We handle all paperwork, faxing, and follow-ups to credential your providers with every major insurance payer in the USA — so you can start billing and getting paid without the administrative headache.
Medical credentialing is the formal process of verifying a provider's qualifications and enrolling them with insurance payers. Without it, your clinic cannot receive reimbursements from insurance companies. It's essential — and notoriously time-consuming.
PangeaEMR takes the entire burden off your team. We gather your documents, set up your CAQH and PECOS profiles, submit applications to every payer you need, fax follow-ups, and track status until you're fully approved and billing.
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Complete Paperwork Handling
We gather, prepare, and submit every form required by every payer — you don't touch a single fax machine
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Fax & Follow-Up on Your Behalf
We fax all applications and proactively follow up with payers to prevent delays and resolve issues fast
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New Clinic Contracting
Opening a new practice? We get you contracted with all major payers from the start — group NPI, CAQH, PECOS, and in-network agreements
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Re-Credentialing & Renewals
We track expiration dates and handle re-credentialing before your credentials lapse, keeping your billing uninterrupted
Transparent Pricing
Simple, Flat-Rate Pricing. No Surprises.
Most credentialing companies charge monthly retainers or hide fees in fine print. We keep it simple: one flat fee per payer per provider. You know exactly what you're paying before we start.
Our team manages every step. You provide the documents — we handle the rest.
1
Document Collection
We send you a checklist. You provide your license, DEA, board certs, malpractice insurance, and CV
2
Profile Setup
We set up or update your CAQH profile, PECOS enrollment, and group NPI for new clinics
3
Applications Submitted
We prepare and submit credentialing applications to every selected payer — handling all paperwork
4
Fax & Follow-Up
We fax all required documents and follow up proactively with each payer to prevent delays
5
Approved & Billing
Once approved, you're in-network and ready to bill. We notify you when each payer goes live
Service Types
Credentialing for Every Situation
Whether you're opening a new clinic or adding a provider to an established practice, we have you covered.
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New Clinic Contracting
Opening a new practice or medical group? We handle the entire startup credentialing process — from registering your group NPI and CAQH profile to contracting with every payer you want to accept, getting you in-network and revenue-ready from day one.
✓Group NPI (Type II) registration
✓CAQH profile creation & attestation
✓PECOS Medicare enrollment
✓Commercial payer contracting & fee schedules
✓Medicaid enrollment
✓All paperwork prepared, faxed, and followed up
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Provider Under a Clinic
Adding a new provider — physician, NP, PA, therapist, or specialist — to your existing clinic? We credential them under your group with all payers, handling every application, document, and follow-up call so your staff doesn't have to.
✓Individual NPI (Type I) setup & verification
✓CAQH profile creation or update
✓Enrollment under group with all selected payers
✓License & DEA verification
✓All insurance companies across the USA
✓Re-credentialing & ongoing renewals
$100
per payer · per provider All paperwork & faxing included
Full Scope
Everything We Handle For You
Our team manages the complete credentialing lifecycle — no task is too small or too tedious.
📋 NPI Registration
We handle both Type I (individual provider) and Type II (group/organization) NPI registrations with the National Plan and Provider Enumeration System.
🖥️ CAQH Profile
We create and continuously maintain your Council for Affordable Quality Healthcare profile — keeping it attested and up to date so payer enrollments never lapse.
🏛️ PECOS Enrollment
We manage your Medicare Provider Enrollment, Chain, and Ownership System portal enrollment — required for billing Medicare patients.
📊 Medicaid Enrollment
State-by-state Medicaid enrollment handled by our team. We know the requirements for each state and submit accurate applications the first time.
🤝 Commercial Contracting
We submit applications to all major commercial payers — Aetna, Cigna, UnitedHealthcare, Humana, BCBS and more — and follow up until contracts are executed.
📠 All Faxing & Follow-Ups
Every form, every fax, every phone follow-up with every payer — handled by our team. You never have to sit on hold with an insurance company's credentialing department again.
🔄 Re-Credentialing
We track all your payer expiration dates and initiate re-credentialing on schedule — so you never experience a lapse in coverage or billing capability.
🔬 License & DEA Verification
We verify and track your state medical license, DEA certificate, board certifications, and malpractice insurance — alerting you well before any expiration.
📍 Status Tracking
We provide regular status updates throughout the process so you always know where each application stands and when to expect your effective date.
Coverage
We Work With All USA Payers
Major commercial plans, government programs, regional carriers — if they pay claims in the US, we can get you enrolled.
Medicare
Medicaid
Blue Cross Blue Shield
Aetna
Cigna
UnitedHealthcare
Humana
Tricare
Anthem
Centene
Molina Healthcare
WellCare
Oscar Health
Bright Health
Kaiser Permanente
Highmark
GEHA
Ambetter
HealthNet
Magellan
+ Hundreds More
Don't see your payer? We credential with every insurance company that operates in the United States. Ask us →
Why PangeaEMR
The Smarter Way to Handle Credentialing
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Saves Weeks of Staff Time
Credentialing a single provider with 10 payers can consume 40+ hours of admin work. We take that off your plate entirely.
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Protect Your Revenue
Credentialing errors and lapses cause claim denials and lost revenue. Our accurate, proactive process ensures you stay billable and in-network without interruption.
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Flat Transparent Pricing
$100 per payer per provider. All paperwork and follow-ups included. No monthly fees, no retainers, no surprises on your invoice.
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USA-Based Team
Our credentialing specialists are based in the US and understand the nuances of every major payer's requirements — speeding up approvals and avoiding common pitfalls.
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All-In-One Platform
Credentialing is just one part of what PangeaEMR offers. Pair it with our medical billing, AI scribe, payments, and RPM — and run your entire clinic from one platform.
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Ongoing Compliance
We track every expiration — licenses, DEA, board certs, payer re-credentialing deadlines — and alert you proactively so nothing ever lapses.
FAQ
Common Questions About Credentialing
Medical credentialing is the process of verifying a healthcare provider's qualifications — licenses, certifications, education, and work history — and enrolling them with insurance payers so they can bill for services. Without credentialing, providers cannot receive reimbursement from insurance companies.
Credentialing verifies your qualifications and enrolls you with a payer. Contracting is the next step — securing a formal agreement with the payer that sets your fee schedule and makes you an in-network provider. PangeaEMR handles both. For new clinics, we manage the entire contracting process to get you in-network with all major payers from day one.
Credentialing typically takes 60–120 days depending on the payer and the completeness of your documents. Our team handles all paperwork, faxing, and follow-ups proactively to minimize delays and keep the process moving as fast as possible.
Our pricing is simple and transparent: $100 per payer per provider. There are no hidden fees, no setup costs, and no monthly retainers. You only pay for the payers you need to enroll with.
Yes. Most payers require re-credentialing every 2–3 years. We track your renewal deadlines and handle the entire re-credentialing process before your credentials lapse, so you never experience a gap in billing.
Absolutely. We specialize in new clinic contracting. We help you set up your group NPI, CAQH profile, PECOS enrollment, and then submit credentialing applications to all the payers you want to work with — handling all paperwork and fax follow-ups on your behalf.
Typically: current state medical license, DEA certificate, board certification(s), malpractice insurance certificate, CV/work history, NPI number, and government-issued ID. Our team will provide you a complete checklist and guide you through every step.
We work with all major payers in the USA — Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana, Tricare, and hundreds of regional commercial plans. If it's a payer that operates in the US, we can credential you with them.
Ready to Get Credentialed With Every Payer?
Tell us which providers and payers you need — we'll handle every form, fax, and follow-up. $100 per payer per provider, no hidden fees.
