Payor Credentialing & Payer Enrollment Services
ProEnrollment LLC delivers comprehensive payor credentialing and payer enrollment services for physicians, group practices, behavioral health providers, and healthcare organizations across all 50 states. Our expert team manages the entire credentialing lifecycle — from CAQH ProView setup through effective date confirmation — so providers can focus on patient care, not paperwork.
Whether you're a solo practitioner entering a new market, a behavioral health group seeking multi-payer enrollment, or an established practice managing re-credentialing cycles, ProEnrollment has the process, payer relationships, and documentation infrastructure to get you in-network faster.
Our Credentialing Services
- Payor Credentialing Services - End-to-end commercial credentialing with Aetna, UnitedHealthcare, BCBS, Cigna, Humana, and 50+ regional plans. 99.4% first-time approval rate.
- Medicare PECOS Enrollment - CMS-855I, 855B, 855R applications, PTAN assignment, EFT enrollment, and revalidation management for all Medicare provider types.
- Medicaid Enrollment - All 50 state Medicaid programs plus MCO enrollment. Multi-state Medicaid packages available for telehealth and multi-location practices.
- CAQH ProView Setup & Management - Initial setup, quarterly attestation tracking, and ongoing document maintenance so your CAQH profile never expires or causes application holds.
- Insurance Contract Negotiation - Fee schedule benchmarking and payer contract negotiation. Average 22% reimbursement rate increase for ProEnrollment clients.
- Re-Credentialing & Revalidation - Proactive re-credentialing cycle management to prevent billing interruptions, claims denials, and network termination.
- New Practice Setup Credentialing - Full credentialing buildout for new practices - entity NPI, TIN registration, CAQH, and simultaneous multi-payer enrollment from Day 1.
- Behavioral Health Credentialing - Specialized credentialing for LCSWs, LPCs, LMFTs, psychologists, and psychiatrists - including MBHO enrollment with Optum, Evernorth, Magellan, and Beacon.
Specialty Credentialing
- Psychiatry Credentialing
- Primary Care Credentialing
- Cardiology Credentialing
- Mental Health Credentialing
- Telehealth Credentialing
- Physical Therapy Credentialing
- OB/GYN Credentialing
- Pediatrics Credentialing
- Surgery Credentialing
- Urgent Care Credentialing
- Dermatology Credentialing
- Chiropractic Credentialing
- Nurse Practitioner & PA Credentialing
- Dental Credentialing
Why ProEnrollment
- 99.4% application approval rate across all payer types and specialties
- 40% faster average credentialing than the industry standard timeline
- 500+ providers enrolled across all 50 states since 2015
- HIPAA-compliant infrastructure — BAA executed with every client engagement