PAYER READY CREDENTIALING & COMPLIANCE

How it works

Walk the path from NPI to in network.

This page is the actual journey, step by step. At every stop you will see three things: what you do, what your specialist does, and what appears on your screen while it happens.

The walkthrough starts here
1

Day 0 · Ten minutes, once

Your NPI opens the door

Enter your NPI and click Verify. NPPES returns your name, taxonomy, and practice details, and your account exists. That is the entire barrier to entry: no card, no sales call, no contract.

What you do

Type one number, confirm the details NPPES returns.

What we do

Provision your dashboard and pre-build the profile skeleton from the registry data.

Create your account · Verify and Auto-Fill
The account creation form where entering an NPI and clicking Verify and Auto-Fill pulls your details from NPPES

Real screen, step 1. This is what your dashboard shows right here.

2

Days 1 to 3 · The only real homework

The file gets built, once, forever

Upload the documents every payer will ever ask for: license, DEA, malpractice face sheet, board certificates, CV. Document AI reads each one, files it, and fills the matching profile fields. Your CAQH ProView gets built or repaired from the same record, because half of all payer delays start with a stale CAQH.

What you do

Drag files in, e-sign the payer authorizations, answer what only you can answer.

What we do

Read every document with Document AI, reconcile CAQH, and verify the packet against each target payer's checklist.

Document Management · your vault
The provider document vault holding the TX medical license, DEA certificate, board certification, and malpractice COI with verification status per document

Real screen, step 2. This is what your dashboard shows right here.

3

Day 3 · The decision point

Pick payers. See every price. Approve.

Choose the payers that matter in your market. Each application displays its exact price before it starts, $99 to $139 depending on roster volume. Nothing is billed until you approve it, which means the invoice can never surprise you, structurally.

What you do

Select payers, read the prices on screen, click approve.

What we do

Sequence the submissions so dependent steps, like CAQH authorization before commercial review, land in the right order.

Smart Enrollment · you approve before it goes
The Smart Enrollment screen with payers matched to the profile and an application waiting for provider review, because nothing goes out until you sign off

Real screen, step 3. This is what your dashboard shows right here.

4

Week 1 · Your part is done

Packets go out, built to each payer's taste

Every payer wants its application its own way: specific forms, specific attachments, specific cover sheets. Your specialist assembles each packet to that payer's requirements and submits it, saving every confirmation number to your file. Incomplete applications bounce and restart the clock. Complete ones move.

What you do

Nothing. Genuinely. Watch statuses appear on your dashboard.

What we do

Assemble, submit, and record confirmations for every payer on your list.

My payer enrollments · statuses moving
The payer enrollments list showing in network payers, applications in preparation, queued submissions, and recredentialing dates being chased

Real screen, step 4. This is what your dashboard shows right here.

5

Weeks 2 to 10 · The long middle

This is where every other credentialing service goes quiet. Step into what happens here instead.

The cadence is the product

Applications do not approve themselves. They get approved because someone circles back every two weeks, and writes down what the payer said.

What you do

Read the log whenever you want. Answer the occasional signature request. Keep seeing patients.

What we do

Contact every payer every two weeks, log every response, and cure deficiencies the week they surface.

Day 1
Submitted, confirmation saved
Day 14
Called payer, in intake queue
Day 28
Committee review confirmed
Day 51
Approved, effective date locked
6

Day 60 to 90 · The destination

Approved. Billing. Watched forever.

Approvals land with effective dates locked and recorded, and your dashboard flips to in network. Then the file rolls into its permanent state: every license, DEA registration, board certification, malpractice policy, and CAQH attestation alarmed at 90, 60, and 30 days, with OIG and SAM screening on a standing schedule. Getting in network was the project. Staying in network is the product.

What you do

Bill the payers you are now par with. Renew calmly when the early alerts arrive.

What we do

Watch every expiration date and exclusion list so the panel you built never quietly falls apart.

Expiration Alerts · forever after
The Expirables board watching the TX license, DEA, and payer recredentialing dates after approval, color coded by urgency

Real screen, step 6. The quiet dashboard is the goal.

In network. And it stays that way.

Take step one free

The process, measured

What discipline does to a timeline

The steps are simple. The results come from running them on schedule, every time, for every payer.

01

60 to 0

days typical to in network

Against an industry norm of 120 to 180 when nobody follows up on schedule.

02

0 weeks

between every payer follow up

The cadence never stretches, because it is a system rather than a memory.

03

$0 to $139

per application, shown upfront

Every price on screen before the application starts. No retainers, ever.

04

0

of payer responses logged on your file

Silence is never a status. If we heard it, you can read it.

Process questions, answered straight

What people ask before taking step one.

Typical commercial enrollment runs 60 to 90 days from a complete application. Medicare via PECOS is often faster. The industry norm when nobody follows up is 120 to 180 days. The difference is the two week cadence: every payer contacted on schedule, every response logged, every deficiency cured the week it surfaces.

Signup is free and there is no subscription. Payer applications run $99 to $139 each depending on roster volume, and every price is shown before an application starts. Organizations that want the entire function handled can move to the Managed tier from $500 per month plus $99 per provider.

Your NPI to start, since NPPES fills most of your profile automatically. Then the documents every payer asks for: license, DEA if applicable, malpractice face sheet, board certificates, CV. Upload them once and Document AI reads them into your profile. After that, most of what we need from you is a signature now and then.

We maintain 190+ payer relationships across all 50 states: UnitedHealthcare, Aetna, Cigna, BCBS plans, Humana, Medicare via PECOS, every state Medicaid program, TRICARE and VA Community Care, plus regional plans and IPAs. If a payer matters in your market, it is almost certainly already in the system.

We take over in flight files regularly. Your specialist recovers portal access, verifies what was actually submitted versus what was claimed, logs the true status of each application, and works them forward from wherever they honestly stand.

This is the question the whole product answers. Every payer contact your specialist makes is logged on your file with the date and the response. You watch statuses move from submitted to in review to approved on your dashboard. If a week ever feels quiet, you read the log instead of writing a worried email.

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

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Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

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