Home/Credentialing & Privileging
Credentialing & Privileging

Get your providers verified, enrolled, and billing.

Medicaid, Medicare, and commercial enrollment, handled start to finish. We know our way around OneHealthPort, ProviderSource, and ProviderOne (Apple Health), and we keep every provider current so a panel never quietly lapses. All work delivered remotely.

Get providers enrolled
The lifecycle

Every stage, shepherded.

Provider Credentialing & Privileging Lifecycle
From the first application all the way to recredentialing, we shepherd every stage and keep enrollment moving the whole way through.
01
Application Received
02
Primary Source Verification
03
Committee Review
04
Board Approval
05
Privileges Granted
06
Enrollment & Payer Setup
07
Ongoing Monitoring
08
Recredentialing

We handle protected health information under a Business Associate Agreement, with the added confidentiality that behavioral health and substance use records require under 42 CFR Part 2.

What's included

Handled start to finish.

NPI registration

Type 1 and Type 2 registration set up correctly the first time.

CAQH ProView

Profile build, attestation, and the every-120-days re-attestation that keeps enrollment from quietly stalling.

Medicaid (Apple Health)

ProviderOne enrollment handled end to end, with the follow-up calls made.

Medicare (PECOS)

Enrollment and revalidation, tracked so a deadline never arrives as a surprise.

Commercial panels

Applications, follow-up, and closed-panel exception requests, tracked until the provider is loaded.

Ongoing maintenance

License, DEA, and certification tracking, re-credentialing, and quarterly status reports.

Get in touch

Get your providers billing sooner.

Tell us how many providers and which payers, and we will come back with a written scope and a flat fee.

service@brightrowan.com · Vancouver, WA