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Physician Credentialing & Privileging

Physician credentialing, done right — payers and hospitals alike.

Done-for-you physician credentialing across the USA — CAQH, primary source verification, DEA and license tracking, payer enrollment, hospital privileging support and re-credentialing, so you can practice without the paperwork stalling you.

Payer & hospital ready Re-credentialing tracked Transparent pricing
DR

Dr. Ray Osei, MD

Internal Medicine
Credentialed & In-Network

Verified & confirmed

Board Certified DEA Active NPDB Clear Malpractice Verified In-Network
90–120days typical
2–3 yearsre-credentialing · tracked
Credentialed Physician
HIPAA-CompliantSecure PHI handling
All SpecialtiesAny specialty, any state
90–120 DaysTypical approval
Re-Credentialing TrackedNever lapse a cycle
Flat PricingNo hidden fees
Credentialing, explained

Verification first, then enrollment.

Physician credentialing starts with primary source verification — your education, training, board certification, DEA, license and malpractice history confirmed at the source. That verified file is what payers and hospital medical staff offices both require before you can be enrolled or privileged.

We build the file once and use it everywhere it's needed — commercial payers, Medicare, Medicaid, and hospital privileging. New to the process? See what CAQH is.

Audit My Credentialing Free
What your credentialing includes
  • CAQH profile setup & attestationA clean, accurate CAQH profile built and attested for every commercial application.
  • Primary source verificationEducation, training, board certification and work history verified at the source.
  • DEA & state license trackingWe confirm and track your DEA registration and license status across every state you practice in.
  • NPDB & malpractice history reviewNational Practitioner Data Bank query and malpractice/claims history compiled for payer files.
  • Payer & hospital applicationsApplications prepared and submitted to payers and hospital medical staff offices alike.
  • Re-credentialing trackedWe track your 2–3 year re-credentialing cycle so your privileges and panels stay active.
Credentialing vs privileging

Two approvals, often needed together

Getting paid in-network and getting the right to treat patients at a hospital are two separate processes, run by two separate offices — we coordinate both.

Payer Credentialing

Enrollment with an insurance company to bill in-network.

  • Reviewed byPayer network dept.
  • Data sourceCAQH ProView
  • Typical timeline90–120 days
  • RenewalRe-credential every 2–3 yrs

Hospital Privileging

Approval to admit or treat patients at a specific facility.

  • Reviewed byMedical staff office
  • Data sourcePrimary source verification
  • Typical timelineVaries by facility
  • RenewalReappointment every 2 yrs
What we handle

Every physician credentialing scenario

From a first payer enrollment after residency to a multi-state, multi-hospital practice — we work the scenario you're actually in.

Solo & Private Practice

First-time credentialing for a physician starting or growing a private practice.

New Enrollment

Group / Multi-Specialty Practice

Credential a group and link each physician to the group's contracts.

Group Linkage

Hospital-Employed Physician

Coordinate payer credentialing alongside hospital medical staff privileging.

Privileging Support

New Physician / Fresh Out of Residency

First payer enrollment for a physician entering practice after residency or fellowship.

First Enrollment

Multi-State Licensure

Coordinate credentialing across every state where you hold an active license.

Multi-State

Re-Credentialing & Payer Audits

Stay ahead of the 2–3 year re-credentialing cycle and respond to payer audits.

Re-Credentialing

Miss re-credentialing, lose your network status

Payers and hospitals both re-credential physicians every 2 to 3 years. Miss the cycle and you risk termination from a panel or loss of privileges — and reinstating either can take months. We track every due date and file ahead of it.

Keep Me Current
How it works

From free audit to credentialed and billing

01

Free Audit

We map your payers, hospitals and what's needed for each.

02

Verification

Education, license, DEA, board and malpractice history confirmed.

03

Submit Applications

We file with each payer and hospital medical staff office.

04

Follow-Up

We work reviewers and committees until it clears.

Credentialed

In-network and, where needed, privileged to practice.

