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Credentialing & provider enrollment, without the paperwork backlog

You can't bill a payer you're not enrolled with. We manage credentialing and re-credentialing so new providers and new payer relationships don't sit in limbo.

Provider Enrollment

The first link in the revenue chain

Credentialing delays are one of the most common reasons a new provider generates zero revenue for months after they start seeing patients. Applications stall in payer queues, CAQH profiles go out of date, and re-credentialing deadlines get missed.

Claimora manages the full credentialing lifecycle — initial enrollment, payer follow-up, and ongoing re-credentialing — so your ability to bill isn't held hostage by administrative backlog.

What's Included

Credentialing services we manage

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Initial provider enrollment with commercial and government payers
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CAQH profile creation, attestation, and ongoing maintenance
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NPI and PECOS registration support
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Contracting and fee schedule negotiation support
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Re-credentialing and revalidation tracking, before deadlines lapse
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Hospital and facility privileging support
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Status tracking and follow-up directly with payer representatives
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Workers' compensation and network enrollment where applicable

RCM Services

Medical Billing Services Credentialing & Enrollment Eligibility & Benefits Verification Medical Coding Claims Management Payment Posting Accounts Receivable Denial Management & Appeals

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Our Process

From application to active, billing-ready status

Provider Profile Setup

We gather licensure, education, malpractice, and work history documentation and build a complete CAQH profile.

Payer Applications

Applications are submitted to each payer in your target network, with the documentation each one specifically requires.

Active Follow-Up

We contact payers directly to move applications along rather than waiting passively for a response.

Confirmation & Effective Dates

Once approved, we confirm effective dates and update your billing system so claims aren't submitted before you're active.

Ongoing Re-Credentialing

We track renewal and revalidation deadlines so your enrollment never lapses unnoticed.

Common Questions

Frequently asked questions

Timelines vary by payer — commercial payers often take 60–120 days, and government payers can take longer. We start early and follow up actively to avoid unnecessary delay.

Yes, including cases where the provider is licensed but new to your specific practice or location.

A lapse can mean a payer treats the provider as out-of-network until it's corrected. We track deadlines specifically to prevent this.