Commercial payers
BCBS plans, Aetna, Cigna, UnitedHealthcare, Humana, Anthem, Elevance, Kaiser, and regional PPOs / HMOs / EPOs.
Payer Enrollment
Payer enrollment services that get your group in-network — everywhere it matters
Commercial payers, Medicare, Medicaid, and Managed Medicaid MCOs — enrolled in parallel, contracted at real fee schedules, and maintained so nothing lapses.
Payer coverage
Every payer type your group needs — filed in parallel
Medicare enrollment
PECOS registration, 855I / 855R / 855B / 855S filings, reassignments, revalidations, and Medicare Advantage add-ons.
Medicaid enrollment
State Medicaid enrollment plus every Managed Medicaid plan — including Molina, Centene, Wellpoint, CareSource, and state-specific MCOs.
Behavioral & ancillary networks
Optum Behavioral, Magellan, Beacon, Carelon, Evernorth, EAPs, delegated groups, IPAs, and specialty networks.
How it works
A four-stage payer enrollment engagement
- 01
Payer map + intake
We map every payer, plan, and product line your group needs — commercial, Medicare, Medicaid, MCOs — and build a single intake packet.
- 02
Parallel filings
Applications file simultaneously with weekly outreach to each payer rep. No serial queueing.
- 03
Contract + fee schedule
We shepherd participating agreements, fee schedules, and effective dates — flagging retro-billing windows so revenue starts on day one.
- 04
Roster + revalidation
Ongoing roster loads, PECOS revalidations, CAQH re-attestations, and expirables tracking so nothing lapses.
Outcomes
What in-network actually looks like when it's done right
- In-network faster with every payer your patient panel actually uses
- One rostered TIN across commercial + Medicare + Medicaid + MCOs
- Retro-billing windows captured before they close
- No lapses in participation from missed revalidations
- Clean payer rep relationships when escalations are needed
- Weekly status your billing team can plan against
FAQ
Payer enrollment questions
What's the difference between credentialing and payer enrollment?
Credentialing verifies a provider's qualifications. Payer enrollment is the contracting step that lets the provider or group bill a specific payer under a participation agreement. Payer enrollment usually depends on credentialing but is a separate, contract-driven workflow.
Do you enroll both the individual provider and the group (TIN)?
Yes. We enroll individual providers (855I / individual CAQH) and link them to your group TIN (855R reassignments, group applications, roster loads) so claims route correctly from the first date of service.
Can you enroll us in Medicare and Medicaid in multiple states?
Yes — we handle PECOS / Medicare in all 50 states and Medicaid enrollment in every state your group operates in, including the Managed Medicaid MCOs that dominate each market.
Do you maintain enrollments after we go live?
Yes. Ongoing revalidations, CAQH re-attestations, roster updates, license and DEA expirables, and payer notifications are all part of the maintenance engagement.
Resources
Related guides
Get started
Ready to be in-network with the payers you actually bill?
Book a call and we'll build the payer map, contracting plan, and effective-date timeline for your group.