Fewer stalled applications and fewer missed re-credentialing dates, with every payer tracked in one place.
Credentialing is slow mostly because it depends on other people: payers, hospitals, and the provider's own documents. Delays come from incomplete applications and from follow-up that nobody owns.
We prepare complete applications, keep your CAQH profile current and follow up with payers on a set schedule, so you always know where each enrollment stands.
Scope is agreed with you in advance, so you know who is responsible for what.
Applications for commercial, Medicare and Medicaid plans are prepared and submitted with the required documents.
We build, update and re-attest your CAQH profile and keep supporting documents current.
Each application is logged with submission date, contact, status and next follow-up date.
Expiring licenses, DEA registrations, malpractice certificates and re-credentialing dates are tracked ahead of time.
We help link providers to the group contract and confirm effective dates and billing details.
Licenses, certificates, W-9s and other items are organized so they are ready for each application.
We gather provider details, licenses, work history and the payer list.
Applications and the CAQH profile are completed and checked.
We submit and follow up with each payer on a regular schedule.
We confirm effective dates and set re-credentialing reminders.
It varies by payer and state, and often takes several weeks to a few months. Complete applications and consistent follow-up help avoid avoidable delays.
No. Payers make those decisions. We can make sure applications are complete and followed up consistently.
Most commercial payers use CAQH. We can create and maintain it for you.
Yes. We track expiration dates and prepare re-credentialing submissions before deadlines.
Care Tribune does not guarantee payer approvals, reimbursement amounts or search rankings. Results depend on payers, documentation and your practice's circumstances.
Provider credentialing starts at $75 per payer. Confirm individual versus group applications, states, locations and payer fees in your proposal.
We organize licenses, NPI details, education and training history, malpractice coverage, practice information and supporting documents. Missing items are identified before submission; sensitive documents move through an agreed secure channel.
Individual participation, group enrollment, adding a provider to an existing contract and adding a location are different tasks. We clarify your tax ID, billing entity and requested payer networks before selecting the application path.
Your tracker records the payer, submission date, reference number, status, missing information and next follow-up. Requests for corrections or signatures are routed back to your practice so applications do not sit without an owner.
Payer approval, contract execution, effective dates and directory listings must be checked separately. We help track those milestones and coordinate the handoff to billing. We do not promise approval or a fixed processing time.
Tell us your specialty, provider count, software, expected volume and the work you want to hand off. Use the consultation for business information; do not send patient records.
Confirm responsibilities, pricing, coverage, reporting and exclusions. Identify a practice contact for approvals and a plan for any existing backlog.
Agree on secure access and any required agreements before work starts. Review the first task queue together and set a regular time to discuss open items.
Do not assume an application makes you in network. Confirm participation, the effective date and any retroactive billing provisions directly with the payer before treating claims as in-network.
Need support across more than one workflow? Explore medical billing, medical virtual assistants and provider credentialing.
Tell us which tasks are slowing you down and we will explain how we can help.
