Provider credentialing and payer enrollment coordination
Credentialing review and payer enrollment are related administrative processes. Payer participation and effective dates should be confirmed with each payer; application submission alone does not establish network participation.
Prepare the application
Discuss the provider and practice information, payer forms and supporting documents needed for your application. Keep sensitive documents out of this website’s assessment form.
Track payer responses
Maintain an application status log and follow up on requests for additional information. Requirements and processing times vary by payer.
Explore medical billing services or request a free billing assessment to discuss your practice’s current workflow.