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Medical Credentialing Services for US Practices and Billing CompaniesCredentialing FilesKept CurrentWhile You Sleep.
An Australian-managed team in Dhaka works your credentialing admin during its day, which is the US night: CAQH upkeep, enrollment packets, expiry tracking and monthly exclusion checks, ready for your team to review each morning.
How it works in four steps
1Receive
New provider documents and your roster arrive after your day ends.
2Prepare
We update CAQH and build enrollment packets in your systems.
3Check
We track expiries and run exclusion checks.
4Report
You review, sign and submit. We log every gap.
What you send, what we do, what comes back
An overnight handover built around your approvals. Credentialing decisions and signatures stay with you and your providers.
1You send
By the end of your day
- New provider documents: license, DEA, board certificate, malpractice, CV
- Your provider roster and payer list
- Access to your CAQH, payer portals and tracker, under your own logins and rules
2We prepare and check
During the US night
- Update CAQH ProView profiles and upload documents
- Prepare payer enrollment and revalidation packets
- Track license, DEA, board and malpractice expiry dates
- Run monthly OIG, SAM and state exclusion checks for each provider
3You get back
Ready by a time agreed with you, before your day starts
- Packets ready for provider signature
- CAQH re-attestation reminders, 30 days ahead
- An expiry list at 90, 60 and 30 days
- A missing-documents list and an exclusion check log
Overnight, because of the time difference
Document work happens during a normal Dhaka working day, which falls during the US night.
The admin that keeps providers billable
Provider credentialing breaks when one date is missed: a lapsed CAQH attestation, an expired license, a revalidation nobody chased. This is the follow-through work we take off your desk.
- CAQH ProView upkeepProfile updates, document uploads and re-attestation prepared before the 120-day deadline, for your provider to confirm.
- Payer enrollment packetsMedicare (PECOS), Medicaid and commercial applications and revalidations prepared for signature, with a status log for every payer.
- Expiry trackingLicenses, DEA registrations, board certifications and malpractice cover tracked, with alerts at 90, 60 and 30 days.
- Monthly exclusion checksOIG LEIE, SAM.gov and state Medicaid exclusion lists checked every month, with a dated log for your files.
- Document chasingPolite, persistent emails to providers for missing or expiring documents, in your name and tone.
- Optional later: provider directory and roster updates across payer portals.
| Reference | Check result |
|---|---|
| PRV-0141CAQH re-attestation · Provider A | Ready for provider to confirm |
| PRV-0142Medicare revalidation · Provider B | Packet ready to sign |
| PRV-0143Malpractice certificate · Provider C | Expired: new copy requested |
| PRV-0144State license · Provider D | Expires in 45 days |
| MON-10Exclusion check · 42 providers | No matches found |
Mental health credentialing services
Therapists, counselors, psychologists and small behavioral health practices often join many insurance panels at once, each with its own forms and follow-up. Insurance credentialing for therapists is the same overnight desk, set up for that workload.
How credentialing is usually priced
Most credentialing companies charge in one of three ways. We work differently: a dedicated team on your account, priced after we’ve seen your roster and payer list.
Also for medical billing companies
Run the same desk behind your own brand. Your client relationships and payer calls stay with you; we work as your back office.
What stays with your organization
Administrative support only. It isn’t legal or compliance advice.
Pilot
Start with a two-week pilot
Test the overnight desk on an agreed group of providers before committing.
- Scope
- Agreed with you before the pilot starts
- Pricing
- Quoted after we review your roster and payer list
- Success measures
- Set with you up front and reviewed at the end of the pilot
Questions practices ask
How long does credentialing take?
It depends on the payer and on how complete the application is. Medicare says online PECOS applications are processed in about 45 days in most cases, or about 60 days on paper. Medicaid programs and commercial payers set their own timelines, which vary widely. What you can control is sending complete, accurate packets and following up on every open request.
How much does credentialing cost?
Credentialing companies usually charge per provider, per payer application, or a monthly fee per provider for upkeep. One published guide puts typical ranges at about $2,500–$5,000 per provider for initial credentialing, $100–$300 per payer, and $100–$500 per provider per month for maintenance. Those are one source’s ranges, not Maximus prices. We price a dedicated team rather than each application, and quote after reviewing your roster and payer list.
Can credentialing work be done offshore?
HIPAA doesn’t ban offshore access to health information, but it requires a Business Associate Agreement and proper safeguards. Some state rules, Medicaid managed care contracts and payer agreements do restrict offshore work, and Medicare Advantage plans may ask you to attest to offshore subcontractors. Check your own contracts; we’ll work through them with you before any access is set up.
Do you sign a Business Associate Agreement?
Yes. A BAA is signed before we access any provider or patient information, and we work inside your systems rather than keeping copies.
Do you make credentialing decisions?
No. We prepare, track and check. Decisions, committee review and provider attestations stay with your organization and your providers.
Why overnight?
Our Dhaka team’s working day is the US night. Packets, CAQH updates and expiry lists are ready when your team starts, so the day goes on signatures and payer calls, not data entry.
Which systems do you work in?
CAQH ProView, PECOS, NPPES and the payer portals and credentialing software you already use. Exactly which platforms we support is confirmed during scoping.
Send us your roster to scope a pilot
We’ll map your credentialing workflow with you before quoting anything.