Provider enrollment & medical credentialing — the fast path from new hire to in-network.
For practices of every size — from solo providers to health systems — we get providers credentialed, enrolled, and in-network, and keep them there. The work is done in-house by a team that moves fast and never outsources it.
Credentialing, handled — the way it should be.
Credentialing is where practice revenue quietly dies: a provider who can't bill, a file frozen over a missed deadline, weeks lost to a payer's backlog. Here's how we take it off your plate.
- We do the work in-house. We never outsource.Your providers' data and paperwork stay with our own team from intake to approval. We never hand your file to a third-party vendor.
- Done for you — not one more piece of software to run.There's no platform to learn and no seats to manage. A specialist does the work and keeps you informed. You do not have to become a credentialing expert.
- We know payer agreements, not just paperwork.We understand how contracts and fee schedules actually affect what a practice collects — so enrollment isn't just filed, it's filed to work in your favor.
- We keep you in-network after you're approved.Credentialing isn't one-and-done. We handle CAQH re-attestation, Medicare revalidation, and recontracting so a missed deadline never freezes your file.
Everything you need to get in-network, in one place.
Whether you're a solo provider getting on your first panels or a group managing a full roster, we cover the whole enrollment and credentialing lifecycle.
Provider Enrollment
Get physicians, groups, and facilities enrolled and in-network.
Learn moreMedical Credentialing
Applications, CAQH, and payer follow-up managed end-to-end.
Learn moreInsurance Credentialing
Panel enrollment with commercial payers so you can bill sooner.
Learn moreMedicare Enrollment (PECOS)
PECOS applications, revalidations, and reassignments handled for you.
Learn moreCAQH Credentialing
CAQH ProView setup, attestation, and upkeep — without the stalls.
Learn morePayer Contracting
Insurance contract negotiation for stronger reimbursement.
Learn moreHospital Credentialing
Facility privileging and primary-source verification.
Learn moreCredentialing Maintenance
Recredentialing and expirable tracking so nothing lapses.
Learn moreSee exactly where you are — anytime.
This is the difference between a service and a black box. We do the work, and we give you a live window into it. No software for you to run — just a clear view of where every application stands, which payers are moving, and what's coming up for renewal.
Every application, live status.
In Progress, In Review, Submitted, Complete — across every provider and every payer. Per-application status pills, the latest specialist note, and one-click access to supporting documents.
- Stages Four-state pipeline
- Notes Live specialist log
- Docs Linked in-row
See which payers move fast. Per application.
Average submit-to-approval days, per payer. Per-application cycle times. The honest version of “faster turnaround” — the data, by name.
- Payers 100s
- View Per payer · Per app
- Export CSV · Excel · PDF
Know what's expiring — months before it does.
At-risk counts at every horizon. A five-year forward outlook chart. A filterable record table for every credential across your roster, with CSV / Excel / PDF export.
- Outlook 5 years
- Filters Provider · Type · Group · Status
- Export CSV · Excel · PDF
From a solo provider to a health system, we scale to fit.
PES scales the whole range — up and down. Whoever you are, you get a done-for-you service and a specialist who owns your file, never a platform to buy and operate.
Solo & locum providers
Get on your first Medicare and commercial panels — or move your panels when you go independent — without becoming a credentialing expert.
Group practices
A whole roster enrolled, credentialed, and kept current — without adding a credentialing hire to your payroll.
New-practice startups
Every provider enrolled before you open, so the practice can bill from day one instead of waiting out a payer backlog.
Facilities, ASCs & ancillary
Facility credentialing, privileging, and recontracting for surgery centers, imaging, labs, and other higher-complexity operations.
Health systems & MSOs
The done-for-you option when you'd rather have credentialing handled by our in-house team than staff and run a platform yourself.
Newly independent physicians
A guided path onto payer panels when you're leaving a group, joining one, or launching on your own.
AI where you need it. A real specialist when you don't.
We're not the anti-technology play. We use AI deliberately, at scale, and safely — because it makes the work faster and catches more. What we don't do is let it stand between you and a person.
We use frontier and local models in a compliant, privacy-first way to draft applications, cross-check data, and track deadlines — the work that rewards speed and consistency. The decisions, the payer calls, and the outcome stay with a specialist, because years of context and payer relationships are not something a model replaces.
You'll never be stuck in a bot loop. A real specialist owns your file, and you can reach them whenever you want. Technology at scale, without giving up the service.
In-house, since 2008.
A focused team that has done one thing since 2008 — and does it in-house.
Doing this one thing
Provider enrollment and credentialing is all we do — and we've done it since 2008.
Technology, deployed well
We use AI where it makes the work faster and more accurate — and a real specialist still owns your file.
Your files stay in-house
Provider data and paperwork stay with us from intake to approval — not handed to a subcontractor.
Provider enrollment & credentialing questions.
Direct answers to what practices ask most.
What is provider enrollment?
Provider enrollment is the process of getting a provider registered and approved to bill a health plan — Medicare, Medicaid, or a commercial payer — for the care they deliver. It covers the application, the payer's review, and being added to the network so claims get paid. We handle that end to end.
How long does provider enrollment take?
Most commercial payers take roughly 90–120 days, and Medicare enrollment through PECOS usually runs about 60–90 days — an overall industry range of 60–180 days depending on the payer, specialty, and how complete your file is (ranges reported by Verisys, EHR Source, and others). We manage the full timeline and keep you posted, but the actual approval dates are set by the payers and CMS, not by us.
What's the difference between credentialing and enrollment?
Credentialing is the verification of a provider's qualifications — education, training, licensure, and work history. Enrollment is registering that verified provider with a specific payer so they can bill and be paid. You generally need both, and we handle them together.
How much does provider credentialing cost?
It depends on how many providers and payers you need, so every engagement is quoted individually — we don't publish a flat price. Industry-wide, credentialing services commonly run about $200–$500 to set up a provider and roughly $50–$200 per provider per month for ongoing maintenance (ranges reported by Medwave and credex). Tell us your situation and we'll send an exact quote.
Can I bill insurance while credentialing is pending?
Usually not — most payers won't pay claims until a provider is approved and has an effective date, and retroactive billing is limited by timely-filing rules and each payer's effective-date policy. That's exactly why starting early matters, and why we push every application to move as fast as the payer allows.
Ready to get your providers in-network?
Tell us who needs credentialing and which payers you're after. We'll send back a clear quote — in-house, and no long-term contract required.
Provider Enrollment Services is a credentialing and payer-enrollment service; approval decisions and timelines are determined by the payers and CMS, not PES.