Provider credentialing & payer enrollment
Opening a practice or adding a provider creates a long list of payer requirements. I help prepare applications, track submissions, and follow up on missing information so you know what is pending, who needs to respond, and what comes next.
Discuss credentialingWhere this fits
Independent practices and groups in Indiana and Kentucky opening an office, adding a provider, or joining or maintaining insurance panels. This includes therapists and behavioral health practices moving from cash-pay toward insurance participation. We confirm the providers, payers, and application work included before you engage services.
A defined enrollment plan, a checklist of required information, and a record of application progress and follow-up. Payers control acceptance, effective dates, and processing times.
Credentialing is a review of a provider’s qualifications. Payer enrollment establishes the provider or practice with a payer for participation and billing. Contracting sets the terms of network participation; it may be a separate step. Medicare revalidation renews an existing enrollment record. Completing one step does not mean every requirement for participation or payment has been met.
We start with your providers, locations, payer list, and known application status. The onboarding checklist identifies the documents needed, which applications I prepare and follow up on, who submits them, and which attestations or signatures require your action. Some payers use the CAQH Provider Data Portal; any assistance related to that process must be confirmed in the agreed scope.
Updates distinguish an application in review from one waiting on your practice or a payer. We agree on follow-up responsibilities and how you will receive status updates. Attestation, renewal, and enrollment-change work is included only as specified in your agreement. A complete application or CAQH profile does not itself confirm payer approval, network participation, or an effective date.
Who this supports
Enrollment applications and follow-up for physicians, nurse practitioners, and physician assistants joining the commercial, Medicaid, or Medicare plans your practice works with.
Dental credentialing for new dentists and associates: plan network applications, attestations, and renewal dates.
Speech therapy, occupational therapy, and physical therapy credentialing: payer applications, attestations, and follow-up for the plans your practice works with.
Credentialing services for therapists, counselors, psychologists, and prescribers adding a provider or considering insurance participation. We confirm eligibility and the application path for each payer and license type; payers control approval and effective dates.
Working with your systems
Credentials, tax information, and other sensitive business records are collected through a secure channel after access is arranged. Do not send them through the public inquiry form.
Understand credentialing, payer enrollment, CAQH, documentation, and follow-up before your independent practice joins an insurance network.
Complimentary 45-minute consultation
Tell me what is taking time away from your practice and where you need support.
The scope, responsibilities, and price are reviewed before you sign. New inquiries typically receive a reply within one business day.
See how pricing worksHolly Hay, Founder
Request a consultationNew Albany, Indiana · Serving Indiana and Kentucky