Credentialing Managed So Providers Bill From Day One.
A credentialing gap costs you every day a provider works unrecognized by payers. Billr Health manages your entire credentialing lifecycle — from initial enrollment to re-credentialing — so you never lose a billing day.
- Credentialing Services
Every Credentialing Need — Managed.
CMS 855I, 855B, and 855R applications managed start to finish. We handle PECOS submissions, track approval status, and follow up with MAC contractors to minimize delays.
BCBS, Aetna, Cigna, UnitedHealthcare, Humana, and 200+ regional and specialty plans. We prepare and submit all applications with complete documentation packages.
Complete CAQH profile setup, attestation management (quarterly), and document uploads. Your CAQH profile is always current so payer applications don’t stall on incomplete data.
We track re-credentialing deadlines across all payer contracts and initiate renewals 90–120 days in advance. No lapses. No interruptions to billing.
Group NPI enrollment, group contract management, and adding new providers to existing group contracts — handled without disrupting your existing billing relationships.
Coordination with hospital medical staff offices, privilege applications, and peer reference management — so hospital billing and office billing stay aligned.
- The Credentialing Timeline
What to Expect — and When.
Credentialing timelines vary by payer. Medicare typically takes 60–90 days. Commercial payers range from 45 days (smaller regional plans) to 180 days (large national carriers). We start your applications the day you engage us and provide weekly status updates so you’re never guessing where your applications stand.
- Wk 1
Application Preparation
We collect all required provider information, licenses, malpractice history, DEA, state licenses, and specialty certifications. Full documentation package assembled.
- Wk 2
CAQH & Initial Submissions
CAQH ProView setup or update, NPI verification, and initial payer applications submitted. Medicare PECOS submitted same week for new providers.
- Ongoing
Application Tracking & Follow-Up
Weekly follow-up with every payer and MAC. We escalate stalled applications through provider relations contacts and document every communication.
- Approval
Effective Date Confirmation
We confirm effective billing dates with each payer and update your practice management system. Billing begins on the correct date — not a day late.
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- Get Started Today
Stop Losing Revenue to Billing Inefficiencies.
Get a free revenue cycle audit. We’ll review your last 90 days of claims, denials, and AR — and show you exactly where your practice is losing money. No commitment. No sales pressure. Just a clear report you can act on.
No setup fees · No long-term contracts · HIPAA compliant · U.S.-based team