The problem

Tired of credentialing delays holding up revenue?

Without completed credentialing, a provider cannot bill or be reimbursed, and every week of delay directly affects revenue. 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

On payroll. Seeing patients.

can’t bill
Enrolled

Same work. Same patients.

billable

The only difference is an approval letter.

The risk nobody prices in

A delayed enrollment isn’t always delayed revenue.

Many practices assume they can bill everything once approval arrives and recover the backlog. That is sometimes true because some payers allow retroactive billing back to the 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

The services may already have been delivered. The real question is whether those visits can still be billed.

Payer allows retroactive billing

Claims submitted back to the effective date

Deferred revenue that can still be recovered.

Payer does not

Those visits never become billable claims

Revenue that is permanently lost.
Which one you get isn’t your decision. Starting before the start date is.

Retroactive billing rules vary by payer, plan, state, and provider type, and some allow only a limited look-back period. We treat this as a risk area, not a fixed rule, and confirm each payer’s current policy during 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

We support both individual providers and group practices with initial enrollment, periodic recredentialing, and revalidations before deadlines are missed.

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

We build provider profiles, keep them current, and complete attestations on schedule because a missed attestation can stall an otherwise complete application.

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

We follow up on a defined schedule because consistent follow-up is one of the biggest factors 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

billable

Submitted, awaiting payer

tracking

Payer needs a document

your action

Revalidation due in 60 days

scheduled

CAQH attestation current

ok

Illustrative dashboard view.

Visibility

Full visibility into every enrollment

Our team works as an extension of your front office. You stay informed through shared dashboards, email summaries, or real-time logs, depending on the reporting format your team actually uses.

  • 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
Request a sample credentialing report
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
Schedule a 15-minutes call
Our team will review your request and respond within one business day. Your information will be kept confidential and used only to address your inquiry.
+1

Request received.

Thank you. A member of our team will review your information and be in touch within one business day. We look forward to showing you what your practice should be collecting.

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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