Provider Credentialing
Credentialing delays cost real revenue — every week a provider isn't on a panel is a week of unbillable visits. Our team gets providers enrolled faster, keeps CAQH attested, and never lets a recredentialing date slip.
30–60 days
Faster than industry average
Through pre-built payer playbooks
100%
Recredentialing on-time rate
No coverage gaps for active clients
24/7
Status visibility for every application
Real-time tracking dashboard
A disciplined approach to provider credentialing
Getting providers on insurance panels is one of the highest-leverage things you can do for revenue — and one of the most painful, paperwork-heavy processes in healthcare. We take it off your desk entirely.
From initial enrollment to CAQH attestation, NPI registration, re-credentialing, and payer panel additions, we manage every form, follow up with every payer rep, and surface status every week so you always know exactly when a provider can start billing.
What makes our provider credentialing different
Six advantages your team feels in the first 30 days.
Pre-built payer playbooks
We know the gatekeeper, the form quirks, and the fast lanes for every major payer.
Zero coverage gaps
Recredentialing tracked 180 days in advance with auto-alerts on expiring privileges.
Turnkey CAQH management
Profile setup, quarterly re-attestation, and document refresh handled for you.
New-provider fast track
Application kickoff within 48 hours of receiving provider documents.
Live application dashboard
Every application, every payer, every status — visible in one shared view.
Document vault
Encrypted storage of licenses, DEA, malpractice, board certifications — never lost.
Everything inside the Provider Credentialing engagement
One flat scope. No surprises. No nickel-and-diming for the work that actually moves revenue.
Backed by our service guarantee
If our work doesn't move the metric in 90 days, we don't charge for the next month. Simple.
- Initial provider data and document collection
- NPI Type 1 and Type 2 registration / updates
- CAQH profile creation, maintenance, and quarterly attestation
- Medicare PECOS enrollment and revalidation
- Medicaid enrollment across all states
- Commercial payer enrollment (UHC, Aetna, Cigna, BCBS, Humana, and more)
- Hospital privileging support and re-credentialing
- Expiring document tracking (license, DEA, malpractice, board)
- Weekly application status report and live dashboard
Our process, end-to-end
Five repeatable steps. No black-box. You see every handoff.
Provider intake
We send a single intake form. You upload documents once; we file them everywhere they're needed.
Application kickoff
Within 48 hours, applications are out to your target payer panels with everything attached.
Active follow-up
Weekly payer follow-up by phone and portal until each application is approved.
Approval & loading
We confirm effective dates, provider IDs, and that the provider is loaded for billing in your PM.
Lifecycle care
Recredentialing, CAQH attestation, and document refresh tracked automatically forever after.
Enrollment coverage
We file across government and commercial panels nationwide — and handle the hospital-privileging side too.
Government
Commercial payers
Adjacent registrations
“Onboarding a new physician used to take us 5 months and a part-time person. With TrueClaim it's 60 days and zero internal effort. They just send us the effective date.”
James L.
Chief Operating Officer · Specialty group, Austin TX
HIPAA
Compliant workflow with BAA
US-Based
Operations and oversight
Encrypted
End-to-end data handling
Audit Trail
Every action logged
Everything you wanted to ask about Provider Credentialing
Can't find what you need? Ask a specialist.
Pair this service with
Eligibility Verification
Eligibility is the #1 reason claims get denied. We verify every patient before they walk in — active coverage, deductible, co-insurance, and benefit limits — so front desk knows what to collect and billing knows the claim will pay.
Learn more →
Medical Billing & Coding
AAPC- and AHIMA-certified coders, end-to-end claim submission, and a quality program built to push your first-pass clean-claim rate above 99% — so revenue lands in days, not weeks.
Learn more →
Prior Authorization Management
Prior auth shouldn't delay care or kill claims. We submit, escalate, and secure authorizations before the date of service — and capture every reference number in the chart so the claim never denies for missing auth.
Learn more →
See what provider credentialing
should be doing for you.
30 minutes with a specialist. We'll review your current performance, surface the top three opportunities, and tell you exactly what we'd change. No sales pitch.