Payer Enrollment Services for Providers and Practices
We prepare, submit and follow up on applications with every commercial plan until your effective date is confirmed in writing.
Until a payer enrolls you, you can’t bill it at in-network rates. Our team researches which payers matter for your patient mix, files complete applications the first time and follows up weekly until you have an effective date in writing. Payer enrollment is one part of our full credentialing services. For Medicare and CAQH, see CAQH and PECOS enrollment, and for rates, see our payer contracting services.
What's included in our payer enrollment services.
Every item below is part of the service, not an upsell or an add-on line on your invoice.
- Payer selection and participation research
- Application preparation and submission
- Weekly follow-up until approval
- Effective date confirmed in writing
- Roster updates as providers join
How our payer enrollment process works.
Plan the panel
We confirm which payers matter for your patient mix and which panels are open.
File
Complete applications go in the first time, because incomplete packets are the main cause of delay.
Follow up to approval
We follow up with each payer weekly until you have an effective date in writing.
Payer enrollment FAQs.
How long does enrollment take?
Usually 60–120 days depending on the payer and state. We file early and chase weekly to stay at the short end.
What if a panel is closed?
We can file a closed-panel exception request with a justification based on your specialty and location.
More credentialing services.
Medicare Enrollment (PECOS)
855I, 855B and 855R filings handled end to end, including reassignment of benefits and revalidation cycles.
Medicaid Enrollment
State-by-state Medicaid and managed-care enrollment, including the paperwork most practices get stuck on.
CAQH Profile Setup & Maintenance
Profile built, attested every 120 days and kept current — because a stale CAQH quietly stalls every application you file.
