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Provider credentialing

Get credentialed faster.
Start billing sooner.

New providers wait an average of 60–180 days to bill Medicare without expert credentialing support — losing $7,000–12,000 per month in the meantime. ImmediCare manages complete payer enrollment, NPI enrollment, Medicare credentialing, and Medicaid enrollment nationwide — running every application in parallel so new and existing practices start billing as fast as possible.

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No upfront cost. Pay only when you collect.
Provider credentialing
60–180
Days average credentialing timeline without expert help
$7,000–12k
Revenue lost per provider per month during enrollment delays
120 days
CAQH re-attestation window — lapse means claim holds across ALL payers
40%
Of providers hit delayed reimbursements from credentialing issues
Credentialing is where practices lose the most invisible revenue

Credentialing is where practices lose the most invisible revenue

Provider credentialing is the process by which payers verify a provider's qualifications, licensure, and practice information before authorising them to bill. Until that process is complete, the provider cannot submit claims — meaning every patient they see during the credentialing period represents potential revenue that may never be collected. The stakes are high and the process is complex: CAQH for commercial payers, PECOS for Medicare (which migrated to AWS in May 2026 with mandatory MFA), separate payer-specific applications for most major insurers, and re-attestation every 120 days to keep credentialing active. ImmediCare handles all of it.

CAQH ProView setup

Complete CAQH profile build, attestation, and ongoing 120-day re-attestation management.

Medicare PECOS enrollment

Full PECOS 2.0 enrollment with MFA setup and accurate Group and Individual NPI management.

Commercial payer enrollment

Applications submitted directly to Aetna, UnitedHealthcare, BCBS, Cigna, and all major regional payers.

State Medicaid enrollment

Medicaid credentialing in all states where your providers practice.

Re-credentialing

Proactive tracking and renewal of all existing payer credentials before expiry.

New practice setup

Full credentialing stack for new practices — NPI Type 1 and Type 2, CAQH, PECOS, and commercial payers started simultaneously.

Just got licensed or opening a new practice?

Zero credentialing means zero revenue. Every day matters.

A newly licensed provider or a practice opening its doors has no payer relationships at all — every patient seen before credentialing completes is potential revenue that may never be collected. We start your CAQH, PECOS, and every commercial payer application simultaneously on day one, instead of the sequential, one-at-a-time approach that stretches a 60-day process into 180.

Start your credentialing today See your estimated timeline →
Day-one credentialing stack
NPI Type 1 and Type 2 registration
CAQH ProView profile build
Medicare PECOS 2.0 enrollment
Commercial payer applications — all at once
State Medicaid enrollment
Billing system set up in parallel, ready day one
Common questions

Provider credentialing FAQs

How long does credentialing take?
Commercial payers typically complete in 60–90 days. Medicare PECOS runs 30–60 days. We start all applications simultaneously — parallel processing is the biggest time-saver available.
Can we bill for services during the credentialing period?
It depends on the payer and circumstances. Some payers allow backdated claims to the effective date once credentialing is complete. We advise on this case-by-case and track it closely.
Do you handle re-attestation?
Yes — we track every provider's CAQH re-attestation deadline (every 120 days) and complete it before the window lapses. A lapsed CAQH attestation triggers claim holds across all commercial payers simultaneously.
Do you handle NPI enrollment for new practices?
Yes. For new practices we handle NPI Type 1 (individual provider) and NPI Type 2 (organisation) registration, CAQH setup, Medicare PECOS enrollment, Medicaid enrollment, and all commercial payer applications — all started simultaneously on day one.
Do you handle Medicaid credentialing?
Yes. We manage state Medicaid enrollment in all states where your providers practice. Medicaid credentialing requirements vary significantly by state — our team tracks the specific documentation and timeline for each.

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