Provider Credentialing Done Right — Start to Finish
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 That Protects Your Revenue & Your Providers
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.
Full-Spectrum Credentialing Services
From initial setup to ongoing maintenance, we handle every piece of the credentialing puzzle so nothing falls through the cracks.
CAQH Setup & Maintenance
We build, complete, and maintain your CAQH ProView profile — ensuring it stays current, attested, and ready for payer processing at all times.
- New provider CAQH profile creation
- Document uploads & attestation support
- Quarterly re-attestation reminders
- Profile updates as credentials change
Payer Enrollment
We submit and track enrollment applications with commercial insurers, Medicare, and Medicaid so your providers can start billing as quickly as possible.
- Commercial payer applications (BCBS, Aetna, Cigna, UHC & more)
- Medicare & Medicaid enrollment (PECOS)
- EDI/EFT setup coordination
- Application status follow-up
Hospital Privileging
We compile and submit hospital credentialing and privileging packets, coordinate with medical staff offices, and track approval status on your behalf.
- Initial privilege application packets
- Privilege reappointment submissions
- Medical staff office liaison
- Temporary privilege requests
Primary Source Verification
We perform thorough PSV for education, training, licensure, board certifications, work history, and sanctions — meeting NCQA and TJC standards.
- License verification (all states)
- DEA & CDS certificate verification
- Board certification confirmation
- OIG/SAM exclusion screening
Re-Credentialing & Renewals
We proactively track all credentialing expiration dates and manage re-credentialing submissions before deadlines hit — protecting your billing continuity.
- Payer re-credentialing (typically every 2–3 years)
- Hospital reappointment management
- License & DEA renewal tracking
- Automated expiration alerts
Credentialing File Audits
We audit your existing provider credential files to identify gaps, expired items, and compliance risks — then build a remediation plan to bring everything current.
- Review of existing credential files
- Gap analysis & remediation report
- Delegation agreement review support
- Readiness assessment for NCQA/TJC surveys
We Work With All Provider Types
Whether you're onboarding a single provider or managing a large multi-specialty group, our team has the experience to get it done.
Physicians (MD/DO)
Nurse Practitioners (NP)
Physician Assistants (PA)
CRNAs & Anesthesiologists
Behavioral Health Providers
Dentists & Oral Surgeons
Optometrists & Ophthalmologists
Chiropractors & PT/OT
Hospitals & Health Systems
Ambulatory Surgery Centers
Group & Multi-Specialty Practices
Labs & Ancillary Providers
How We Get Your Providers Credentialed
A transparent, step-by-step process designed to minimize your involvement and maximize speed.
Discovery & Intake
We review your needs, gather provider information, and identify target payers and facilities.
Document Collection
We provide a secure checklist and collect all required credentials, licenses, and supporting documents.
Application Submission
We complete and submit CAQH profiles, payer applications, and hospital privilege packets accurately.
Follow-Up & Tracking
We actively follow up with payers and facilities, resolving issues and providing status updates.
Ongoing Maintenance
We track expiration dates and manage re-credentialing so your providers always stay current.
What Sets Our Credentialing Team Apart
Speed Without Shortcuts
We know how to move efficiently through payer and hospital processes — getting approvals faster without sacrificing accuracy or completeness.
Compliance-First Approach
Our team stays current with NCQA, CMS, and payer-specific requirements so your credentialing files are always audit-ready.
Dedicated Specialists
You work with experienced credentialing professionals — not generalists. We know the nuances of payer enrollment and privileging inside and out.
Proactive Deadline Management
We build and maintain a credentialing calendar for every provider — alerting you well ahead of renewals, re-credentialing windows, and expirations.
Clear Communication
No black box — we provide regular status updates, flag issues early, and keep your team informed at every stage of the process.
Flexible Engagement
Whether you need full-service credentialing management or project-based support for a provider onboarding surge, we adapt to your needs.
Two Clear Options. No Surprises.
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
Full credentialing package plus 12 months of proactive maintenance — paid together at the start.
Both fees are per provider. Annual maintenance is $50–$75/provider/month.
Everything in the package, plus…
Still not included
Volume Pricing
Credentialing multiple providers? Your per-provider fee decreases with volume.
Rates below apply to the one-time credentialing fee.
All tiers include CAQH setup & up to 15 payer submissions per provider · one-time fee · no monthly billing
Additional Services
Beyond the core package, each service below is available separately.
All fees are per provider unless otherwise noted. Final fee depends on specialty, number of states, and payer mix. Payer portal setup not included. Contact info@healthcareinspiredllc.com for a personalized quote.
Frequently Asked Questions
Ready to Streamline Your Credentialing?
Let's talk about your providers and build a plan that keeps them enrolled, privileged, and billing without interruption.
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Questions? info@healthcareinspiredllc.com