Start It in Parallel, Not After
The most expensive mistake in this process is sequencing. Clinicians get licensed, then start credentialing, then discover that payer enrollment commonly runs 90 to 180 days on its own — so a license that arrived in March produces its first paid claim in the fall.
Most of the enrollment file can be assembled while the license is still pending, and some payers accept applications before the license number exists. Running the two tracks together is usually worth months of revenue, and it is the single thing we most often fix for practices that came to us after doing it the other way round.
Two Different Jobs Called the Same Word
“Credentialing” gets used for both payer enrollment and facility privileging, and they are not the same process. Different organizations, different paperwork, different timelines — and finishing one tells you nothing about the other. We do both, and we keep them straight.
Payer credentialing & enrollment
So you can bill and get paid
Commercial insurers, Medicare, state Medicaid
- Commercial plan applications, per state and per payer
- Medicare enrollment and PECOS maintenance
- State Medicaid enrollment, including managed-care plans
- CAQH profile build-out, attestation, and re-attestation
- Group and TIN linkage so claims pay to the right entity
- Revalidations and re-credentialing cycles
Credentialing and contracting are themselves two steps: being credentialed means the payer has verified you, not that you have a rate. We chase both.
Facility privileging
So you can practice at the facility
Hospitals, surgery centers, and other facilities
- Medical staff applications and appointment
- Delineation of privileges — the specific procedures requested
- Peer references and case or procedure logs
- NPDB queries and primary source verification
- Temporary and expedited privileges where the bylaws allow
- Reappointment cycles, commonly every two years
This one is governed by the facility's own medical staff bylaws and moves at the pace of its credentials committee and board meeting calendar — not something any vendor can shortcut, but very much something that can be missed.
Both, Then Kept Current
The two tracks share a documentary core — license, DEA, malpractice, board certification, work history, verifications — which is why one team should run both rather than two vendors each asking you for the same documents. Maintenance is shared too:
- Revalidation and reappointment deadlines tracked before they bite
- Demographic, location, and license changes filed with every payer and facility
- Roster management for groups adding and losing clinicians
- Expirables — license, DEA, malpractice, board certification — kept current
Who We Do This For
- Solo clinicians opening or relocating a practice
- Group practices adding clinicians or new locations
- Telehealth platforms enrolling panels across many states
- Practices recovering from a missed revalidation
- Health systems and staffing firms onboarding in volume
- New graduates enrolling with payers for the first time
Our Credentialing Team Has Its Own Site
Credentialing is one of our three service lines and we work these engagements from this brand — submitting the form below reaches the same team. If you want the deeper detail first, our credentialing site carries payer-by-payer specifics, turnaround expectations, and pricing.
Explore White Glove Credentialing