Simplifying Credentialing for
Mental Health Practices
From solo clinicians and telehealth start-ups to multispecialty groups, we handle full-cycle insurance credentialing, CAQH maintenance, and contract management so you can focus on patient care.
What We Do
We provide comprehensive credentialing and payer enrollment services, handling every administrative step to ensure fast, accurate, and timely participation.
Medicare & Medicaid
Navigating PECOS and CMS-855 forms is complex. We ensure exact entity matching (Type 1 vs Type 2 NPI) to prevent immediate rejections and secure government enrollment.
Commercial Paneling
We manage credentialing for all private plans (Aetna, BCBS, UHC, Cigna), including application submission, CAQH attestation, and verification to help you join networks efficiently.
Contract Negotiations
We don’t just submit applications; we review and negotiate contracts with payers to ensure favorable terms, clear reimbursement rates, and alignment with your practice goals.
Re-credentialing
We manage ongoing credentialing requirements, including provider revalidation and 120-day CAQH attestations, so you stay compliant and in-network without cash flow disruption.
EFT & ERA Setup
Once approved, we set up your Electronic Funds Transfer (EFT) directly with payers, ensuring timely reimbursement and reducing administrative delays for your revenue cycle.
Demographic Updates
We handle updates to provider information, including practice location, tax ID, or ownership changes, keeping all payer records accurate and preventing denied claims.
How It Works
With our end-to-end credentialing service, you avoid delays, reduce administrative burden, and get in-network faster.
CAQH Review
We complete and optimize your CAQH ProView profile, ensuring all dates and documents are perfectly aligned.
Enrollment Submission
Our specialists submit accurate applications to your target commercial and government payers, often same-day.
Proactive Follow-Ups
We manage all ongoing communication with payers, preventing your file from stalling in “development” queues.
Final Approvals
We secure your effective dates, negotiate fee schedules, and configure your EDI/EFT so you are ready to bill.
Carrier & Platform Guides
Explore our deep-dive resources for specific insurance panels and platforms.
Aetna Paneling Guide
Navigating Aetna’s behavioral health network requirements.
BCBS Credentialing
Understanding BlueCross BlueShield local variations.
UHC / Optum Enrollment
Clearing the Optum vetting process without delays.
CAQH ProView Guide
Setting up an audit-proof CAQH profile.
NPI Number Registration
Type 1 vs. Type 2 identifier organization.
Alma vs Headway
Comparing third-party credentialing platforms.
Common Questions
The industry-standard timeline is 60 to 90 business days in most cases.
You get a dedicated credentialing manager who guides you and keeps you updated at every step.
No. You should wait for contract approvals before seeing patients to avoid having your claims denied.
We will need your state license, DEA, board certification, malpractice insurance, EIN Letter, and a voided check to begin the process.
We charge $140 per commercial application and $199 per government payer application. We do not charge any fee for closed panels.
Have Other Questions?
Get in Touch!
Our team is ready to guide you through every step of credentialing, contracting, and payer enrollment, making the process fast, simple, and stress-free.