Every payer credentials differently — Medicare runs through PECOS, each state Medicaid has its own system, and commercial carriers each have their own network rules. We manage them all in parallel so you reach approved status faster.
Government Payers
Medicaid
Every state runs its own Medicaid program, portal, and rules. We enroll individual providers, groups, and facilities through the state agency and the managed care plans layered on top, all the way to a confirmed effective date.
Learn moreMedicare
From your first CMS-855 to your five-year revalidation, we manage the entire PECOS process so you can start billing Medicare without the bottlenecks. Whether you are a solo provider or a multi-site group, we own the paperwork.
Learn moreTRICARE
TRICARE runs on a regional model with separate contractors for the East and West, and certification follows its own rules. Whether you are a solo provider or a multi-site group, we manage the entire process so you can start treating service members, retirees, and their families.
Learn moreCommercial Payers
Aetna
Aetna, now part of CVS Health, runs a national credentialing process driven by CAQH and a defined committee cycle. We get you on the Aetna panel and drive the contract to a loaded effective date — whether you are a solo provider or a multi-site group.
Learn moreBlue Cross Blue Shield
There is no single Blue Cross Blue Shield. There are dozens of independent state plans, each with its own network, portal, and process. We credential you with the right one — and any others you bill — whether you are a solo provider or a multi-site group.
Learn moreCentene
Centene is not one application — it is a parent company spanning Ambetter Marketplace plans and dozens of state-branded managed-Medicaid health plans. Whether you are a solo provider or a multi-site group, we map the right entities and drive each one to a live effective date you can bill against.
Learn moreCigna
Joining a Cigna network means a clean CAQH file, a complete participation request, and a contract that actually loads with an effective date you can bill against. Whether you are a solo provider or a multi-site group, we own it from request to confirmed go-live.
Learn moreHumana
Humana is one of the largest Medicare Advantage carriers in the country, and its enrollment path is built around that book of business. We get you on the Humana panel and drive the contract to a loaded effective date — whether you are a solo provider or a multi-site group.
Learn moreKaiser Permanente
Kaiser Permanente runs an integrated care model, so getting in-network as an outside provider works differently than with a typical PPO. We manage your community-provider contracting, regional credentialing review, and the load to a confirmed effective date — whether you are a solo provider or a multi-site group.
Learn moreMedicare Advantage
Getting on a Medicare Advantage panel is a private-payer process layered on top of your Medicare enrollment, and it works differently at every carrier. Whether you are a solo provider or a multi-site group, we manage credentialing and contracting so you can see Part C members and get paid.
Learn moreMolina Healthcare
Molina is a managed Medicaid and Marketplace specialist that runs state by state, and its enrollment path reflects that. We get you on the Molina panel and drive the contract to a loaded effective date — whether you are a solo provider or a multi-site group.
Learn moreUnitedHealthcare
Getting onto a UnitedHealthcare panel means clean CAQH data, a complete application, and a contract that actually loads to network. Whether you are a solo provider or a multi-site group, we own the process from start request to effective date.
Learn moreWellCare
WellCare is a Centene managed-care brand built around Medicare Advantage and government programs, and its enrollment path runs through Centene's contracting and credentialing machinery. We get you on the WellCare panel and drive the contract to a loaded effective date — whether you are a solo provider or a multi-site group.
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