MEDICAL CREDENTIALING & PAYER ENROLLMENT
Medical Provider Credentialing Services for Healthcare Practices
Get providers credentialed and enrolled with payers fast. We handle CAQH, applications, follow-ups, re-credentialing, and revalidations – so claims pay on the first submission instead of getting denied for enrollment gaps. HIPAA-compliant. SOC 2 Type II audit in progress.
WHY CHB
Credentialing that protects your revenue.
Enrollment gaps cause silent revenue loss. We track every provider, every payer, every expiration date.
Average Revenue Increase
Reported by practices that switched to CHB.
Claim Submission Window
Daily electronic claim submission.
Lowest Billing Rate
Of collected revenue. Final rate depends on volume.
SCOPE
What our credentialing service covers.
Initial Provider Credentialing
Full credentialing for new providers, including primary source verification, payer applications, and CAQH setup.
Re-credentialing & Revalidations
We track expirations and handle re-credentialing across all your payer panels before they lapse.
Payer Enrollment & Contracting
In-network applications across commercial, Medicare, Medicaid, and managed care plans.
CAQH Maintenance
CAQH ProView attestations, document uploads, and quarterly re-attestations kept current.
Application Status Tracking
Weekly status reports so you know exactly where each application is and what is blocking it.
NPI, DEA, License Tracking
Centralized record of every provider license, NPI, DEA, board certification, and expiration date.
PROCESS
How we run credentialing.
Intake
You send provider info and target payer list. We collect documents via secure portal.
CAQH + applications
We set up or update CAQH, then submit payer applications and contracts.
Follow-up
Weekly follow-up with each payer until effective date is confirmed.
Maintenance
Once enrolled, we keep CAQH attestations current and track re-credentialing dates.
OUR APPROACH
Why practices pick CHB for credentialing.
Initial credentialing and re-credentialing
CAQH ProView attestation maintenance
Commercial, Medicare, Medicaid, and managed care
Weekly application status reporting
HIPAA-compliant + in audit process for SOC 2 Type II
California-based, US team
No long-term contract required
Available standalone or bundled with billing
CREDENTIALING PRICING
Bundled with billing or standalone.
Full billing service includes credentialing – priced as low as 2.5% of collected revenue. Standalone credentialing is priced per provider and payer scope. No setup fee, no contract.
lowest bundled rate
FAQ
Common questions about medical credentialing.
Commercial payers typically take 90 to 120 days. Medicare averages 60 days. Medicaid varies by state. We give you a realistic timeline at intake.
Yes. We work with existing CAQH ProView accounts or set up new ones if you do not have one.
Yes. We work with both individual (type-1) and group / organizational (type-2) NPIs and the corresponding payer enrollments.
Yes. We support multi-state credentialing including licensure compact states. Each state has different requirements; we handle them.
Yes. Credentialing is offered standalone or bundled with our billing service.
Yes. CHB is HIPAA-compliant and in audit process for SOC 2 Type II. All credentialing workflows operate under standard HIPAA Security Rule controls.
When bundled with our billing service, our combined rate starts at 2.5% of collected revenue. Standalone credentialing pricing is per-provider with payer-scope adjustments. No setup fee.
Each provider is logged with payer-specific re-credentialing dates. We proactively start re-credentialing 90-120 days before expiration so panels never lapse.
WHY CHOOSE CHB FOR MEDICAL CREDENTIALING
Why practices trust CHB for medical credentialing.
Choosing the best medical credentialing partner means selecting a team that combines technical expertise with daily attention to your revenue cycle.
Medical Credentialing specialty experience accumulated since 2002
HIPAA-compliant + in audit process for SOC 2 Type II, with annual independent security audits
Coverage across all major procedures, modifiers, and payer rules in this specialty
EHR-agnostic — we work inside your existing Office Ally, eClinicalWorks, Athena, Epic, Kareo
California-based, US team with specialty-trained billing professionals
No long-term contract required — month-to-month engagement
Transparent percentage-based pricing: as low as 2.5% of collected revenue
Free practice audit before you commit — no obligation, real diagnostic value
HOW CHB DELIVERS
How CHB handles medical credentialing day to day.
Every medical credentialing engagement follows the same structured workflow across eligibility, coding, submission, denials, and reporting.
Eligibility verification
Pre-visit eligibility checks prevent denial-causing surprises before each medical credentialing encounter.
Specialty coding
Medical Credentialing encounter coding by team experienced in this specialty modifiers and payer rules.
Submission & A/R
Daily claim submission. Aging worked daily across all payers. Same-day rejection correction.
Denial management
Denials categorized, root cause analyzed, appeals prepared within 48-72 hours of receipt.
ERA posting
Electronic remittance posted automatically with exception review for variances.
Monthly reporting
Dashboard showing collections by payer, days-in-A/R, denial rate, recovered revenue.
GET A QUOTE
Talk to a credentialing specialist.
Tell us about your practice and providers. We will reply within one business day.
Ready to fix your credentialing?
Free practice audit identifies enrollment gaps that are silently losing you revenue. HIPAA-compliant. SOC 2 Type II audit in progress.