Credentialing and Enrolment

Get in-network faster and start billing sooner.

Credentialing delays are the most expensive kind of waiting. Reveno MD handles provider enrolment, CAQH, primary source verification and payer contracting, then keeps the renewal calendar so you never fall out of network.

98% approval on first submission Federal payers in 20 to 25 business days Weekly follow-up with every payer
  • CAQH built and maintained for you
  • Contract and fee schedule review
  • Renewal calendar kept year round
The cost of waiting

Every uncredentialed week is revenue you never get back

The maths is unforgiving. From the first document request to the re-credentialing reminder three years later.

60 to 120 daysA new provider sitting idle while the application sits with a payer

is the normal payer timeline when applications are submitted without follow-up.

ThousandsClaims denied because enrolment was not effective on the date of service

per month in denied claims for every provider practising out of network.

One missed renewalPatients going elsewhere because you are out of network with their plan

can drop a provider from a panel and stop payment without warning.

Every week saved is a week of billable care.

  • 0Approval on first submission
  • 0Day federal enrolment
  • 0States served
  • 0Faster than doing it in house
What we offer

The whole enrolment lifecycle, not just the paperwork

From the first document request to the re-credentialing reminder three years later.

Document and data collection

Licences, DEA, board certification, malpractice cover, education and work history gathered and verified once, then reused across every application.

Payer strategy

We map your specialty, location and patient mix to the panels worth joining, so effort goes where the volume is.

CAQH setup and maintenance

Profile built, attested on schedule and kept current, because a stale CAQH record is the most common cause of a stalled application.

Primary source verification

Credentials verified at source before submission, so the payer committee has nothing to send back.

Application and follow-up

Submitted, tracked and chased weekly by name, not by ticket, until an effective date is in writing.

Contract and fee schedule review

Rates read line by line against your top CPT codes before you sign, with negotiation where there is room.

Medicare and Medicaid enrolment

PECOS, revalidation and state Medicaid handled alongside commercial applications.

Renewals and re-credentialing

Expiry dates tracked on a rolling calendar with reminders well before anything lapses.

Your growth starts here

Send us your provider list and the panels you want. We will come back with a realistic timeline and the documents we need to begin.

Why practices hand this over

Credentialing is a follow-up job, not a filing job

Anyone can fill in the form. Getting an effective date takes someone calling the payer every week until it is issued.

Start credentialing
Weekly payer follow-upCalled by name, logged in writing, escalated when a file sits too long.
Applications right the first timeVerified before submission, so committees have nothing to return.
Contracts read before you signFee schedules checked against the codes you actually bill.
One calendar for everythingLicences, DEA, malpractice, CAQH attestations and re-credentialing in one view.
Billing that starts on day oneEnrolment effective dates handed straight to the billing team so claims go out immediately.
How it runs

Six steps from first document to first paid claim

Seamless process, measurable impact.

STEP 01

Provider intake

We collect licensing, education, NPI, practice locations and work history, and flag any gap a payer will question.

STEP 02

Panel selection

We recommend which payers to pursue first based on your specialty, location and expected volume.

STEP 03

CAQH and verification

Profile built and attested, primary source verification completed before anything is submitted.

STEP 04

Submission and chasing

Applications go out, then get a weekly follow-up call and a written status you can see.

STEP 05

Contracting

Fee schedules reviewed against your real code mix, terms explained in plain language, negotiation where it is worth it.

STEP 06

Maintenance

Attestations, expiries, revalidations and re-credentialing handled on a calendar so nothing lapses.

Proven results

What changes when credentialing is run properly

Typical movement for practices that hand enrolment to Reveno MD.

MetricBefore Reveno MDWith Reveno MD
Approval on first submissionAround 70%98%
Federal payer enrolment3 to 4 months20 to 25 business days
Commercial payer enrolment4 to 6 months70 to 80 business days
Applications stalled at CAQHCommonRare, profile kept attested
Missed renewalsDiscovered after a denialCaught weeks in advance
Client results

What our clients say

PAPractice AdministratorFlorida

A multi-provider clinic waited four months for approval. We were credentialed in five weeks and billing inside forty five days.

DRDr. R. PatelInternal medicine

They caught two expiring certificates we had completely forgotten about.

DSDr. S. WhitfieldOrthopedics

The contract review alone paid for the service. We were being underpaid on our top three codes.

Medical Credentialing at Reveno MD

Stop waiting on payers and start billing

Send us your provider list and the panels you want. We will come back with a realistic timeline and the documents we need to begin.

  • A realistic per-payer timeline
  • CAQH built and attested for you
  • Weekly written status on every application
  • Contract review before you sign anything
Questions practices ask

Frequently asked questions

Verification of a provider’s licences, education, training and work history so they can enrol with insurance payers and bill for services. It is the step that has to finish before Medicare, Medicaid or a commercial plan will reimburse you.

Federal payers normally land in 20 to 25 business days with active follow-up. Commercial payers run 70 to 80 business days. Without weekly chasing the same applications commonly take three to six months.

Yes. PECOS enrolment, revalidation and state Medicaid applications are handled alongside commercial payers.

Yes. We build the profile, attest it on schedule and keep documents current, which removes the most common cause of a stalled application.

Expiry dates sit on a rolling calendar. We start renewals well before the deadline so no provider drops off a panel.

We review every fee schedule against your top billed codes before you sign, and negotiate where the payer has room. Not every contract is negotiable, and we will tell you plainly which ones are not.