Credentialing Services
We help physicians and healthcare practices complete insurance credentialing, payer enrollment, and compliance workflows with accuracy and speed. Our physician credentialing services streamline CAQH, PECOS, Medicare, Medicaid, and commercial insurance enrollment so providers can get in-network faster and start billing without delays.
Reduce credentialing errors, eliminate administrative bottlenecks, and accelerate your revenue cycle with a structured, compliance-driven enrollment process designed for modern healthcare practices.
Most providers lose 30-90+ days of revenue due to slow enrollment, missing documentation, and payer rejections. Credentialing and enrollment delays directly impact cash flow, patient access, and practice growth.
Common challenges include:
We manage the entire credentialing lifecycle from start to finish:
We evaluate your practice structure, specialties, and payer requirements.
We gather and verify licenses, certifications, malpractice insurance, and identity documents.
We prepare clean, complete applications for all payer networks.
We communicate directly with insurance payers to prevent delays and resolve issues.
We ensure your provider profile is fully active and billing-ready.
We manage complete provider credentialing from verification to payer approval. Delays in credentialing, claim denials due to incorrect enrollment, time-consuming CAQH setup, missed PECOS revalidations, and costly revenue loss resulting from credentialing errors are challenges that overwhelm many practices. Outsourcing your medical credentialing services to Dastify Solutions eliminates these issues. We ensure every application, update, and renewal is handled accurately and on time, so you stay compliant, get paid faster, and focus fully on patient care.
We complete and submit the CMS-855S application for Medicare DMEPOS enrollment. Our team ensures you meet all National Supplier Clearinghouse requirements, maintain active accreditation, and have the correct surety bonds. This protects your billing privileges and prevents interruptions in Medicare payments.
We handle complete credentialing for UnitedHealthcare, Aetna, Cigna, Anthem, Humana, Blue Cross Blue Shield, and other local plans. We prepare applications, verify documents, and communicate with each payer's credentialing department. Your practice gets in-network faster and stays active with required re-credentialing every 2 to 3 years.
Our experts track all provider revalidation dates across Medicare, Medicaid, and commercial payers. Since requirements vary by state and payer, we ensure providers stay current and compliant at all times. We update your information in PECOS, CAQH, and each payer's system to avoid deactivation. This guarantees uninterrupted enrollment and prevents costly claim denials.
Our physician credentialing services set up your CAQH ProView profile, upload all necessary documents, and complete the attestation every 120 days as required by payers such as Aetna, Cigna, and Anthem. An up-to-date CAQH file streamlines credentialing decisions and minimizes repeat paperwork.
Our medical credentialing services manage your Medicare provider enrollment using CMS-855I, 855B, and 855R forms. We complete state Medicaid provider enrollments, including Medi-Cal, TMHP, and others. Timely submissions keep your billing status active.
We prepare and maintain your Type 1 (individual) and Type 2 (group or organization) National Provider Identifiers through the NPPES portal. Accurate NPIs prevent claim denials and ensure compliance with HIPAA billing requirements.
We set up and manage your PECOS (Provider Enrollment, Chain, and Ownership System) account, submit enrollment forms, and handle any changes in ownership or reassignment. Proper PECOS management keeps your Medicare enrollment current and prevents billing issues.
We prepare hospital privilege applications, collect all required documents such as your CV, peer references, and malpractice insurance, and work directly with Medical Staff Offices. Most hospitals require reappointment every 2 years. You maintain active admitting privileges without interruptions to patient care.
Our team reviews and negotiates payer contracts for UnitedHealthcare, Aetna, Blue Cross Blue Shield, Cigna, and other insurance companies. We help you secure better fee schedules and more precise payment terms. This protects your revenue and reduces the risk of underpayment or claim disputes.
We handle new license applications, renewals, CME compliance, and background checks for all states. We also assist with multi-state licensing through the Interstate Medical Licensure Compact if needed. We manage the process to keep you authorized to practice.