Physicians, hospitals & payers — all coordinated by one team

MedicareMedicaidAetnaBlue Cross Blue ShieldCignaUnitedHealthcareOptumHumanaTricare MedicareMedicaidAetnaBlue Cross Blue ShieldCignaUnitedHealthcareOptumHumanaTricare
Why physicians choose us

Credentialing built for how physicians actually practice

Between payers, hospitals and a 2–3 year renewal cycle, physician credentialing has more moving parts than most specialties. We keep every file, deadline and application in one coordinated system.

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“One verified file, used everywhere it's needed — payers, hospitals, and every renewal after that.”

Our promise to every physician

All Specialties, All States

Credentialing experience across specialties and every state you're licensed in.

One Dedicated Specialist

A single point of contact who knows your file end to end.

Privileging Support

We prepare the documentation hospital medical staff offices require.

Re-Credentialing Tracked

We watch every 2–3 year cycle so you're never lapsed or terminated.

Transparent Pricing

Flat pricing quoted after a free audit — no surprises.

HIPAA-Compliant

Your data and PHI handled under strict, compliant processes.

Simple, transparent pricing

Flat pricing per payer & facility

No percentage of your revenue, no hidden fees. You get a clear price after a free audit — whether it's a first enrollment, a hospital privileging file, or an overdue re-credentialing.

  • Free physician credentialing audit
  • Flat fee per payer/facility
  • Group & multi-provider discounts
  • Re-credentialing tracking included
  • No long-term lock-in

Physician credentialing services for US healthcare providers

Credentialing is the verification step that lets you join insurance networks and, where relevant, gain hospital privileges. Our physician credentialing services handle the entire process — primary source verification of your education, training, board certification, DEA and license status, malpractice history review, payer and hospital applications, and ongoing re-credentialing — so you can focus on patients instead of paperwork.

We work with physicians across specialties and states, from solo private practice to hospital-employed roles. Not sure where to start? A quick free credentialing audit maps which payers and facilities to prioritize and how long it should take.

Good to know

Physician credentialing FAQs

Physician credentialing is the process of verifying a physician's education, training, licensure, board certification and work history, then using that verified file to enroll with insurance payers and, where applicable, apply for hospital medical staff privileges.

Most physician credentialing takes about 90 to 120 days per payer, and hospital privileging can run longer depending on the facility's medical staff office and committee schedule. Complete documentation and active follow-up are what keep it on track.

Payer credentialing gets you enrolled and in-network with an insurance company so you can bill them. Hospital privileging is separate — it's the process by which a hospital's medical staff office verifies your qualifications and grants you the right to admit or treat patients at that facility. Many physicians need both, and we coordinate the documentation for each.

Yes. We confirm your DEA registration and state license status as part of your credentialing file, and we track renewal and expiration dates across every state where you practice so nothing lapses.

Most payers and hospitals re-credential physicians on a 2 to 3 year cycle, consistent with NCQA standards. Missing a re-credentialing deadline can result in termination from a payer's network or loss of hospital privileges, so we track your due dates and file the renewal on time.

Yes. We coordinate credentialing across every state where you hold an active license, including payer enrollment and, where needed, hospital privileging in each location.

We credential physicians across specialties — primary care, internal medicine, surgical specialties, psychiatry and more — along with nurse practitioners and other advanced-practice providers.

Pricing depends on how many payers, hospitals and providers you need credentialed. We use transparent, flat pricing with no hidden fees, starting from a free credentialing audit.

Free credentialing audit

See what your credentialing needs

Tell us about your practice and we'll confirm which payers and facilities to target, map a realistic timeline and quote flat pricing — no cost, no obligation.

  • Payer & hospital game plan
  • Re-credentialing status check
  • Flat-fee pricing up front

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HIPAA-compliant · we never share your information

Get started today

Get credentialed — and stay that way.

Let our specialists run your payer and hospital credentialing while you focus on patients.