We run it.
For practices without a credentialing desk. We prepare, submit, chase, and monitor: every payer, every provider, tracked to billable. You see every status, every week, without asking.
AI-powered provider credentialing
Get billable. Stay billable.
A hired provider who can't bill is payroll without revenue. We run payer enrollment start to finish, or put your credentialing team on the software we use ourselves, and we track every application to the day it can bill. Then we keep it that way: licenses, exclusions, re-attestations, re-credentialing.
Done for you, or your team runs it. No long-term software contract.
- BAA-first · PHI de-identified before analysis
- Done for you, or your team runs it
- Grounded in MGMA and HFMA research
Built for specialty provider groups and staffed MSOs across the U.S.
The problem nobody prices
Enrollment lag is a payroll line with no revenue line.
The day a provider signs, the clock starts. Payer enrollment routinely runs months, and while it runs, the practice pays salary, benefits, and overhead against zero billable revenue. The loss never shows up on a report, because nothing failed. Nothing happened at all.
The arithmetic is blunt. A provider producing $700,000 a year in professional collections earns roughly $3,000 per working day. Sixty days of enrollment lag is about $180,000 of care delayed, deferred, or lost.
Some of that comes back. Medicare allows at most 30 days of retroactive billing, and some commercial payers back-date to the application. The rest is gone: visits pushed out, claims outside any retro window, work moved onto other providers' schedules. Most vendors quote the gross number and stop. The honest number is the net, and it is still large.
And the lag is the version you can see coming. The quieter one: a provider's BCBS enrollment lapses, nobody notices, and they keep seeing patients for three months while every claim they generate is already dead on arrival. The first sign anyone gets is the denial. By then the care is delivered, the filing clocks are running, and three months of work is in dispute.
The $700,000 figure above is a worked illustration to show how the math compounds, not a claim about your practice or the industry average. Scale it to your own provider's collections and it still holds.
54%
of medical practices said denials tied to provider credentialing had increased that year, in an August 2021 MGMA Stat poll of 425 practices. Enrollment problems don't announce themselves. They arrive as denials.
MGMA Stat, August 2021
The part vendors skip
Approved is not billable.
Payer approval is not the finish line. A provider isn't billable until the contract is countersigned with an effective date and the payer's systems are actually loaded. Applications die quietly in those last two steps, and most practices find out from a denial. We track every application through all five stages, to billable, not to approved.
1
Submitted
2
Under review
where files stall
3
Approved
4
Contracted
(effective date)
where money dies
Loaded and billable
Medicare allows at most 30 days of retroactive billing (42 CFR 424.521). Miss the window and the work is unbillable. Bill it anyway and it comes back denied.
We found this problem inside the other one.
RemitIQ started in underpayment recovery, auditing remittances against payer contracts. The same files kept surfacing a different leak: claims denied because an enrollment never finished, effective dates that never landed. Credentialing failures look like denials, and we already read the data where they show up.
See the recovery sideTwo ways to run it
Your team, or ours.
Your team runs it.
For groups and MSOs with credentialing staff. Your team works on the AI-powered platform we built for our own specialists: readiness checks before anything goes out, packet assembly, payer-by-payer tracking to billable, license and exclusion monitoring, and reporting your CFO can actually read.
Have a credentialing team? Put them on the platform. Don't? We become yours.
What you get
Watched, chased, and visible.
Readiness before submission
Every application checked against the payer's actual requirements before it goes out, so it doesn't bounce for a missable gap.
Tracked to billable, not approved
Five stages, every payer, stalls visible.
The chase, on a clock
Payers sit on files. We follow up on schedule, and the reporting shows when the delay is the payer's, not ours.
Monitoring that doesn't lapse
License renewals, federal exclusion screening, CAQH re-attestation every 120 days, re-credentialing windows.
Status you never have to ask for
A standing view of every provider, every payer, every date. Silence is how credentialing fails. Reporting is the product.
When practices call us
Four moments the clock starts.
01
A provider signed
Enrollment starts the week the offer letter is signed, not the week they start seeing patients.
02
New location or new TIN
Payers require re-enrollment before they pay under the new TIN, even when the NPIs don't change.
03
Revalidation and re-credentialing
Medicare revalidates enrollment every five years; commercial payers re-credential at least every 36 months. Miss a window and a billable provider stops being one.
04
Denials that smell like enrollment
Provider-not-enrolled denials on the EOB mean the leak already started. We can size it from your remittance data.
The California clock
California put a clock on this. Under AB 1041, health plans and their credentialing delegates must decide a completed application within 90 days, no later than January 1, 2027. If the plan misses the clock, the provider is provisionally credentialed for 120 days.
The catch: the clock only starts on a completed application, and the plan judges completeness. Clean files start clocks. Incomplete ones never do.
Who it's for
Built for however you're staffed.
Specialty provider practices
Orthopedics, urology, cardiology, GI, oncology, ophthalmology, and every specialty in between. No credentialing desk, or one person doing it as a fraction of a job. We run it for you.
Staffed groups and MSOs
Central credentialing teams covering many practices, multiple TINs, and delegated files. Your team runs the platform; your CFOs get the reporting.
Data security
Provider data held to the same standard as claims data.
Provider files carry SSNs, DEA numbers, and license histories. Same posture as our claims work: access-controlled, encrypted, a BAA wherever PHI is involved, and nothing shared without written permission.
Full security detailsFAQ
Questions administrators ask first.
How long does enrollment take?
The payer controls most of the clock, and it varies by payer and state. What we control is filing complete the first time, chasing on schedule, and showing you exactly where every file sits. On the call we'll walk through your actual payer mix.
What does it cost?
Scoped on the call: it depends on provider count and whether your team or ours runs the work. Recovery, on the other side of the house, stays purely contingency.
Do you replace my credentialing person or team?
No. If you have a team, they run the platform. If you don't, we're the desk.
Do you do primary source verification?
Payers perform their own primary source verification when they credential a provider. Our job is the file that survives it: complete, consistent, attested, and tracked. We verify against primary registries where it protects your file and monitor what can lapse.
Find out what unbillable days
are costing you.
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We'll reach out within one business day. Check your email for a note from Jeffrey.
- No obligation to proceed.
- We'll scope your payer mix and provider pipeline on the call.
- Done for you, or your team runs it. No long-term software contract.
- A signed BAA wherever PHI is involved, and nothing shared without written permission.
- You talk directly with the founder.