Stay compliant, get approved faster, and focus on care

Seamless enrollment and compliance to keep your revenue flowing

Credentialing is the most urgent and time-consuming task for healthcare providers. Providers are at risk of losing revenue opportunities, facing compliance fines, and experiencing delays in receiving reimbursements due to inadequate enrollment and contracting. At Care Management, we provide end-to-end credentialing solutions that help in eliminating complexity and keep your practice in compliance with payer and regulatory requirements.

Your Virtual Front Office for Smarter

Smarter Credentialing. Faster Approvals. Stronger Compliance

98.6%

Credentialing pass rate on the first pass of credentialing applications due to proper data preparation, payer-specific formatting, and automated validation checks.

93%

Minimized mean credentialing turnaround time and streamlined workflows and real-time payer communications.

99.2%

Live revalidations and renewals of licenses are monitored automatically by compliance monitoring and expiration warnings.

87%

With streamlined enrollment and contracting support, practices gain more payer participation and more patient access.

Credentialing Made Simple With Automated Processes and Trusted Compliance Support

Provider Enrollment & Contracting

We coordinate the entire enrollment process to promptly, accurately, and properly credential providers as required by payers. This ensures that there is constant reimbursement, and payer networks are accessed more quickly. Our services include:

  • Application preparation & submission: Complete and error-free applications to avoid delays
  • Contract negotiation: Secure favorable terms with commercial and government payers
  • CAQH profile setup/maintenance: Keep provider profiles updated for seamless payer access

Payer Credentialing

We accelerate the credentialing process with the government and commercial payers, and maintain federal regulations and payer-specific standards. We assist providers in increasing their participation networks. Services include:

  • Medicare/Medicaid credentialing: Fast and compliant enrollment in government programs
  • Commercial payer contracts: Build payer networks that expand patient access and reimbursement
  • IPA/ACO contracts: Join physician groups and accountable care organizations for broader participation

Revalidation & Compliance

Credentialing cannot be fixed, but providers should still be kept abreast of continuous revalidation cycles and regulations. Our proactive compliance oversight means that the providers will never incur service failures or financial fines. We provide:

  • Ongoing monitoring: Track credentials and certifications for every provider
  • Expiration alerts & renewals: Get notified before licenses or certifications lapse
  • Licensing support: Assistance with maintaining state and federal licenses

Reporting

Our reporting solutions will give you full visibility on your credentialing lifecycle to track progress, gauge compliance, and make decisions. Our reporting tools offer:

  • Credentialing status tracking: Real-time tracking of application progress, payer response times, and approval stages
  • Compliance dashboards: Interactive dashboards highlight upcoming expirations, active enrollments, and network participation metrics

Care Management What You Can Expect

At Care Management Solutions, we streamline credentialing so your providers can get to work faster. Our step-by-step process reduces delays, minimizes errors, and ensures compliance every step of the way.

Quick Discovery Caller
Quick Discovery Call

A short 15-minute conversation helps us understand your credentialing needs and provider requirements.

Onboarding & Application Support
Onboarding & Application Support

We manage document collection, application preparation, and payer submissions, keeping everything organized and accurate.

Go Live in 4–6 Weeks
Go Live in 6-12 Weeks

With our efficient workflows and expert support, providers are credentialed and ready to serve patients quickly.

Continuous Optimization
Continuous Monitoring

We handle renewals, expirations, and compliance tracking to keep your credentials up to date and stress-free.

An AI-powered, all-in-one solution that enables exceptional care

Credentialing

Simplify provider enrollment and credentialing with automation-driven accuracy. From payer applications to compliance verification, we ensure your providers are credentialed quickly and correctly—so you can avoid delays, reduce administrative burden, and focus on patient care.

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Start your care management journey without any financial barriers. Fill out the form to discover how our care management solutions can help your team streamline care coordination, improve patient outcomes, and maximize reimbursement.