Jul 30, 2026
How Much Does It Cost to Outsource Medical Billing?
- Medical Billing
- OneMed Billing
The problem
Tired of credentialing delays holding up revenue?
Without completed credentialing, a provider can’t bill or be reimbursed — and every week of delay lands directly on the bottom line. Most offices aren’t slow at this by choice; they’re trying to keep pace with changing payer rules, shifting documentation requirements, and portals that only move when someone chases them.
We manage the process end to end: complete applications submitted first time, status tracked, and follow-up pushed until there’s a decision.
Not yet enrolled
can’t bill
On payroll. Seeing patients.
Enrolled
billable
Same work. Same patients.
The only difference is an approval letter.
The risk nobody prices in
A delayed enrollment isn’t always delayed revenue.
The assumption is that once approval comes through, you bill the backlog and catch up. Sometimes that’s true — some payers allow claims to be submitted retroactively to an effective date. Plenty don’t. With those, every visit delivered before approval simply never becomes a claim, no matter how good the documentation is. Whether your gap is deferred revenue or destroyed revenue is decided by the payer, not by you.
A new provider’s first few months
Start date
seeing patients, enrollment pending
Approved
These visits are already delivered — the question is whether they can still be billed.
Payer allows retroactive billing
Claims submitted back to the effective date
Deferred revenue — recoveredPayer does not
Those visits never become billable claims
Destroyed revenue — gone
Which one you get isn’t your decision.
Starting before the start date is.
Retroactive billing rules vary significantly by payer, plan, state and provider type, and some allow only a limited look-back. Treat the diagram as the shape of the risk rather than a rule — we confirm each payer’s current position as part of the enrollment.
WHAT'S INCLUDED
Complete credentialing and payer enrollment support
Whether you’re onboarding a new provider or expanding into new networks, we get it done with fewer errors and fewer rounds of correction.
New credentialing, recredentialing and revalidation
For individual providers or groups — initial enrollment, periodic recredentialing, and revalidations tracked before they lapse.
Medicare, Medicaid and commercial enrollment
Each payer’s own application route and requirements handled, rather than one generic submission repeated.
NPI, PECOS, taxonomy and reassignment of benefits
The identifiers and registry details that quietly hold up an otherwise complete application, kept accurate and aligned.
CAQH setup, maintenance and attestation
Profiles built, kept current, and attested on schedule — a lapsed attestation stalls applications that were otherwise ready.
Application submission, follow-up and issue resolution
Submitted complete, chased on a schedule, and corrected when a payer comes back rather than restarting the queue.
Audit-ready documentation
Full application history and submission logs retained, so you can show what was filed and when.
HOW IT WORKS
From application data to billing-ready
A consistent, well-documented path that speeds approvals and minimises rework.
Application data collected and verified
Licenses, identifiers, history and supporting documents gathered and checked before anything is submitted.
1
2
Forms completed for each payer or network
Built to that payer’s specific requirements rather than a single template reused across all of them.
Application submitted and confirmation received
Filed through the correct route, with submission confirmation captured and recorded.
3
4
Regular follow-up until a decision
Chased on a set schedule — the single biggest factor in how long an application actually takes.
Status shared with your team
Weekly updates and real-time alerts, so you know what’s pending, approved, or waiting on you.
5
6
Recredentialing and revalidation managed
Renewal dates tracked and actioned ahead of time, so an approved provider doesn’t quietly fall out of network.
PAYER KNOWLEDGE
We know what each payer requires, and we follow through
Every payer has its own process, requirements, and turnaround. We manage the fine print, the forms, and the chasing.
All payer types
Medicare, Medicaid and commercial plans, each with its own process, documentation set and turnaround.
Compliance tracking
State requirements, revalidation cycles and CAQH attestation dates monitored so nothing lapses unnoticed.
Audit-ready records
Detailed submission logs and full application history, retained and organised for whenever they’re needed.
Credentialing dashboard
weekly
Approved and live
billableSubmitted, awaiting payer
trackingPayer needs a document
your actionRevalidation due in 60 days
scheduledCAQH attestation current
okIllustrative dashboard view.
Visibility
Full visibility into every enrollment
Our team operates as an extension of your front office. You stay fully informed through shared dashboards, email summaries, or real-time logs — whichever you actually read.
- Weekly updates on every open application
- Real-time alerts when a payer needs something from you
- Every application’s progress tracked, logged and summarised
- Recredentialing and revalidation dates scheduled ahead, not discovered late
- Audit-ready records with full application history
WHY ONEMED
Avoid delays, denials, and duplicate effort
We don’t just submit forms. We follow through until your providers are enrolled and billing-ready.
| Capability | In-house team | Software only | OneMed Billing |
|---|---|---|---|
| Medicare, Medicaid and commercial enrollment | Partial | No | Yes |
| CAQH and NPI management | Inconsistent | No | Yes |
| Real-time status tracking | Basic | None | Yes |
| Follow-ups and payer escalation | Limited | No | Yes |
| Dedicated credentialing specialist | No | No | Yes |
RESULTS
Credentialing done right, the first time
| Metric | Before OneMed | After OneMed |
|---|---|---|
| Average credentialing timeline | 90+ days | 45 to 60 days |
| Delays caused by missing information | Frequent | Rare |
| Provider start delays | Common | Minimal |
| Manual follow-up burden on your team | High | Low |
“Before OneMed, our credentialing process was slow and disorganized. Now we’re getting providers enrolled faster, and billing doesn’t have to wait.”— Operations Manager, Primary Care Group
Representative results across onboarded practices. Timelines depend heavily on payer, state and provider type — some approvals are outside anyone’s control.
GET STARTED
Talk to a credentialing specialist
Tell us who you’re onboarding and when they start. We’ll map the payers, flag which ones allow retroactive billing, and tell you honestly what’s achievable before their first patient.
- No-obligation review of your credentialing position
- Medicare, Medicaid and all major commercial payers, nationwide
- New credentialing, recredentialing, revalidation and group changes
Prefer to talk now?
(315) 366-8242
Request your review
We'll reply within one business day to scope it with your team.
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regarding OneMed services. We never share your data.
Frequently Asked
Common questions.
Are your credentialing specialists HIPAA compliant?
Yes. All staff are trained in HIPAA and maintain strict data security standards.
Which payers do you support?
We handle enrollment and credentialing for Medicare, Medicaid, and all major commercial payers nationwide.
Do you only help with new credentialing?
No. We also manage recredentialing, revalidation, and group changes.
Can you help with CAQH updates and attestation?
Yes. We set up, update, and manage CAQH profiles for all providers.
How often will we receive updates?
We provide weekly updates and real-time alerts when actions are needed or statuses change.
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