Core onboarding services.
- CAQH Profile Setup & Management
- Medicare Enrollment (PECOS)
- Medicaid Enrollment
- Commercial Payer Enrollment
- NPI Registration & Updates
- DEA & State License Tracking
- Hospital Privileging Support
- Primary Source Verification
- Application Preparation & Submission
Ongoing compliance management.
- CAQH Quarterly Attestations
- Recredentialing Management
- Payer Revalidations
- License & Certification Monitoring
- OIG & SAM Exclusion Checks
- Provider Roster Updates
- Demographic Updates
- Delegated Credentialing Support
Revenue protection & network access.
- Contract Application Submission
- New Payer Network Enrollment
- Group-to-Individual Linking
- Tax ID & Group Structure Setup
- Multi-State Expansion Enrollment
- Payer Follow-Up & Escalation
- Contract Status Tracking
Administrative infrastructure.
- Credentialing File Audits
- Provider File Organization
- Policy & Procedure Documentation
- Audit Preparation Support
- Compliance Reporting
- Delegated Credentialing Readiness
- Documentation Retention Structuring