Get credentialed faster.
Start billing sooner.
Every day a new provider spends waiting for credentialing to complete is a day of unbilled revenue. ImmediCare manages complete provider credentialing, payer enrollment, NPI enrollment, Medicare PECOS, Medicaid credentialing, and CAQH — all running in parallel from day one so your providers start billing as soon as possible.
Credentialing is where the most invisible revenue disappears.
Provider credentialing is the process by which insurance payers verify a provider's qualifications, licensure, malpractice history, and practice information before authorising them to bill as an in-network provider. Payer enrollment is the separate process of establishing the billing relationship — setting up EDI, ERA, and EFT so claims can be submitted and payments received electronically.
Until both processes are complete, the provider cannot submit in-network claims — meaning every patient they see during the credentialing and enrollment period represents revenue that may never be collected. For a provider seeing 15–20 patients per day, a 90-day credentialing delay represents $63,000–$108,000 in at-risk revenue.
The complexity is compounded by the number of parallel processes involved: NPPES for NPI registration, CAQH ProView for commercial payers (requiring attestation every 120 days), PECOS 2.0 for Medicare (which migrated to AWS in May 2026 with mandatory MFA), separate applications for each commercial payer, and state Medicaid enrollment in every state where the provider practises. Managing these sequentially — one at a time, as many practices do — stretches what could be a 60-day process into 150 or 180 days.
Every credentialing and enrollment process — managed in one place.
NPI Type 1 & Type 2 enrollment
NPPES registration for both individual provider (NPI Type 1) and organisation (NPI Type 2) — with accurate taxonomy codes, address information, and authorised official designation.
CAQH ProView setup & maintenance
Complete CAQH profile build, document upload, and attestation. Ongoing 120-day re-attestation managed automatically — you never risk a lapse that triggers claim holds across every commercial payer simultaneously.
Medicare PECOS 2.0 enrollment
Full Medicare enrollment through PECOS 2.0, including MFA setup, Group and Individual NPI linkage, and reassignment of benefits. Managed with the 2026 AWS migration changes in place.
Medicaid enrollment — all states
State Medicaid credentialing in all states where your providers practise. Medicaid enrollment requirements, portals, and timelines vary significantly by state — our team manages each one specifically.
Commercial payer enrollment
Direct applications to Aetna, UnitedHealthcare, Blue Cross Blue Shield, Cigna, Humana, and all major regional payers. Parallel submission from day one compresses timelines by 40–60%.
Re-credentialing & recertification
Proactive tracking and renewal of all existing payer credentials before expiry. Most payers require re-credentialing every 2–3 years — a lapse means a billing hold, not just a paperwork delay.
New practice full setup
Complete credentialing stack for new practices opening their doors — NPI registration, CAQH, PECOS, commercial payers, and Medicaid, all submitted simultaneously so billing begins on schedule.
ERA & EFT enrollment
Electronic remittance advice (ERA) and electronic funds transfer (EFT) enrollment with every payer, eliminating paper checks and manual EOB processing from day one.
Credentialing for group practices
Multi-provider credentialing with per-provider tracking, delegation agreements where available, and consolidated reporting on the status of every provider across every payer.
Sequential credentialing takes 150 days. Parallel credentialing takes 60.
The most common reason credentialing takes longer than it should is that practices — or their billers — submit applications one at a time, waiting for a response before starting the next. ImmediCare submits every application simultaneously on day one.
Sequential approach (industry norm)
ImmediCare parallel approach
Zero credentialing means zero in-network revenue. Every day matters.
A newly licensed provider or a practice opening its doors has no payer relationships — every patient seen before credentialing completes is potential revenue that may never be collected. We start your NPI registration, CAQH, PECOS, every commercial payer, and Medicaid enrollment simultaneously on day one, instead of the sequential approach that stretches a 60-day process into 180.
Start your credentialing today See your estimated timeline →Provider credentialing FAQs
Ready to start credentialing?
Free credentialing review — we'll map your current status, identify any gaps, and give you an accurate timeline to in-network billing.
