Services/Credentialing
Payer Enrollment
Enrollment with Medicare, Medicaid, and commercial payers, managed and tracked.
The problem
Payer enrollment is a separate process from credentialing, with its own forms, timelines, and requirements — and a missed revalidation can result in claim rejections or payment holds.
How we solve it
We handle Medicare, Medicaid, and commercial payer enrollment applications directly, including EFT/ERA setup, and track revalidation deadlines so your billing privileges never lapse.
Our process
- 1
Enrollment mapping
We identify which payers require enrollment for your specialty and locations.
- 2
Application filing
PECOS, Medicaid, and commercial applications are completed and submitted.
- 3
EFT/ERA setup
Electronic payment and remittance enrollment is configured per payer.
- 4
Revalidation tracking
Deadlines are monitored to prevent enrollment lapses.
What's included
- Medicare (PECOS) enrollment and revalidation
- State Medicaid enrollment
- Commercial payer enrollment applications
- Group and individual NPI linkage
- EFT/ERA enrollment setup
- Enrollment status tracking
Benefits & results
No billing gaps
Enrollment is completed before claims are expected to flow.
Revalidation coverage
Deadlines are tracked proactively, not discovered after a rejection.
Electronic payments enabled
EFT/ERA setup speeds up payment posting.
Payer Enrollment FAQ
Ready to reduce denials and grow revenue?
Start with a free billing audit — no obligation, no long-term contract required.