REVIEW
File audited
COMPLETECREDENTIALING / PAYER ENROLLMENT
Enter the right networks—with every step accounted for.
Payer enrollment, CAQH, recredentialing, and follow-up managed for independent US practices. You always know what is ready, what is waiting, and who owns the next action.
NO SETUP FEES · NO LONG-TERM CONTRACTS · CLOSED-NETWORK PRE-AUDIT REFUND
PROVIDER READINESS / DR. CHEN
One profile. Every payer-ready field.
Provider profile
CAQH attestation
License + documents
Practice locations
PAYER MATCH4 / 5
01 / READINESS BEFORE SUBMISSION
Nothing moves until the file is actually ready.
Missing attestations, expired licenses, incomplete profiles, and mismatched locations create delays before a payer ever reviews the application.
PROVIDER FILE / 01
Dr. Maya Chen
Psychiatry
Austin, Texas
READINESS SCORE92%
DOCUMENT READINESS MATRIX
REQUIREMENTSOURCESTATE
CAQH profile attestedCAQHCURRENT
State license activeTX Medical BoardACTIVE
Malpractice coverageProviderVERIFIED
Practice address matchedNPI registryMATCHED
EFT + ERA detailsPracticeNEEDS REVIEW
NEXT ACTION / CONFIRM EFT CONTACT BEFORE AETNA SUBMISSION
02 / ONE VISIBLE FILE
Submission is a milestone. Follow-up is the work.
Each payer moves differently. We keep the same file visible from readiness through effective date, with a next action already scheduled.
AETNA / ENROLLMENT 0048STATUS / PAYER REVIEW
PREPARE
Evidence assembled
COMPLETESUBMIT
Application received
COMPLETEFOLLOW UP
Payer review active
CURRENTEFFECTIVE
Network participation
NEXTCURRENT HANDOFF
Payer follow-up scheduled for Thursday, 10:30 AM.
ESTIMATED PAYER TAT45–90 DAYS
03 / PAYER-SPECIFIC ROUTES
The same provider takes a different route through every payer.
Requirements, portal steps, and review timing vary. The process should not feel improvised just because the payer does.
TARGET NETWORKS
03Applications tracked independently. One practice-level view.
AETNA
- 01 PROFILE + CAQH
- 02 APPLICATION
- 03 PAYER REVIEW
APPLICATION READY
UNITEDHEALTHCARE
- 01 PROFILE + CAQH
- 02 APPLICATION
- 03 PAYER REVIEW
DOCUMENT CHECK
HUMANA
- 01 PROFILE + CAQH
- 02 APPLICATION
- 03 PAYER REVIEW
PRE-AUDIT
04 / PRE-AUDIT PROTECTION
If the network is closed, the pre-audit fee comes back.
We confirm network status before the full credentialing process begins. If the payer is closed to your specialty during pre-audit, that fee is refunded.
HUMANA / PSYCHIATRY / TEXAS
NETWORK
CLOSED
PRE-AUDIT FEE
REFUNDED ✓05 / SPECIALTY-AWARE CREDENTIALING
Credentialing that understands the practice behind the application.
Specialty, location, provider type, and payer mix change what needs to be prepared—and which network is worth pursuing.
Psychiatry
ENROLLMENT · CAQH · FOLLOW-UPPsychology
ENROLLMENT · CAQH · FOLLOW-UPBehavioral health
ENROLLMENT · CAQH · FOLLOW-UPPrimary care
ENROLLMENT · RECREDENTIALINGTherapy practices
ENROLLMENT · RECREDENTIALINGCOMMON TARGET NETWORKS
Aetna
UnitedHealthcare
Cigna Humana
Availability depends on specialty, geography, and network status.
Before you commit, know exactly what moves.
A transparent engagement structure for payer enrollment and credentialing.
WHAT YOU RECEIVE
A live payer roster Application status + next action CAQH maintenance Effective-date confirmation
TRUST + OWNERSHIP
Named enrollment specialist HIPAA-compliant operations Aetna · Humana · UHC · Cigna Typical payer TAT: 45–90 days
FEES + PROTECTION
Flat fee per payer/application No setup fee No long-term contract Closed network before submission? Pre-audit fee refunded.
