Payer Credentialing That Doesn't Stall Your Revenue
A provider who isn't credentialed with a payer can't get paid by that payer — no matter how clean the claim is. We handle enrollment during onboarding so credentialing never becomes the bottleneck.
What's Included in Credentialing
Payer enrollment, start to finish
We handle enrollment paperwork and follow-up with every major payer your practice bills, so claims aren't rejected for a credentialing gap.
HIPAA-compliant, BAA signed upfront
Every credentialing engagement starts with a signed Business Associate Agreement — your patient data is covered before we touch a single application.
Built into weeks 2–3 of onboarding
Credentialing happens in parallel with EHR integration during your transition — not as a separate, open-ended project that delays your go-live.
Status tracking, not silence
You get visibility into where each application stands with each payer, instead of finding out a provider isn't enrolled when a claim bounces.
Credentialing Is Part of Onboarding, Not a Separate Project
When you switch to PrecisionBill, credentialing happens during weeks 2–3 of your transition — alongside EHR integration and BAA signing — before we touch a single live claim. Your front desk and providers keep working exactly as they do today while enrollment runs in the background.
Credentialing needs also differ by specialty — a family practice enrolling with commercial payers and Medicaid looks different from a cardiology group adding hospital-based privileging or a behavioral health practice navigating parity-law-specific payer requirements. We handle enrollment across every specialty we support, so the process is built around what your specialty's payers actually ask for rather than a one-size-fits-all checklist.
Why Credentialing Delays Cost More Than People Expect
Payer enrollment realistically takes 60–120 days
Commercial payer credentialing timelines routinely run two to four months, longer for Medicare and Medicaid. Practices that start this process late end up billing under a locum or supervising provider's number — or not billing at all — while it's pending.
CAQH profiles go stale without upkeep
Most commercial payers pull provider data from your CAQH profile. An expired attestation or an outdated malpractice certificate quietly stalls every payer relying on it, not just one — and it's easy to miss until a claim bounces.
Revalidation cycles catch practices off guard
Medicare requires periodic revalidation of enrollment, and missing the window can result in a payment hold or deactivation — an administrative lapse that shows up as a sudden, unexplained drop in collections.
NPI and taxonomy code mismatches
A provider's Type 1 NPI, taxonomy code, and payer enrollment records all have to agree. A mismatch anywhere in that chain generates claim rejections that look like a billing error but are actually a credentialing data problem.
What We Need From You to Start
NPI numbers, active malpractice insurance certificates, a W-9, and CAQH login access are the core documents that get every application moving. We set realistic expectations upfront on payer-specific timelines rather than promising a date we can't control — and we maintain your CAQH attestation and revalidation dates going forward so this doesn't become a recurring fire drill.
Staying Credentialed, Not Just Getting Credentialed
Credentialing doesn't end once a provider is enrolled. CAQH attestations need re-confirmation roughly every 120 days, malpractice certificates expire and need re-uploading, and Medicare revalidation notices arrive on a schedule CMS controls, not you. We track every one of those dates for every provider on your roster and act on them before they become a payment hold, instead of finding out when a claim unexpectedly bounces.
The same applies when your practice changes — adding a new associate, a nurse practitioner, or a new location. Each addition triggers its own enrollment cycle with every payer you bill, and we run that in parallel with onboarding them clinically so credentialing is never the reason a new provider can't see billable patients on day one.
Start Your Free Audit — Credentialing Included
Your free 90-day claims audit also flags any payer enrollment gaps we find before we begin.
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