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Services

The work behind your next provider.

Every engagement starts with a fit check and a defined scope. Each service below says what PracticeElf agents do and what stays with you. What is available depends on your provider type, state, payer and request.

Check your fit

01 / Before any application

Get ready

Bring provider information and documents together before any application starts.

Payer process
  • PracticeElf agents
  • You
  • Payer
  1. Record Facts and documents organized . PracticeElf agents.
  2. Prepare Application built from your record . PracticeElf agents.
  3. Sign Your authorized person reviews and signs . You.
  4. Submit Sent through a permitted workflow . PracticeElf agents.
  5. Follow up Payer responses tracked and recorded . PracticeElf agents.
  6. Decision Participation and effective date . Payer.
Get ready covers the record: facts you confirm and documents matched to them.

  • What the agents do

    • A provider profile organized from the facts you confirm
    • A list of required documents, with gaps flagged early
    • Document versions kept, so corrections never overwrite history

  • What stays with you

    • Provide accurate information and current documents
    • Tell us when something changes
Check fit to add a provider

02 / Payer applications

Get applications moving

Prepare, submit and follow up on supported payer applications.

Payer process
  • PracticeElf agents
  • You
  • Payer
  1. Record Facts and documents organized . PracticeElf agents.
  2. Prepare Application built from your record . PracticeElf agents.
  3. Sign Your authorized person reviews and signs . You.
  4. Submit Sent through a permitted workflow . PracticeElf agents.
  5. Follow up Payer responses tracked and recorded . PracticeElf agents.
  6. Decision Participation and effective date . Payer.
Agents prepare, submit and follow up. The signature step always stays with your authorized person.

  • What the agents do

    • Applications prepared from your confirmed record
    • Submission through a permitted workflow, after required signatures
    • Follow-up with the payer, with each action and response recorded

  • What stays with you

    • Review prepared applications before they are signed
    • Your authorized person signs and attests
    • Approve which systems the agents may use
Check fit to join payer networks

03 / After you are enrolled

Keep records current

Stay ahead of supported re-credentialing, revalidation and record updates.

Payer process
  • PracticeElf agents
  • You
  • Payer
  1. Record Facts and documents organized . PracticeElf agents.
  2. Prepare Application built from your record . PracticeElf agents.
  3. Sign Your authorized person reviews and signs . You.
  4. Submit Sent through a permitted workflow . PracticeElf agents.
  5. Follow up Payer responses tracked and recorded . PracticeElf agents.
  6. Decision Participation and effective date . Payer.
Renewals, revalidation and record updates run the same steps again, tracked ahead of their due dates.

  • What the agents do

    • Tracking of upcoming renewal and revalidation dates
    • Updates prepared when provider or practice details change
    • A clear list of what is coming up and what needs you

  • What stays with you

    • Confirm changes to provider or practice details
    • Sign renewals and attestations
Check fit to keep records current

Reviewed by a person

Contract questions and complex cases.

Payer contract terms, rates, ownership changes, appeals and reactivations do not fit a standard workflow. The fit check routes them to a person, who tells you whether the service can help before anything is agreed.

Unknown combinations are never accepted automatically. If a provider type, state, payer or request is outside the configured service, the answer is "needs review", not "yes".

Know the terms

Credentialing, enrollment, contracting and effective dates.

These are separate steps, decided by different people. Your workspace shows which one each update is about.

  • Credentialing

    A payer or organization verifies the provider's education, training, licenses, certifications held and professional history. A provider can be credentialed and still not be able to bill yet.

    Decided by the payer or credentialing organization

  • Enrollment

    The provider is registered with the payer under the right practice, tax ID and location so claims can be submitted and routed correctly.

    Decided by the payer

  • Contracting

    The agreement between your practice and the payer that sets participation terms and rates. Contract questions are reviewed by a person and are not part of a standard scope.

    Agreed between your practice and the payer

  • Effective date

    The date the payer confirms participation begins. It is set by the payer, and no application can promise it.

    Set by the payer

Clear limits

What the service will not do.

Knowing the limits up front is part of a clear scope.

  • Sign, attest or make decisions on behalf of a provider or practice
  • Promise approval, participation, an effective date or payment of claims
  • Accept work the service has not confirmed it can support
  • Pass your case to another company without telling you
  • Use any system or account you have not approved

Find out what fits before you commit.

Answer a few questions about your providers and payers. No personal details needed.

Check your fit