Parallel filing, not sequential
Every payer application goes out at the same time, so total elapsed time is the slowest single payer instead of the sum of all of them.
Medical Credentialing Services
Medical credentialing services that end with a billable effective date
Credify Health credentials providers and groups with every commercial and government payer you need — documents reconciled, applications filed in parallel, payers chased weekly, effective dates confirmed in writing.
Why it works
The four things that actually shorten credentialing
Most delays are self-inflicted: incomplete documents, sequential filing, and silence between submission and approval.
Clean files the first time
We reconcile license, DEA, malpractice, CV, W-9, NPI, and taxonomy details before submission — the mismatches that stall files never reach the payer.
A named credentialing lead
One person owns your roster, chases payer reps weekly, escalates stuck files, and reports status on your cadence.
Closed to a written effective date
We confirm approval, roster load, and directory listing in writing so you never schedule against an assumed date.
What's included
Full-scope credentialing under one engagement
Individual providers, group TINs, payer applications, contracting, and ongoing maintenance — no fragmented vendors.
- CAQH ProView build, authorization, and re-attestation
- Commercial payer credentialing (Aetna, BCBS, Cigna, UnitedHealthcare, Humana, Anthem, regional plans)
- Medicare Part B enrollment via PECOS (855I, 855R, 855B)
- State Medicaid and managed-Medicaid MCO enrollment
- Group / TIN credentialing and roster maintenance
- Re-credentialing and expirable tracking (license, DEA, board, COI)
- Contract and fee-schedule review before signature
- Closed-panel exception requests and payer escalations
Process
How a credentialing engagement runs
Intake & audit
Roster, payer mix, states, and every credentialing document reviewed and reconciled.
CAQH & profiles
ProView built or cleaned, payers authorized, attestation current.
Parallel submission
All commercial and government applications filed together with tracked confirmations.
Weekly pursuit
Payer follow-up, verification responses, committee tracking, escalations.
Effective dates
Approval, contract, roster load, and directory listing confirmed in writing.
Maintenance
Re-credentialing, expirables, adds/terms, demographic changes, new payers.
Also available
Related credentialing pages
Go deeper on the part of the work you're buying.
FAQ
Medical credentialing questions
What are medical credentialing services?
Medical credentialing services handle the verification and payer-application work required for a provider or group to become in-network and bill insurance. That includes document collection, CAQH, primary-source verification support, payer applications, contracting, and ongoing re-credentialing.
How much do medical credentialing services cost?
Pricing depends on the number of providers, the number of payers per provider, and whether you need ongoing maintenance. We quote per provider per payer, or a flat monthly rate for groups with continuous hiring. Book a call for an exact scope and quote.
How long does medical credentialing take?
Most commercial payers take 60–120 days; Medicare and Medicaid typically run 45–90 days. Filing in parallel and keeping the file clean is what compresses the calendar — not chasing a single payer harder.
Do you credential behavioral health and ABA providers?
Yes. We credential BCBAs, LCSWs, LMFTs, LPCs, psychologists, and psychiatrists, including behavioral carve-outs like Optum Behavioral, Carelon, and Magellan that medical plans do not cover.
Can you take over a credentialing project that is already stuck?
Yes. We audit what was submitted, find where each file actually sits, and restart or escalate the ones that stalled. Mid-project takeovers are common.
Which states do you cover?
All 50 states. See our state pages for Medicaid programs, MCO rosters, and licensing detail in the markets we publish depth on.
Resources
Related guides
Get started
Get a medical credentialing plan for your roster
Book a call and we'll map your payers, states, documents, and a realistic first-claim date.