Provider credentialing and payor enrollment, done on time.
PayrHealth enrolls your clinicians, groups and facilities with commercial payors, Medicare and Medicaid, and keeps them enrolled, so new hires, new locations and new contracts start billing when they should. Provider credentialing for medical groups, hospitals, surgery centers and suppliers in all 50 states since 1994.
Founded in 1994 as Healthcents, PayrHealth since 2021. One team negotiates your payor contracts and credentials the providers on them.
What our provider credentialing services cover
Enrollment for every clinician, group and facility you bill under, with every payor that matters to your revenue, and the maintenance that keeps it from lapsing.
Payor contracting and credentialing run on one plan, and facility and supplier enrollment is usually delivered as part of complete payor management. Also available: state license applications and renewals, and hospital privileging applications.
Adding contracts too? See if you qualify for a free rate review.
How credentialing works
What enrolling a provider looks like, from intake to the first in-network claim. Status is visible in your portal at every step.
Intake
Week 1Paperless intake: one secure upload for each provider or entity, and we build the file, including CAQH access and the documents each payor will ask for.
Applications
Weeks 1–2Applications go to the payors you choose, complete the first time, so none bounces back for missing information.
Payor processing and follow-up
Weeks 2–12+We work each application with the payor until it is approved, answer every request for more information, and escalate when a file stalls.
Effective dates and billing
Month 3 onwardYou get the effective date in writing before the first claim goes out, and we confirm the contract is loaded on the payor's side.
Maintenance
ThroughoutReattestations, revalidations and expirations handled on a schedule, with every application's status and documents in your portal.
A typical timeline. Each payor moves at its own pace; see the FAQ for how long payors usually take.
Credentialing results
enrollment applications and 330+ CAQH reattestations for a group that grew from one physician to 25 providers
new locations enrolled in Medicaid, after Tax ID changes at every existing location went through without disrupting patient care
to complete changes of ownership for acquired entities in three states, ahead of a 12-month goal, with a 14.5% average rate increase
Who we work with
Credentialing and payor enrollment for clinicians, groups and facilities of every size, in all 50 states.
Hospitals and health systems
Employed clinicians, facility enrollment and Medicare revalidations for community and independent hospitals
Surgery centers
New ASC enrollment, long-term care and rehabilitation hospitals, and facility recredentialing
Physician groups
New hires, new locations and recredentialing for independent practices and specialty groups, including behavioral health and therapy
Ancillary providers and suppliers
DME suppliers, home health and hospice, labs and imaging centers
What clients say
“They use rigorous data analysis as the basis for developing a solid negotiating approach.”
Leland Tong, MD · Google review
“We highly recommend their services to any healthcare provider looking to optimize their revenue.”
Dr. Rajesh Gupta, Medical Director, AFC of Yorktown
“They will take the time to help you figure out what you need and then work with you to achieve it.”
David Siegel · Google review
“They are very easy to work with and incredibly responsive when we have questions.”
Brandi Garlutzo · Google review
Provider credentialing questions
How long does provider credentialing take?
It depends on the payor. In our experience most commercial plans take 90 to 120 days from a complete application. Medicare's contractors publish processing standards of 45 to 85 calendar days for online applications, and 60 to 90 days is typical in practice. What we control is a complete submission the first time and steady follow-up until the effective date is confirmed in writing.
How can I track progress?
You have real-time access to the client portal: every application's status, documents, dates and reports, for every provider and location we manage for you.
What do you need from us to start?
A provider roster, CAQH access for each clinician, licenses, DEA and board certifications, and the group's tax and NPI details. Intake is paperless, and we tell you exactly what is missing before anything is submitted.
Do you handle recredentialing and revalidation?
Yes. Recredentialing with commercial plans, Medicare revalidation and Medicaid renewals run on a tracked cycle, so a provider is never dropped for a missed deadline.
Can you enroll a new facility or location?
Yes. We enroll surgery centers, hospitals, post-acute and behavioral health facilities, home health and hospice agencies, labs, imaging centers and DME suppliers with Medicare, state Medicaid programs and commercial plans, including join-the-network requests and changes of ownership.
What is the difference between credentialing and contracting?
Credentialing gets a provider approved to bill under a payor contract. Contracting sets what that contract pays and on what terms. A new contract pays nothing until its providers are enrolled, which is why we run both on one plan.
Is hospital privileging the same as credentialing?
No. Privileging is a hospital's own approval for a clinician to practice there, and it follows the hospital's credentialing of that clinician. We support both the hospital application and the payor enrollment that lets the clinician bill.
What kinds of organizations do you credential?
Medical groups and specialty practices, hospitals and health systems, surgery centers, behavioral health and post-acute facilities, home health and hospice, and DME and ancillary suppliers, from a single location to multi-state platforms, in all 50 states.
How do I get started?
Tell us about your providers, locations and payors in the form below. We scope the work and send a proposal, and paperless intake starts as soon as you sign.
Get your providers credentialed
Tell us about your providers, locations and payors, and we will come back with a plan and a quote. No obligation.
After you submit, practices that qualify pick a time with our team on the next screen.
