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Provider Credentialing

Behavioral Health Credentialing Services

Credentialing delays cost behavioral health organizations revenue every day a provider isn't enrolled. We manage the complete credentialing pipeline — from CAQH setup through payer enrollment, re-credentialing, and ongoing roster management.

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“Every day a provider isn’t credentialed is a day of billable services that can’t be collected. Credentialing is a revenue problem, not an administrative one.”

What We Do

Credentialing Infrastructure Built for Behavioral Health

Initial Provider Credentialing

  • CAQH ProView profile setup
  • Primary source verification
  • Malpractice and license documentation
  • Payer application preparation and submission
  • NPI enrollment and taxonomy setup

Payer Network Enrollment

  • Commercial payer credentialing applications
  • Medicaid managed care enrollment
  • Medicare enrollment (855I and 855B)
  • Behavioral health carve-out credentialing
  • OHP and state Medicaid participation

Re-Credentialing & Maintenance

  • CAQH attestation management
  • License and DEA renewal tracking
  • Re-credentialing application management
  • Malpractice coverage monitoring
  • Continuing education documentation

Roster Management

  • Multi-provider roster coordination
  • Provider adds and terminations
  • Practice location updates
  • Group and individual NPI management
  • Credentialing status tracking and reporting

Organization Credentialing

  • Facility and organization-level credentialing
  • Hospital privileges coordination
  • Accreditation credential documentation
  • Group practice enrollment
  • New location credentialing

Credentialing Audit & Remediation

  • Credentialing file audit and gap analysis
  • Lapsed enrollment identification
  • Re-enrollment and reinstatement support
  • Denial and termination appeals
  • Compliance documentation remediation
Pacific Northwest behavioral healthcare leadership

Get Started

Start With a Credentialing Audit

We audit your current credentialing files, identify enrollment gaps and lapsed payer relationships, and build a structured pipeline to bring every provider into full network participation.

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