Service Details
Provider Credentialing and Payer Enrollment Services
CAQH, payer enrollment and re-credentialing
A provider cannot bill an insurance company until they are credentialed and enrolled with it. Radiant RCM handles credentialing and enrollment end to end, so providers can start seeing insured patients sooner with fewer errors.
Clear tracking
What you’ll achieve with this service
Real-time status updates
Dedicated credentialing specialists
Visibility into where each application stands
Fewer enrollment delays before billing can begin
What our credentialing services include
1
CAQH registration, profile setup and ongoing maintenance, including updates and attestations
2
Payer enrollment, network applications and re-credentialing
3
Primary source verification support
4
Contract and fee schedule tracking
5
Monitoring of expirables, license renewals and payer re-credentialing
6
Credentialing status reporting
How credentialing works
1
We collect provider documentation.
2
We prepare and submit applications.
3
We follow up with payers and track status.
4
We resolve issues and resubmit when needed.
5
We manage ongoing re-credentialing.
Credentialing and billing in one place
When credentialing and billing are handled by the same team, claims can begin as soon as enrollment is complete, with no handover gap.
Frequently Asked Questions
Why is credentialing important?
Without it, claims for services by the provider may not be paid by that insurance company.
How long does credentialing take?
It varies by payer. That is why early submission and steady follow-up matter.
Do you manage CAQH?
Yes. We handle CAQH registration, updates and attestations so provider profiles stay accurate.