Credentialing & Enrollment
Payer enrollment, revalidation and CAQH maintenance handled end to end.
What it covers
- Initial payer enrollment and contracting
- CAQH profile creation and attestation upkeep
- Revalidation tracking and submission
- PECOS and Medicare enrollment
- Group and individual NPI management
- Roster updates for new and departing providers
Where practices lose money here
Billing out-of-network by accident
A provider who is not yet effective with a payer generates claims that will be paid at out-of-network rates or not at all — often for months before anyone notices.
Lapsed revalidation
Missing a revalidation deadline can deactivate billing privileges entirely. Recovery is slow and the revenue gap is real.
CAQH attestation left to expire
An expired attestation quietly stalls enrollments and re-credentialing across every payer that pulls from it.
How Medway handles it
- We track effective dates per payer and tell you when a provider can actually bill.
- Revalidation deadlines are tracked and filed ahead of the date, not on it.
- CAQH attestation is maintained on schedule.
- Roster changes are submitted as they happen, so departures and additions do not create claim problems.
What you get
- Clear visibility of who can bill which payer, from when
- No surprise deactivations
- CAQH kept current
- New providers billing sooner
Get a free audit of your credentialing & enrollment claims. Send us a recent aging report and we will show you, in writing, where the recoverable revenue is — no cost, no commitment.
Frequently Asked Questions
You send us a recent accounts receivable aging report and, where possible, a denial export. We review them and give you a written breakdown: where recoverable revenue is sitting, which denial reasons are costing you most, what your timely-filing exposure looks like, and the fixes we would make in priority order. It is yours to keep whether or not you work with us. Please do not include patient health information — we only need claim-level financial data.
Most of the timeline is payer enrollment and EDI setup, and neither is fully in our control — that is the honest answer. Practices already enrolled with their payers typically start seeing claims go out within two to three weeks. Where new enrollments or revalidations are needed, budget longer, because the payer sets that pace. We tell you which of the two you are in after looking at your current setup.
Solo practitioners are often the strongest case for it, not the weakest. A one-person billing office has no redundancy — a vacation or a resignation stops your revenue cycle, and the cost is not the temp, it is the AR that ages and the claims that pass their filing deadline while nobody is working them.
Access to your existing EMR/PMS, your payer list and contracts, your fee schedule, and a recent AR aging report. If you are moving from another biller, we also need clarity on who works the open AR at transition — that is the single most commonly mishandled part of a billing switch.
