Carenox HealthCarenox Health

Credentialing & Payer Enrollment

Get providers credentialed and enrolled faster—CAQH setup, primary source verification, payer applications, revalidations, and status follow-ups with full audit trails.

WhyProcessRequest Enrollment Support

Why Carenox for Credentialing

  • Accelerate time-to-first-claim with organized, error-free submissions
  • Reduce back-and-forth and rework through checklists and ownership
  • Stay current on expirables with proactive monitoring and reminders
  • Transparent status dashboards for providers, locations, and payers
Compare PackagesPricing Approaches

Where It Fits

  • New provider onboarding or clinic expansions (new TIN/locations)
  • Payer enrollments (Medicare/Medicaid, Commercial, MA Plans)
  • Revalidations/recredentialing and panel updates
  • Group changes: taxonomy, address, EFT/ERA, roster maintenance

Process

  1. Intake & Snapshot: provider rosters, TIN/Group data, payers, expirables
  2. CAQH & PSV: profile creation/attestation; primary source verification
  3. Applications: payer forms/portals, signatures, artifacts, and submissions
  4. Tracking: reference IDs, follow-ups, payer SLAs, issue escalation paths
  5. Activate & Hand-off: pay-to/TIN linkages, test claims, roster sync
Start with an RCM DiagnosticTrust Center

What We Measure

  • Defect rate on applications (missing fields/artifacts) over time
  • Turnaround times by payer and step (submission → approval)
  • Follow-up cadence adherence; escalation response times
  • Expirable compliance (licenses, DEA, malpractice, CEUs)

Dashboards show submission dates, payer reference IDs, approvals, and aging—by provider, location, and payer.

Engagement & Terms

  • Engagement options: project-based enrollments or steady-state program
  • Evidence-linked work (artifacts, confirmations, timestamps)
  • HIPAA-aligned access & secure workspaces with BAA
  • Clear SLAs for submissions, follow-ups, and status reporting

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Enroll faster. Bill sooner.

Send your provider roster and target payers—we’ll propose a credentialing plan with timelines and SLAs.

See Pricing ApproachesRequest Enrollment Support