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Provider Credentialing

Provider credentialing services that get your clinicians paid faster

We credential MDs, NPs, PAs, therapists, and BCBAs with every commercial and government payer you need — filed in parallel, tracked weekly, closed to an effective date.

Why groups switch to Credify

Built for growing healthcare groups, not a ticket queue

One named lead, one project plan, one status view. No hand-offs, no black-box progress bars.

Applications out in days, not weeks

We gather CAQH, licenses, DEA, malpractice, and W-9s upfront and file with every commercial and government payer in parallel.

Every payer, every product line

Commercial, Medicare, Medicaid, Managed Medicaid, Tricare, EAPs, and delegated groups — one project plan, one status view.

One credentialing lead per group

You get a named credentialing lead who owns follow-up with payer reps, closes loops, and reports status on your cadence.

Faster time-to-first-claim

We sequence effective dates, retro-billing windows, and roster loads so providers can bill the moment their contract activates.

What's included

Full-scope credentialing under one engagement

Individual providers, groups, payer apps, and ongoing maintenance — no fragmented vendors.

  • Individual provider credentialing (MD, DO, NP, PA, LCSW, LMFT, LPC, BCBA, PhD, PsyD)
  • Group / TIN credentialing and roster maintenance
  • CAQH ProView setup, attestation, and re-attestations
  • Commercial payer applications (BCBS, Aetna, Cigna, UHC, Humana, Anthem, regional plans)
  • Medicare Part B (PECOS / 855I / 855R) and Medicaid enrollment in every state
  • Re-credentialing and expirable tracking (license, DEA, board, malpractice)
  • NPI type 1 & type 2 setup, updates, and endpoint management
  • Delegated credentialing and roster submissions

FAQ

Provider credentialing questions

How long does provider credentialing take?

Most commercial payers complete credentialing in 60–120 days; Medicare and Medicaid typically run 45–90 days. We shorten the elapsed time by filing in parallel, chasing weekly, and escalating stuck files through payer rep channels.

Do you handle both credentialing and contracting?

Yes. Credentialing verifies the provider; contracting negotiates the participation agreement and fee schedule. We run both together so there's no handoff gap.

Can we start seeing patients while credentialing is pending?

For many commercial payers, yes — retro-billing rules vary by plan. We map every payer's effective-date and retro-window rules up front so you know exactly when each provider can bill.

What do you need from us to start?

A signed BAA, provider CV/roster, licenses, DEA, malpractice COI, W-9, and CAQH credentials. If any are missing we help you build the intake packet.

Get started

Ready to get your providers credentialed?

Book a discovery call and we'll map your payers, effective-date targets, and a week-by-week credentialing plan.