Provider Credentialing and Contracting That Accelerates Revenue
Overview
Provider credentialing delays cost healthcare practices thousands in lost revenue every month. A single provider sitting outside the network for 60 days can mean $30,000 to $100,000+ in delayed collections depending on specialty and volume.
Rafsons Med Billing dedicated credentialing team manages the entire enrollment process from initial CAQH setup through payer application submission, follow-up, and approval. We complete most enrollments in 45 days or less.
Beyond initial credentialing, we handle ongoing re-credentialing cycles, group roster management, and proactive expiration tracking so your providers are never inadvertently delisted from payer networks.
Key Benefits & Outcomes
45-Day Average Enrollment
Our streamlined process and payer relationships get providers enrolled and billing in an average of 45 days.
CAQH Profile Management
We set up, maintain, and attest your CAQH profiles to keep enrollment data current and accurate.
Contract Negotiation
Our contracting specialists negotiate favorable reimbursement rates on your behalf with commercial payers.
Expiration Tracking
Proactive alerts and management of all re-credentialing cycles, license renewals, and DEA expirations.
All Payer Types
Medicare, Medicaid, CHIP, and 500+ commercial payers across all 50 states and territories.
Group Roster Management
Complete group NPI management, provider roster updates, and location changes handled seamlessly.
Our Process
Provider Data Collection
We gather all required provider information: NPI, DEA, licenses, malpractice history, education, and work history.
CAQH Setup & Attestation
CAQH profile is created or updated and attested. All supporting documents are uploaded and verified.
Application Preparation
Payer-specific applications are completed accurately using the most current enrollment forms.
Submission & Follow-Up
Applications are submitted to all target payers simultaneously with proactive weekly follow-up on status.
Approval & Activation
Upon payer approval, we verify effective dates and confirm the provider is active before billing begins.
Frequently Asked Questions
How long does credentialing typically take?+
Can you handle credentialing for new practices?+
Do you negotiate reimbursement rates with commercial payers?+
What happens if a payer denies our credentialing application?+
Get Your Providers Billing Faster
Stop losing revenue to credentialing delays. Our team can begin your enrollment process this week.