Check your fit · CredentialingServices

Step 1 of 6

What can we help you with?

Start with the work in front of you. The next questions follow from it.

Choose your main need

Add a providerBring a clinician into an existing practice and its payer relationships. Join payer networksPrepare new payer credentialing and enrollment applications. Keep records currentTrack re-credentialing, revalidation and record updates. Payer contract questionsParticipation agreements, rates or contract terms. Resolve a complex caseDenials, appeals, reactivations or unusual requirements.

Step 2 of 6

Tell us about the providers.

Categories only. We never ask for names, license numbers or other identifiers here.

Provider type

Main specialty

Number of providers

From 1 to 50. Groups of more than twenty are scoped by a person.

Step 3 of 6

Tell us about the practice.

The practice situation changes what each payer needs first.

Which is closest to your practice?

Established group practiceThe practice already bills these payers under its tax ID. Solo or individual practiceOne provider billing under their own enrollment. New practice or new tax IDThe business entity itself is not enrolled yet. Ownership or location changeA sale, merger, new owner or moved location. Not sureWe can work it out together during review.

State where the providers practice

Step 4 of 6

Which payers are in your plan?

Choose all that apply. A person confirms each payer, state and type of work before anything is offered.

Payers to include

MedicareFederal program. Provider enrollment runs through CMS. MedicaidYour state's program, including its managed care plans. AetnaCommercial and Medicare Advantage plans. Blue Cross Blue ShieldThe Blue plan that serves your state. Cigna HealthcareCommercial plans. HumanaMedicare Advantage and other plans. UnitedHealthcareCommercial, Medicare Advantage and Medicaid plans. TRICAREMilitary health program, through its regional contractors. Another payerAny plan not listed, including regional and workers' compensation plans.

In the live service, the network, product, entity and locations would also be confirmed before any scope.

Step 5 of 6

When, and what is ready?

You can check your fit even if you are still gathering information.

Target date

When you hope the providers can start. Payers set their own timelines, so this is a target, not a commitment.

Provider documents

Authority and access

The person who signs, attests and approves which systems may be used.

No uploads or passwords here. Documents and approved connections would come later, during onboarding.

Your summary

Checking your answers…

Review the result, then edit any answer.