Credentialing & Enrollment Credentialing & Enrollments | Orsofy Healthcare Solutions Home / Services / Credentialing & Enrollments Credentialing & Provider Enrollment Services Streamline your provider credentialing and enrollment process with our comprehensive solutions. We handle the complexities so you can focus on patient care. Start Credentialing Process Comprehensive Credentialing Solutions Our credentialing and enrollment services are designed to simplify the complex process of getting healthcare providers approved with insurance panels and healthcare systems. We manage the entire lifecycle from initial application to ongoing maintenance. Faster Enrollment Reduce enrollment time by up to 40% with our efficient processes and expertise in dealing with various insurance providers. Higher Approval Rates Our meticulous attention to detail results in a 99% first-time approval rate for credentialing applications. Revenue Optimization Get providers credentialed faster to start seeing patients and generating revenue sooner. Compliance Assurance Stay compliant with ever-changing healthcare regulations and payer requirements. Our Credentialing Process We follow a meticulous 4-step process to ensure your providers are credentialed efficiently and accurately. 1 Application Preparation We gather and verify all necessary documents and information for each provider. 2 Submission & Follow-up We submit applications to payers and actively follow up to ensure timely processing. 3 Verification & Approval We monitor applications and address any issues that may arise during the verification process. 4 Ongoing Maintenance We manage renewals, revalidations, and updates to keep credentials current. Credentialing Services Comparison See how our comprehensive credentialing services compare to handling it in-house or with other providers. Service Feature Orsofy Solutions In-House Team Basic Services Primary Source Verification ✓ Comprehensive ✓ Varies ✓ Basic CAQH Management ✓ Full Service ✓ Manual ✗ Limited Payer Enrollment ✓ All Major Payers ✓ Selective ✓ Limited Application Tracking ✓ Real-time Dashboard ✓ Spreadsheet-based ✗ Not Provided Recredentialing Management ✓ Automated Alerts ✓ Manual Tracking ✗ Not Included Issue Resolution ✓ Dedicated Specialist ✓ Internal Staff ✗ Self-service Our Credentialing Expertise With years of experience in healthcare credentialing, we have developed deep expertise across all major insurance providers and healthcare systems. Medicare & Medicaid We navigate the complex requirements of government programs to ensure proper enrollment and compliance. Commercial Payers From Aetna to UnitedHealthcare, we have established relationships with all major commercial insurers. Hospital Privileges We assist with the medical staff application process for hospital privileges and affiliations. State Licensing We help providers obtain and maintain state medical licenses, including interstate compact licensing. Frequently Asked Questions Find answers to common questions about our credentialing and enrollment services. How long does the credentialing process typically take? The credentialing process typically takes 90-120 days for most insurance panels, though some payers may process applications faster. Medicare and Medicaid can take up to 60 days. Our team works to expedite this process wherever possible through proactive follow-up and complete application submission. What information do you need to start the credentialing process? We require basic provider information (personal details, education, training), copies of licenses and certifications, malpractice insurance information, CAQH profile access, NPI number, and practice information. We provide a comprehensive checklist to make gathering these documents simple and efficient. How do you track the status of applications? We use a proprietary tracking system that monitors each application through every stage of the process. Our clients receive access to a dashboard where they can view real-time status updates, and our team provides regular progress reports until each application is fully approved. Do you handle recredentialing and renewals? Yes, we provide complete recredentialing services. Our system tracks expiration dates and initiates the renewal process well in advance to prevent any lapses in provider credentials. We handle all aspects of the recredentialing process, just as we do with initial credentialing. Ready to Streamline Your Credentialing Process? Let our experts handle your credentialing and enrollment needs so you can focus on providing excellent patient care. Get Started Today