Provider Credentialing & Enrollment Services
RekhaTech’s provider credentialing and enrollment services manage CAQH, payer applications, re-credentialing, and status tracking — so new providers can bill from day one and existing credentials never lapse.
Credentialing Delays Are Revenue Delays
Every day a provider isn’t enrolled with a payer is a day of services that can’t be billed. Credentialing is slow, paper-intensive, and payer-specific — most practices manage it reactively, which means providers start seeing patients before enrollment is confirmed and revenue is held or lost entirely. CMS provider enrollment requirements apply to every Medicare and Medicaid billing provider — gaps in enrollment mean claims are rejected at the payer level before anyone reviews them. RekhaTech manages credentialing proactively — tracking every application, following up with payers, and ensuring re-credentialing is initiated before expiration dates create billing interruptions.
- CAQH profile setup, maintenance, and attestation for all providers
- Payer enrollment applications submitted with complete supporting documentation
- Status tracking and follow-up with payers until enrollment confirmation is received
- Re-credentialing managed proactively — no lapse, no billing interruption
What’s Included in Credentialing & Enrollment Services
CAQH profile created, maintained, and attested on schedule — the foundation for payer enrollment across networks.
Applications prepared and submitted to all commercial, Medicare, and Medicaid payers with complete documentation packages.
Every open application tracked and followed up with payer credentialing departments until enrollment confirmation is received.
Expiration dates monitored proactively — re-credentialing initiated early enough to prevent any lapse in billing authorization.
Primary source verification of licenses, DEA registrations, malpractice coverage, and board certifications.
Active dashboard of all providers, enrollment status by payer, expiration dates, and pending application timelines.
Commercial, Medicare, Medicaid, and managed care enrollment — one credentialing team for your entire payer mix.
Proactive expiration tracking means re-credentialing is always initiated before a billing interruption can occur.
Every application submitted with complete supporting documentation — reducing payer requests for additional information.
Credentialing as a Standalone Service or Within a Broader Engagement?
Credentialing is unique in that it often runs parallel to — rather than inside — the main billing cycle. For that reason, most practices engage it under the Managed Resource (FTE) model: a dedicated credentialing specialist managing your roster at a fixed monthly cost, independent of billing volume. It can also be incorporated into a full Percentage-Based engagement for practices onboarding multiple new providers alongside a full RCM transition.
Dedicated FTE resources, supervised by RekhaTech, working inside your workflow. Fixed cost, full control.
Full end-to-end ownership. RekhaTech is compensated on collections — our incentives are aligned with your revenue.
Credentialing has fixed payer deadlines and re-credentialing expiration dates that don’t flex for staffing gaps. A missed renewal or an untracked application status can result in billing interruptions that take months to resolve. RekhaTech’s bench model ensures every credentialing deadline is tracked and met regardless of who is available that day. When your primary credentialing specialist is out, a trained backup picks up open applications, follows up with payers, and keeps every enrollment on schedule.
Adding a New Provider or Worried About Lapsing Credentials?
Book a free credentialing consultation. We’ll audit your current enrollment status and identify any at-risk expirations before they become billing problems.