Healthcare Inspired manages the entire credentialing and re-credentialing process so your providers can focus on patient care — not paperwork. We work with physicians, APPs, and facilities of all sizes.
Sound familiar? These are the credentialing challenges we solve every day.
Credentialing is one of the most time-consuming administrative burdens in healthcare — but when it's done incorrectly or late, it can freeze revenue, trigger compliance issues, and put providers at risk.
Healthcare Inspired's credentialing specialists manage every step — from initial applications and CAQH setup to hospital privileging, payer enrollment, and ongoing re-credentialing. We track deadlines, chase down paperwork, and keep your providers current so your practice never misses a billing day.
From initial setup to ongoing maintenance, we handle every piece of the credentialing puzzle so nothing falls through the cracks.
We build, complete, and maintain your CAQH ProView profile — ensuring it stays current, attested, and ready for payer processing at all times.
We submit and track enrollment applications with commercial insurers, Medicare, and Medicaid so your providers can start billing as quickly as possible.
We compile and submit hospital credentialing and privileging packets, coordinate with medical staff offices, and track approval status on your behalf.
We perform thorough PSV for education, training, licensure, board certifications, work history, and sanctions — meeting NCQA and TJC standards.
We proactively track all credentialing expiration dates and manage re-credentialing submissions before deadlines hit — protecting your billing continuity.
We audit your existing provider credential files to identify gaps, expired items, and compliance risks — then build a remediation plan to bring everything current.
Whether you're onboarding a single provider or managing a large multi-specialty group, our team has the experience to get it done.
A transparent, step-by-step process designed to minimize your involvement and maximize speed.
We review your needs, gather provider information, and identify target payers and facilities.
We provide a secure checklist and collect all required credentials, licenses, and supporting documents.
We complete and submit CAQH profiles, payer applications, and hospital privilege packets accurately.
We actively follow up with payers and facilities, resolving issues and providing status updates.
We track expiration dates and manage re-credentialing so your providers always stay current.
We know how to move efficiently through payer and hospital processes — getting approvals faster without sacrificing accuracy or completeness.
Our team stays current with NCQA, CMS, and payer-specific requirements so your credentialing files are always audit-ready.
You work with experienced credentialing professionals — not generalists. We know the nuances of payer enrollment and privileging inside and out.
We build and maintain a credentialing calendar for every provider — alerting you well ahead of renewals, re-credentialing windows, and expirations.
No black box — we provide regular status updates, flag issues early, and keep your team informed at every stage of the process.
Whether you need full-service credentialing management or project-based support for a provider onboarding surge, we adapt to your needs.
Start with our one-time full credentialing package — then choose whether to add annual maintenance at the same time. Every fee is listed with exactly what it covers and what it doesn't.
Complete credentialing from intake through approval. Ends when all payers confirm the provider is enrolled.
Rate varies by specialty, number of states & payer mix. Volume discounts apply (see below).
What's included
Not included in this package
Full credentialing package plus 12 months of proactive maintenance — paid together at the start. Your provider stays protected all year.
Both fees are per provider. Annual maintenance is $50–$75/provider/month — billed as one annual payment at engagement start.
Everything in the credentialing package, plus…
Still not included
Volume Pricing
Rates below apply to the one-time credentialing fee. Annual maintenance is quoted separately by provider count.
All tiers include CAQH setup & up to 15 payer submissions per provider · one-time fee · no monthly billing
Beyond the core package, each service below is available separately. All fees are per the unit shown.
All fees are per provider unless otherwise noted. Final fee depends on provider specialty, number of states, and payer mix complexity. Payer portal setup and login management are not included in any service. Contact info@healthcareinspiredllc.com for a personalized quote.
Let's talk about your providers and build a plan that keeps them enrolled, privileged, and billing without interruption.