CredentialExpert helps healthcare practices and providers manage credentialing, payer enrollment, CAQH, Medicare, Medicaid, commercial networks, and ongoing provider data requirements.
Get a Free Credentialing Assessment Talk to a Credentialing Expert
From initial credentialing through ongoing maintenance — we handle the process so your team can focus on patient care.
Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →Professional support for healthcare providers and practices through the credentialing lifecycle.
Learn more →A structured, managed credentialing process from assessment through ongoing maintenance.
Understand providers, specialties, states and payer needs.
Collect documents and verify provider information.
Complete payer applications and enrollment submissions.
Track applications, requests and payer status.
Manage recredentialing, revalidation and updates.
Preparation, submission, follow-up, approval and ongoing maintenance.
Credentialing verifies a healthcare provider’s qualifications, licensure, education, training and professional history before network participation.
Timelines vary by payer, provider type and state. Practices should plan well in advance for collection, verification, review and follow-up.
CAQH ProView is a provider data profile used by many healthcare organizations and commercial payers.
Generally, participation with one payer does not automatically establish participation with another payer.