Provider Credentialing
Full credentialing and primary source verification, from intake to approval.
Services
Credentialing, enrollment, licensing & contracting services
Everything you need to get providers enrolled, in-network, licensed, and continuously credentialed — managed by a team that does this every day.
Credentialing & Enrollment
Get providers credentialed, enrolled, and in-network across commercial, Medicaid, and Medicare — with the portals and IDs configured correctly.
Commercial Payer Enrollment
Prepare, submit, and track commercial applications until providers are in-network.
Medicaid Enrollment
State-specific Medicaid applications, revalidations, and portal setup.
Medicare Enrollment
PECOS enrollments, reassignments, and revalidations handled end to end.
ABA Credentialing
Specialized enrollment for BCBAs, RBTs, and growing ABA organizations.
Recredentialing
Track and submit recredentialing cycles so providers never lapse.
CAQH Setup & Maintenance
Build and maintain CAQH ProView profiles with on-time attestations.
NPI Setup
Type 1 and Type 2 NPI registration, taxonomy, and NPPES updates.
Availity & Payer Portal Setup
Configure Availity and payer portals your billing team relies on.
EFT / ERA / EDI Setup
Enroll for electronic payments and remittance so payments flow cleanly.
Contracting
Secure participation agreements, negotiate the network you need, and keep contracts moving with persistent follow-up.
Payer Contracting
Pursue and manage participation agreements across your payer mix.
Commercial Insurance Contracting
Get contracted with commercial plans that matter to your patients.
Medicaid MCO Contracting
Navigate managed care organization contracting state by state.
Contract Follow-Up
Actively chase payers so contracts don't sit idle in review.
Contract Review Support
Operational review of key terms so you know what you're signing.
Network Expansion Strategy
A plan for which networks to join, and in what order, as you grow.
Licensing
Provider and group licensing across states, plus the operational side of PC/entity setup for expansion.
Provider Licensing
Individual provider state license applications and renewals.
Group Licensing
Facility and group-level licensing coordination and tracking.
State License Applications
Prepare and submit state license applications accurately.
License Renewals
Track and renew licenses before they expire — no lapses.
Multi-State Licensing Support
A repeatable process for licensing providers across many states.
Professional Corporation / PC Setup Consulting
Operational guidance on the steps involved in PC formation.
Entity & State Expansion Consulting
Coordinate documentation and workflows for opening in new states.
Compliance & Monitoring
Ongoing monitoring that keeps every provider continuously enrolled — expirables tracked, revalidations submitted, portals maintained.
Monthly Credentialing Monitoring
Proactive review of enrollment status across all providers and payers.
License Expiration Tracking
Advance alerts so licenses are renewed before they lapse.
CAQH Reattestation Tracking
Attestations completed on schedule to avoid enrollment holds.
Payer Revalidation Tracking
Monitor and submit payer revalidations before deadlines hit.
Medicare & Medicaid Revalidation Support
Stay ahead of CMS and state revalidation cycles.
Compliance Checklist Management
A clear, maintained checklist of what's due and what's done.
Ongoing Enrollment Maintenance
Updates, additions, and changes handled as your roster changes.
Consulting
Strategy and operations support for organizations entering new markets, adding payers, or building credentialing workflows.
State Expansion Consulting
Plan and execute expansion into new states with fewer surprises.
Payer Strategy Consulting
Decide which payers to pursue based on your patients and goals.
New Market Entry Planning
Sequence licensing, entity setup, and enrollment for a clean launch.
Healthcare Entity Setup Guidance
Operational guidance on structuring for growth (not legal advice).
Credentialing Workflow Consulting
Design internal processes that keep enrollment on track.
Enrollment Operations Support
Extra capacity and expertise for your credentialing operations.
Medical Coding by Codify
Accurate medical coding, documentation support & revenue-cycle alignment
Medical coding services are provided through Codify, our coding solutions brand, built to support healthcare organizations with accurate coding, documentation support, and revenue-cycle alignment.
Explore Codify coding servicesMedical Coding Support
Accurate, specialty-aware coding aligned to your documentation and payers.
Coding Review
Second-look review to catch errors before they cost you revenue.
Documentation Support
Guidance that helps providers document to the level their coding requires.
Specialty Coding Support
Coding expertise tailored to your specialty's rules and nuances.
Revenue Cycle Support
Coding that connects cleanly to billing so claims move without friction.
Coding Compliance Support
Coding practices that stand up to payer and audit scrutiny.
Get started
Not sure which services you need?
Book a call and we'll map your payers, states, licensing, and providers to the exact work required.