We conduct complete primary source verification of your education, training, licensure, board certification, and malpractice history. Our process adheres to the standards of NCQA, URAC, and The Joint Commission. Accurate credentials verification speeds up approvals and protects you during audits.
Our provider enrollment services assist with DEA registration forms and handle renewals every 3 years to comply with the Controlled Substances Act. This allows you to prescribe controlled medications without delays or legal risks.
| In-House Medical Credentialing | Outsourced Medical Credentialing |
|---|---|
| In-house credentialing managed by a billing coordinator costs $45-$65 per hour and requires constant tracking of CAQH registration, PECOS enrollment services, payer enrollment services, and re-credentialing services deadlines. | Outsourcing medical credentialing services to a dedicated medical credentialing company eliminates administrative overload, reduces errors, and improves in-network enrollment speed by 30-40%, ensuring no missed renewals or billing interruptions. |
| Payer Type | Examples | Standard Time Frame | Our Time Frame |
|---|---|---|---|
| Commercial Payers | Aetna, Cigna, UnitedHealthcare, BCBS, etc. | 90-120 business days from complete submission | 45-60 business days (from complete, clean application submission) |
| Medicare | CMS contractors (Novitas, Noridian, Palmetto, etc.) | 60-90 days from submission | 45-60 days |
| Medicaid | State-specific programs | 60-120 days depending on state | 50-70 days |
Our customized payer enrollment services are designed for a wide range of healthcare professionals and facilities, including:
We support over 75+ medical specialties across all 50 states.
We handle insurance enrollment and credentialing for solo providers and small groups that lack in-house staff.
We help multi-specialty clinics manage credentialing data and payer enrollments as their teams grow.
Our medical credentialing services help hospitals and health systems manage records for hundreds of providers.
Tired of waiting months just to join a new insurance network? Our proven process, dedicated credentialing specialists, and personalized support have helped countless practices stay in-network, reduce denials, and get paid faster. That's what makes us a trusted leader in insurance credentialing services.
Outsourcing healthcare credentialing services enables your team to allocate more time to patient care and other high-value tasks, reducing the time spent on paperwork.
Accurate credentialing reduces denials and delays, allowing your practice to get paid faster and earn more.
A dedicated project manager works closely with you from start to finish, ensuring every step of the credentialing process runs smoothly.
Our provider enrollment services are available in all 50 states, including specialized support for high-volume regions like California credentialing services and Texas Medicaid enrollment.
Join more insurance networks and expand your patient base to help your practice grow faster.
Speed up the credentialing process and get approved in weeks, rather than waiting for months.
Reach out to Dastify Solutions to discuss your practice details and the health plans you want to join. We will provide a personalized quote and flexible payment options to fit your needs.
We will guide you through gathering all required paperwork, including active licenses, board certifications, education records, and professional references, to meet each payer's criteria.
Our credentialing specialists will prepare and submit complete enrollment applications to your chosen insurance plans.
We verify all credentials directly with licensing boards and certifying agencies. Once verified, we coordinate with payers and hospitals to ensure a smooth final approval process.
Dastify Solutions made the whole credentialing process simple for us. They handled everything from CAQH to Medicare and commercial payers and kept us updated at every step. Thanks to their help, we joined the insurance networks we needed without all the back-and-forth and delays.
We struggled with delayed reimbursements due to credentialing errors until we partnered with Dastify Solutions. They took full ownership of our medical credentialing services, including Medicare revalidations, CAQH attestation, and commercial payer contracting. Their efficient workflow helped us get enrolled in our desired health plan quickly and eliminated repeated claim denials. Now our revenue cycle runs smoother, and we have more time for patients.
As a new practice owner, I had no idea how complicated provider enrollment could be. Dastify Solutions handled everything, from NPI setup to CAQH and hospital privileges, through their expert medical credentialing services. They made it so easy to get enrolled in my desired health plan and start billing sooner. Their team kept me informed at every step, and I couldn't be happier with the results.
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Fast, accurate credentialing done right the first time, with zero hassle for your practice. Our trusted healthcare credentialing services ensure your practice remains compliant, in-network, and gets paid faster.
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