Service
Credentialing that gets providers approved and keeps them that way
Credentialing is the process payers use to confirm a provider is qualified before they pay claims. Bilscure manages payer applications, NPI, CAQH and PECOS registration, licensing records and hospital privileges, priced from $100 per payer plan.
What is included
Included in the service
- 01
Medicare and Medicaid enrollment
Government program enrollment, including PECOS, the system Medicare uses to enroll providers.
- 02
Commercial plan applications
Each private plan you want to join is applied for, followed up and tracked to a decision.
- 03
NPI and CAQH set-up
The provider's national ID and the CAQH ProView profile that payers read are created and kept accurate.
- 04
License and certification tracking
State licenses, DEA registration and board certifications are monitored so none lapse mid-application.
- 05
Hospital privileges
Applications and supporting records for the facilities your providers work in.
- 06
Renewals after approval
Re-attestations and revalidations are scheduled so enrollment does not quietly expire.
How it works
How the work runs
- 01
Gather documents once
We build a single checklist across payers and collect each item one time, not once per plan.
- 02
File every application
Forms are completed and submitted, and the CAQH profile is attested.
- 03
Follow up until a decision
We contact each payer on a schedule and send you a weekly status.
- 04
Record and renew
Effective dates are confirmed, and renewal deadlines go on a shared calendar.
FAQ
Answers before you ask
What does credentialing cost?
From $100 per payer plan, which covers the application work and follow-up for that plan.
Is credentialing the same as contracting?
No. Credentialing confirms the provider's qualifications. Contracting sets what the payer will pay. Most providers need both before in-network claims are paid at the agreed rate.
How long does it take?
Payers set the timeline, and it varies by plan. We file early and keep chasing, so the application never sits unattended.
What is CAQH ProView?
It is an online profile that many commercial payers use to verify providers. It has to be re-attested on a regular cycle, and we keep it current.
Do you handle Medicare and Medicaid?
Yes. We manage government enrollment, including PECOS for Medicare, alongside commercial plans.
Ready when you are
Collect what your practice has already earned
Book a demo or request a free billing audit. We will show you where revenue is slipping and what it takes to recover it.