Medical Credentialing and Payer Enrollment for Independent Practices
Happy Billing handles provider credentialing and payer enrollment for independent practices: CAQH profiles, individual and group enrollment, revalidations and follow-up with each payer. We start with a free credentialing audit, so you know where every provider stands.
Every week a provider waits on an insurer is a week of claims you can’t bill.
Most commercial payers won’t pay a provider until enrollment is approved. An expired CAQH attestation or a missing group link can hold claims for weeks, and many owners only find out when the denials arrive. In a lot of practices, the owner or office manager is chasing applications between patients.
We take that off your desk and keep it moving.
CAQH Profiles
We set up, attest and maintain each provider’s CAQH profile so payers can verify them quickly.
Payer Enrollment
Applications for individual and group enrollment with commercial payers, with follow-up until each is approved.
Revalidation and Tracking
We track license, DEA and revalidation dates so nothing lapses and interrupts payment.
Provider and Location Changes
Adding a provider, a location or a tax ID? We update enrollments so claims keep paying.
Who We Help
New Practices and New Providers
A new provider’s start date depends on payer approval. We prepare and track each application so they can see patients and bill as early as the payers allow.
Growing Groups, 1–50 Providers
We keep CAQH profiles, licenses and revalidation dates current across the group, so a lapse doesn’t stop payments.
Practices Adding Payers or Locations
Moving locations, adding a specialty or joining new networks all create enrollment work. We handle the paperwork and the payer follow-up.
Free Credentialing Audit
The audit checks each provider’s CAQH profile, payer enrollment status, license and DEA dates, NPI and taxonomy details, and group links. You get a short list of what’s missing or about to expire, delivered within about a week.
How Credentialing Works
Free Credentialing Audit
We review every provider’s status and give you a short list of gaps and expiring items.
Application Prep
We gather documents, complete applications and submit them to each payer.
Payer Follow-Up
We chase each application and escalate when one stalls, so approvals don’t sit unnoticed.
Ongoing Maintenance
We keep attestations and revalidations on schedule so providers stay enrolled.
Start With a Free Audit
Credentialing is one part of how we work with practices. If billing is also a problem, we run end-to-end billing and recover underpaid out-of-network claims, and your current biller can stay for the parts you want to keep.
Book a discovery call
The easiest next step is a free 30-minute call. We’ll look at your providers and payers and set up the audit. Book a free 30-minute call.
Frequently Asked Questions
How long does credentialing take?
It depends on the payer and the state, and it can run from several weeks to a few months. Starting early and following up with every payer are the biggest levers, which is why we track each application until it’s approved.
What is a credentialing audit?
What is CAQH and why does it matter?
Do I have to move my billing to you?
What does it cost?
Do you work with practices in every state?
Is credentialing holding up your revenue?
Find out where your providers stand. Book a free call and we’ll set up your credentialing audit.