Credentialing Services

Provider Credentialing & Enrollment That Works

Stop waiting months for payer approvals. Our expert credentialing team fast-tracks your insurance enrollment, state licensing, and re-credentialing processes—so you can start seeing patients and generating revenue faster.

The Credentialing Challenge

Healthcare providers lose thousands of dollars every month waiting for credentialing approvals. Complex paperwork, primary source verification requirements, and unresponsive insurance companies create bottlenecks that delay revenue and patient care.

  • Applications stuck for 90-120+ days
  • Missing documentation and rejected forms
  • Lost revenue during credentialing delays
  • Expiring credentials with zero notice
  • Multi-state licensing complexity

Our Proactive Approach

SanHealthTech doesn't just submit applications and wait. We actively manage your credentialing process with daily monitoring, direct payer contact, and proactive follow-up to eliminate delays.

  • 60-day average approval time
  • 100% documentation accuracy
  • Daily portal monitoring and status updates
  • Direct payer contact when applications stall
  • Automated expiration tracking and renewals

Complete Credentialing Services

From initial enrollment to ongoing re-credentialing, we handle every aspect of your provider credentialing lifecycle

Initial Credentialing

Complete credentialing for new providers, including CAQH setup, primary source verification, and insurance applications

  • CAQH ProView profile creation and maintenance
  • Medicare/Medicaid enrollment (PECOS, state portals)
  • Commercial payer applications (15+ major networks)
  • Primary source verification from medical schools, boards, and certifications

Re-credentialing Support

Proactive monitoring and renewal management to prevent coverage gaps and reimbursement interruptions

  • Automated expiration tracking across all payers
  • 90-day advance renewal notifications
  • Updated documentation collection and submission
  • Zero gaps in active credentialing status

Multi-State Licensing

Navigate complex state licensing requirements for multi-location practices and telehealth services

  • State medical board applications (all 50 states)
  • Telehealth licensing and interstate compacts
  • DEA and controlled substance registrations
  • State-specific compliance requirements

Hospital Privileging

Coordinate with hospital credentialing committees to expedite privileges and facility enrollment

  • Hospital application preparation and submission
  • Medical staff committee coordination
  • Privilege delineation and specialization documentation
  • Allied health professional credentialing

Group Practice Support

Scalable credentialing services for multi-provider practices, medical groups, and healthcare systems

  • Simultaneous multi-provider credentialing
  • Centralized status tracking dashboard
  • New hire credentialing workflows
  • Provider departure credentialing cleanup

Monitoring & Reporting

Transparent visibility into your credentialing status with regular updates and performance metrics

  • Real-time status updates via email and portal
  • Monthly credentialing status reports
  • Bottleneck identification and resolution
  • Compliance tracking and audit support

Our Credentialing Process

A proven, systematic approach that gets you credentialed faster with zero errors

1

Information Collection

We gather all required documentation, verifications, and provider information through our streamlined intake process

2

Application Preparation

Our credentialing specialists prepare and review applications for 100% accuracy before submission

3

Primary Source Verification

We verify all credentials directly with issuing bodies: medical schools, boards, certifications, and licenses

4

Submission & Monitoring

Applications submitted to payers with daily portal monitoring and proactive follow-up to prevent delays

5

Active Management

We contact payers directly when applications stall, resolve issues immediately, and keep you informed throughout

6

Approval & Enrollment

Once approved, we confirm effective dates, update your records, and begin ongoing expiration monitoring

Proven Results

Real outcomes from our credentialing services

Multi-Payer Credentialing Success

Multi-Payer Credentialing Success

Fast-tracked credentialing for new physician group across 15+ major insurance payers, reducing typical wait times by 40%.

Key Results:

  • 60-day average approval
  • 15+ payer networks
  • 100% documentation accuracy
  • Zero application rejections
CAQH ProViewMedicare/MedicaidCommercial PayersVerification Services
Re-Credentialing & Enrollment Support

Re-Credentialing & Enrollment Support

Managed complex re-credentialing process for established practice adding telehealth services across state lines, ensuring continuous reimbursement.

Key Results:

  • Zero coverage gaps
  • Multi-state licensing
  • Telehealth enrollment
  • Proactive monitoring
Re-credentialingState LicensingTelehealth CompliancePayer Enrollment

"The credentialing process was painless. They got us enrolled with 15 payers in just 60 days—half the time we expected. Professional, thorough, and always responsive to our questions."

Medical Director
Medical Director Multi-Specialty Clinic NorthEast Region

Common Questions

How long does credentialing take?

Our average approval time is 60 days—significantly faster than the industry standard of 90-120 days. We expedite the process through proactive monitoring, direct payer contact, and 100% accurate applications.

What information do you need from me?

We'll need your CV, medical school diploma, board certifications, state licenses, DEA registration, malpractice insurance, and work history. Our team provides a comprehensive checklist and guides you through the entire process.

Do you handle re-credentialing?

Yes! We proactively monitor all credential expiration dates and begin the renewal process 90 days in advance to prevent any gaps in coverage or reimbursement interruptions.

Which insurance payers do you work with?

We credential providers with all major commercial payers (United, Aetna, Cigna, BCBS, etc.), Medicare/Medicaid programs, and specialty networks across all 50 states.

What if my application gets delayed?

We don't just wait—we act. Our team contacts payers directly when applications stall, resolves issues immediately, and escalates when necessary to keep your credentialing on track.

Can you help with telehealth credentialing?

Absolutely. We handle multi-state licensing, telehealth-specific payer enrollment, and interstate compact applications to ensure you can provide virtual care legally and get reimbursed properly.

Ready to Fast-Track Your Credentialing?

Stop losing revenue to credentialing delays. Let our expert team handle the paperwork, verifications, and payer follow-up so you can focus on patient care.