Insurance Credentialing & PPO Fee Negotiations

Insurance credentialing and PPO fee negotiations to improve reimbursement and reduce payer friction — averaging about a 30% increase in fees for many partners.

Request Credentialing Support See How It Works

We manage the process end-to-end: submissions, payer follow-up, status tracking, and clean documentation.

What You Get

Credentialing Management

Enrollments, updates, re-credentialing, and clean documentation.

Proactive Payer Follow-Up

We track status, resolve issues, and push applications forward.

Fee Schedule Strategy

Identify opportunities to improve reimbursement and reduce friction.

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Organized & Trackable

Clear documentation, clear status, clear next steps. No more guessing where enrollments stand.

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We Do the Chasing

Payers can be slow. We handle follow-ups and escalation so your team stays focused on patients.

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Reimbursement-Focused

We don’t stop at “approved.” We look at fees and help build a strategy to reduce payer friction and improve reimbursement.

How Our Credentialing Process Works

Credentialing doesn’t have to be chaotic. We use a structured workflow to move enrollments forward and keep your team informed.

Discovery & Payer Targeting

We gather provider/location info and define payer goals and priorities.

Submissions & Documentation

We submit enrollments and keep documentation consistent and complete.

Follow-Up & Issue Resolution

We track statuses, respond to payer requests, and resolve delays.

Approval, Effective Dates & Next Steps

We confirm effective dates and outline fee schedule review/negotiation steps.

Common Support Areas

New provider enrollments New locations Re-credentialing Provider updates Payer communications Fee schedule review

About the “30%”

Many partners see meaningful improvements after fee negotiations and payer strategy adjustments. Results vary by payer, plan, market, and contract structure.

Credentialing FAQs

Timelines vary by payer and provider type. Many enrollments take several weeks to a few months. We keep submissions clean and follow-up consistent so it moves as quickly as possible.

Typically: provider details (licenses/NPI), practice/location details, payer goals, and any existing payer correspondence. We’ll guide your team through exactly what’s needed and keep it organized.

Yes. We support fee schedule review and a negotiation strategy where appropriate. Outcomes depend on payer, plan, market, and contract structure.

Ready to Improve Reimbursement?

Tell us what you’re working on—new provider, new location, re-credentialing, or fee concerns—and we’ll recommend the best next step.