Get credentialed with every payer, faster.
Medical credentialing and payer enrollment for U.S. providers. New provider onboarding, CAQH profile management, primary source verification, and re-credentialing. Average turnaround: six weeks with commercial payers.
Uncredentialed claims get rejected. Every time.
Payers will not pay for services rendered by non-credentialed providers. A single missed CAQH re-attestation can lock a provider out for weeks. The average practice loses $9,000 per uncredentialed provider per month in denied claims and lost revenue. That is what we prevent.
From application to first claim, in weeks not months.
Most credentialing companies quote 90 to 120 days. We move faster because we submit clean applications the first time and follow up with payers proactively, not reactively.
Document Collection
License, DEA, malpractice, education, work history, references.
CAQH Setup
Profile creation or update, attestation, primary source verification.
Payer Submission
Applications sent to Medicare, Medicaid, and commercial payers.
Approvals & Billing
Effective dates confirmed. Provider goes live in your billing system.
Payers we credential with every day.
Commercial, government, and specialty payers. If your patient can be billed to it, we can credential you for it.
Medicare Enrollment
PECOS applications, revalidations, and reassignments. NPI, DEA, and Medicare-specific documentation handled end to end.
Medicaid Enrollment
State-specific Medicaid applications, managed care organization contracts, and MCO revalidations across all 50 states.
Commercial Payers
Aetna, BCBS, Cigna, UnitedHealthcare, Humana, and 50+ regional commercial plans. CAQH-first workflow.
Re-credentialing
Automatic tracking of expiration dates. We start re-credentialing 120 days out so you never fall off a panel.
CAQH Management
Quarterly attestations, document updates, and profile maintenance. The number one reason credentialing gets delayed is stale CAQH data.
Workers' Comp & VA
Workers' compensation networks, Veterans Affairs credentialing, and TRICARE for military health system access.
What’s included in credentialing.
One flat fee, everything handled. No hidden per-payer charges or expedite fees.
Primary Source Verification
License, DEA, board certification, and education verified directly with issuing authorities.
CAQH Profile Management
Profile creation, quarterly attestations, and document updates so payers never see stale data.
Payer-Specific Applications
Every payer has its own form. We fill them out correctly the first time to avoid delays.
Proactive Follow-Up
Weekly payer calls until approval. We do not wait for status; we chase it.
Contract Negotiation Support
Fee schedule review and negotiation assistance when payers first extend contracts.
Expiration Tracking
Automatic 120-day advance alerts on license renewals, DEA, and re-credentialing cycles.
Group Roster Updates
Add or remove providers from your group NPI without disrupting existing billing.
Effective Date Tracking
Every payer effective date logged so you know exactly when you can start billing.
“We hired two new physicians in January. Our old credentialing team said Medicare would take four months. CureMed had both providers billing to Medicare within seven weeks. They saved us close to $80,000 in lost revenue.”
Common questions about medical credentialing.
What is medical credentialing?
Medical credentialing is the process by which healthcare providers are verified and approved by insurance payers to bill for services. It involves primary source verification of licenses, education, work history, malpractice coverage, and DEA registration.
How long does medical credentialing take?
Commercial payer credentialing typically takes 60 to 120 days. CureMed averages six weeks with commercial payers through proactive weekly follow-up.
What is CAQH and why does it matter?
CAQH ProView is a universal credentialing database used by most commercial payers. Keeping your CAQH profile current is essential because outdated CAQH profiles are the number one reason credentialing applications get delayed.
Do you handle Medicare and Medicaid enrollment?
Yes. We handle PECOS applications for Medicare, state-specific Medicaid enrollments, and managed care organization contracts across all 50 states.
What happens if a provider is not credentialed with a payer?
Claims from uncredentialed providers get denied. The average practice loses about $9,000 per uncredentialed provider per month in denied claims.
How often does re-credentialing happen?
Most payers require re-credentialing every two to three years. We track every provider’s cycle and start 120 days in advance.
Ready to speed up your credentialing?
Send us your provider roster and we’ll deliver a free credentialing status audit within 48 hours.