OneMed builds the provider file, files the enrollment, works the payer follow-up, and watches every expiration date. Your clinicians start billing sooner and stay billable.
Every piece of the credentialing lifecycle, from a brand new provider through re-credentialing three years later.
We enroll your providers with commercial carriers and get you to an effective date and a signed participating agreement.
We collect every document, build the provider file, and submit a complete application the first time it goes out.
Licenses, board certifications, education, work history and sanctions checks verified against the issuing source.
Privilege applications and delineation forms prepared and tracked through the medical staff office to approval.
Cycles are calendared ahead of the due date so a renewal never turns into a gap in participation.
Registration, profile build, document upload and quarterly re-attestation handled so payers always pull current data.
PECOS enrollment, CMS-855 filings, state Medicaid applications and revalidation before the deadline hits.
Licenses, DEA, CLIA, board certificates and malpractice coverage tracked with alerts sent well before expiry.
One organised, secure record per provider, kept current and ready for any payer audit or delegated review.
Seven repeatable steps. You always know which payer sits at which stage and what is holding it there.
We look at your specialty, locations and patient mix. Then we agree which panels are worth pursuing and in what order.
We gather licenses, DEA, certificates, malpractice coverage, work history and W-9. Gaps get flagged before anything is filed.
Your CAQH profile is created or brought current, documents uploaded, and attestation completed so carriers can pull clean data.
Each payer application goes out complete, with every service location listed and every supporting document attached.
We confirm receipt, then follow up on a schedule until you have a network effective date and a participating provider agreement.
We check fee schedule, filing limits and claim submission terms, then hand you clean copies of every application and contract.
Expiration dates, revalidation cycles and re-credentialing windows are tracked from day one. You get notice long before anything lapses.
The paperwork changes with the setting. We credential across all of these, and across more than thirty specialties.
Credentialing done in the gaps between patients tends to stall. Here is the difference in practice.
We moved to a new tax ID and had to re-credential the whole team. OneMed took the entire project off us and kept every provider billable through the transition.
Credentialing confirms that a provider holds the licenses, training and history they claim. Payers will not pay in network claims without it. It also protects patient safety and keeps the practice compliant with payer and accreditation standards.
Most payers take 90 to 120 days from a complete application. Government payers are often faster than commercial ones. Delays almost always trace back to missing documents or a stale CAQH profile, which is why we audit the file before filing.
Most carriers re-credential every two to three years. Medicare revalidation runs on its own cycle. We calendar both from the day your file is approved so nothing arrives as a surprise.
The provider can drop out of network. Claims deny, payments claw back, and the panel may need a fresh application rather than a renewal. That is the single most expensive credentialing failure, and it is entirely preventable with monitoring.
Yes, and it is the right way to do it. Start the file three to four months ahead of the start date. The provider then bills in network from their first clinical day instead of building a backlog of unbillable visits.
We price per provider per payer for one-off enrollments, or as a flat monthly fee when we manage an ongoing roster. Tell us your provider count and payer list and we will quote both.
Yes. Credentialing can run as a standalone service alongside whoever handles your billing. If you would rather consolidate, OneMed covers the full revenue cycle across fifteen services.
Send your provider list and the payers you want to join. We will come back with a realistic timeline, the documents we need, and pricing. No obligation.