Credentialing & payer enrollment
Provider credentialing and insurance enrollment, handled start to finish
Every week a payer application sits unanswered is a week of visits you can’t bill in network, and US payers can take months to respond. We prepare your applications, file them, follow up with the payers and keep your CAQH profile current, so you can see patients with the right contracts in place.
Prefer to talk? Call (817) 396-6663
- Commercial, Medicare & Medicaid
- CAQH set-up and re-attestation
- Re-credentialing tracked
Signs you need this
Waiting on payers is expensive
Applications stall with no one chasing
Payers rarely call back. Without regular follow-up, an application can sit for months.
CAQH and license dates slip
An expired attestation or a lapsed document can pause your participation.
New clinicians can’t start billing
Hiring a provider before enrollment is finished means visits you can’t bill, or can’t bill properly.
Why it stalls
Credentialing isn’t hard. It’s slow, and easy to lose track of
A single payer application can take months. Applications get returned for a missing signature, a CAQH profile that lapsed, or a malpractice certificate that expired while the file sat in a queue. Many payers won’t tell you anything is wrong unless someone calls.
Practices that hand credentialing to a busy office manager often find out months later that an application was never received, or that a provider has been seeing patients out of network.
We treat credentialing as a tracked project with a status for every payer, every provider and every follow-up call, and we tell you the effective date the moment we have it.
What we handle
Everything payers ask for, prepared once and kept current
Individual & group enrollment
New provider and group applications with commercial plans, Medicare and state Medicaid.
CAQH ProView
Profile set-up, document uploads, payer authorizations and re-attestation every 120 days.
Medicare & PECOS
Medicare enrollment, reassignment of benefits and revalidation through PECOS.
NPI & taxonomy
NPI registration and taxonomy codes that match how each provider actually bills.
Re-credentialing
Expiration dates for licenses, malpractice, DEA and payer contracts tracked so nothing lapses.
Contract review
Fee schedules collected and compared so you know what each payer actually pays.
What changes for your practice
Get in network and stay there
Complete applications
Documents gathered and checked up front, so applications don’t bounce for missing items.
Relentless follow-up
We contact payers on a schedule and log every call, so applications keep moving.
No surprise lapses
Re-credentialing and attestation dates tracked ahead of time.
A clear status view
You can see where every application stands, any day you ask.
How it works
How a credentialing project runs
Intake
One checklist for each provider: license, NPI, malpractice, CV, W-9 and the rest. You send it once.
Payer plan
We agree which payers to apply to, in what order, based on your patient mix and location.
Applications filed
Each application submitted and logged with a date, reference number and next follow-up.
Follow-up to approval
We call and check portals until each payer approves, then confirm effective dates and contracts.
Status you can check
You’ll always know where every application stands
You get a tracker showing every provider and payer, when we filed, the last time we followed up and what the payer said.
- Application date and reference number for each payer
- Last follow-up and the next one scheduled
- Effective dates and provider IDs once approved
- Expiring documents flagged 60 days ahead
- CAQH re-attestation handled on schedule
Client stories
What practices say about working with us
Behavioral health
I used to dread the end of the month. Now I open one report and I know what was billed, what was paid and which claims are still being worked. When a denial comes in, someone has usually already called the payer before I hear about it.
Dr. Rachel MorenoPsychiatrist, solo practice · Austin, TX
Family medicine
Most of our patients are on Medicare or Medicaid, and the paperwork rules change constantly. Cure MB catches eligibility problems before the visit, and my front desk stopped fielding angry statement calls.
Dr. Daniel OkaforFamily physician, four-provider practice · Columbus, OH
Cardiology
Cardiology coding is unforgiving, and our old biller kept resubmitting the same rejected claims. This team found the modifier pattern behind the denials and fixed it at the source.
Dr. Priya RamanCardiologist · Charlotte, NC
Editing note (hidden on the live site): these six testimonials are SAMPLES that show the finished design. To publish a real one, edit the quote, name, role and city, then delete the classes cmb-placeholder and cmb-sample (Block → Advanced → Additional CSS class). Delete any sample you do not replace. The whole section stays hidden on the live site until at least one real testimonial is in.
Free consultation, no obligation
Adding a provider or a payer? Start the paperwork now.
Tell us who needs to be enrolled and with which payers. We’ll send a checklist and a realistic timeline.
Behavioral health practices
Credentialing therapists, counselors or psychiatric NPs?
Mental health credentialing has its own wrinkles: behavioral health carve-outs, license types some payers don’t panel, and closed panels in busy markets. See our dedicated page for therapists and mental health providers.
Mental health billingPsychiatry billingTherapy billingTherapist credentialing
FAQ
Common questions
Straight answers about how this works with Cure MB.
How long does insurance credentialing take?
It depends on the payer and state. Many commercial plans take two to four months from a complete application, and some take longer. Medicare is often quicker. We file complete applications and follow up regularly so the clock isn’t wasted on avoidable delays.
Can you guarantee a payer will accept us?
No one can. Some payers close panels in certain areas or for certain license types. If a panel is closed, we’ll tell you, ask about exceptions where they exist, and suggest alternatives.
Do you handle CAQH?
Yes. We set up or clean up the CAQH ProView profile, keep documents current, authorize payers to view it and re-attest every 120 days.
Can we see patients before credentialing is approved?
That depends on the payer. Some allow retroactive billing to the application or effective date, many don’t. We’ll check each payer’s rules before you schedule patients under that plan.
Do you credential groups as well as individual providers?
Yes. We handle group enrollment, linking providers to the group and adding new clinicians as you hire.
Keep going
Related services that work together
Every service is run by the same team, so handoffs between steps don’t drop anything.
Revenue Cycle Management
Learn more
Medical Billing & Coding
Learn more
Therapist Credentialing
Learn more
Eligibility Verification
Learn more
Denial Management
Learn more
A/R Follow-Up
Learn more
Talk to a billing specialist
Talk to a specialist about insurance credentialing
Tell us what’s happening with your billing. A specialist who works this area every day will get back to you within one business day.
- Call(817) 396-6663
- Emailsupport@curemb.com
- WhatsAppMessage us on WhatsApp
Book Your Free Consultation
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