Credentialing & Payer Enrollment

Done right, from start to finish.

We manage the entire credentialing lifecycle — initial applications through re-credentialing — so providers enroll faster, stay eligible across every payer, and start billing sooner.

45–90 day enrollmentCommercial & governmentAll 50 states
Enrollment pipelineSample
CAQH profile built & attested
Document checklist complete
Done
Optum & HealthPartners submitted
Commercial panels
Done
3
State Medicaid enrollment
Aggressive follow-up in progress
In review
4
Panel approval & billing-ready
Re-attestation scheduled · 120 days
Queued
Illustrative dashboard preview — replace with product screenshot
Works with your existing EHR — no migration
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Services

Everything credentialing, handled for every provider.

No dental, no vision, no fluff. We're experts in behavioral-health credentialing — period.

CAQH Setup & Refresh

We build, maintain, and re-attest CAQH profiles every 120 days so nothing lapses and payers always see current data.

Payer Enrollment

Commercial and government enrollments — including Medicaid, Medicare, and their managed care organizations — tracked to approval.

Primary Source Verification

We verify multiple sources so you know exactly which licenses, education, DEA, malpractice, and certifications are current.

Panel Management

Ongoing recredentialing, revalidation, and updates keep panels active and providers continuously billable.

Problem Resolution

Missing NPI? Expired license? Payer ghosting you? We actively track down missing info and reach out to providers directly.

Two-Layer Quality Control

Every submission passes a two-layer QC review, catching the errors others miss before they cause delays or denials.

Status Transparency

Clear checklists and step-by-step updates via email, text, or phone. No black boxes, no silence.

AI-Accelerated Workflow

AI and automation cut labor and turnaround — credentialing that's more affordable than a full-time hire, without the risk.

How it works

From paperwork to billing-ready.

STEP 01

Pre-screen & collect

Clear checklist; we verify NPIs, licenses, and eligibility up front — and gather what's missing for you.

STEP 02

Build & attest CAQH

Profiles completed, verified through primary sources, and attested so payers never reject on stale data.

STEP 03

Enroll & follow up

Submit to every required payer and pursue each application with aggressive follow-up until panels approve.

STEP 04

Maintain & recredential

Re-attestation and revalidation scheduled ahead of deadlines so coverage never lapses.

Proof

Faster enrollment. Faster billing. Healthier revenue.

45–90
Days to enroll most payers
30+
Credentialing & RCM experts
~175
Years of combined experience
2-layer
QC on every submission
What you gain

Every day a provider isn't credentialed is lost revenue.

We work with urgency to get your team enrolled and billing as quickly as possible.

  • Shorter time-to-panel with aggressive follow-up at every stage
  • Fewer denials from lapsed, missing, or inaccurate data
  • Airtight, audit-ready provider records maintained continuously
  • Credentialing off your plate — more affordable than in-house
Why Credify

Built for behavioral health — and only behavioral health.

By specializing in behavioral health agencies, CCBHCs, and FQHCs, we run a highly efficient operation — not a generic, do-everything shop. We use HIPAA-compliant data security with triple-redundancy backups to keep your information protected.

30+
credentialing & RCM experts
~175 yrs
combined behavioral-health experience
50
states served
Team / operations photo
or credentialing dashboard screenshot
Testimonials

Credentialing, finally off their shoulders.

★★★★★

"We were drowning in credentialing paperwork until we found Credify. Our providers got enrolled faster than ever, and we finally started seeing revenue flow in."

M
Malik J.
Behavioral Health Intern · NJ
★★★★★

"Streamlined, consistent, and completely off our plate. Best of all, it's more affordable than a full-time employee — with none of the risk."

C
Cynthia R.
Agency Owner · TX
★★★★★

"They handle every detail with care. I never have to wonder where we're at with payer enrollments. They just get it done."

M
Dr. Melissa K.
Clinical Director
Pricing & model

Below-market pricing, aligned to results.

Choose how we're accountable. Every model is tied to what actually gets delivered.

Pay from results

Percentage of collections

Our fee is a share of the revenue we help unlock. Faster enrollment means faster billing.

Most popular
Pay for progress

Performance-based

Incentives kick in only when metrics move — time-to-panel, approvals, and collections.

Pay for what you need

Flexible service mix

Subscribe to the services where your practice has the biggest gaps. Scale up or down.

FAQ

Credentialing questions, answered.

How long does enrollment take?+

It depends on the payer, but most take 45–90 days. Our team works to shorten that window with aggressive payer follow-up at every stage.

Do you handle both commercial and government payers?+

Yes — including Medicaid, Medicare, and their managed care organizations.

Can you pick up a process we've already started?+

Absolutely. We can pick up exactly where you left off, or restart from the beginning if needed — whichever gets your providers enrolled faster.

What if information is missing?+

We'll identify exactly what's missing and reach out directly to your providers to gather it — you don't have to chase anything.

Do you credential other medical specialties?+

We focus exclusively on behavioral health agencies (aside from primary care), which lets us run a highly efficient operation.

Stop losing revenue to enrollment delays.

Let's get your providers credentialed, enrolled, and billing — done right, from start to finish.