-outs
Plan-specific detail lives on our payer credentialing pages.
FAQ
Insurance credentialing questions
What are insurance credentialing services?
Insurance credentialing services get a provider or group approved and contracted with health plans so claims pay in-network. The work covers document collection, CAQH, payer applications, primary-source verification support, contracting, and confirmed effective dates.
What is the difference between credentialing and contracting?
Credentialing verifies the provider's license, training, work history, malpractice, and sanction status. Contracting establishes the participation agreement and fee schedule for the group's tax ID. You need both before you can bill in-network.
Can you get us on a closed panel?
Sometimes. Panels close by specialty and geography and reopen on cycles. Exception requests succeed most often when there's a documented access gap, a thin subspecialty, extended hours, additional languages, or an employer or member escalation behind the request.
Can we bill for visits during the pending period?
It depends on the plan's retro-billing rules. We map each payer's effective-date and retro window at the start so you know what is billable and what is not before you schedule.
How many insurance panels should we join?
Start with the payers your patient population actually carries. We pull your payer mix, rank panels by expected volume and rate, and file the high-value ones first rather than applying everywhere at once.
Do you handle re-credentialing with insurance companies?
Yes. We track the roughly three-year re-credentialing cycle plus every expirable — license, DEA, board certification, malpractice COI — and CAQH re-attestation, so nobody falls off a panel.
Resources
Related guides
Get started
Which insurance panels do you need?
Book a call and we'll review your payer mix, panel status, and the fastest route to in-network billing.