CREDENTIALING & ENROLLMENT
Elara Associates manages credentialing applications, payer enrollment, CAQH profiles, and re-credentialing deadlines for physicians, advanced practice providers, and group practices. We track every application until it’s approved, so your providers can see patients and bill for their work.
Status reports every 2 weeks
Billing coordination
THE PROBLEM
Credentialing is slow, detail-heavy, and unforgiving. A missing document or an outdated CAQH attestation can pause an application for weeks, and payers rarely notify you when something stalls.
Practices commonly run into:
Credentialing mistakes don’t just delay revenue. They can lead to denied claims, retroactive recoupments, and frustrated patients who are told a provider is out of network.
THE SOLUTION
Our credentialing coordinators handle the full process: collecting documents, completing applications, submitting to payers, following up on a set schedule, and maintaining every provider’s file after approval.
We keep a central record for each provider with license, DEA, board certification, malpractice, and payer enrollment details, plus reminders for every expiration and re-credentialing date.
Because credentialing sits alongside our billing and marketing teams, we coordinate start dates, billing setup, and even marketing launches around actual enrollment approval.
SERVICES INCLUDED
01
Initial provider credentialing with commercial payers
02
Medicare enrollment and revalidation (PECOS)
03
Medicaid enrollment in all 50 states
04
CAQH ProView profile setup, maintenance, and re-attestation
05
NPI registration and NPPES updates
06
Group and individual enrollment
07
Re-credentialing tracking and submissions
08
Practice location, address, and TIN change updates
09
Hospital privileging application support
10
License, DEA, and board certification expiration tracking
11
Application status follow-up with payers
12
Enrollment status reporting
13
Credentialing for new practices and acquisitions
BENEFITS
Through complete applications and consistent follow-up.
Because enrollment is confirmed before claims are submitted.
For CAQH attestations, revalidations, or license renewals.
Who no longer chase payers by phone.
For every provider's credentials and enrollment status.
When adding providers, services, or locations.
OUR PROCESS
01
We collect provider information and documents using a secure checklist and identify which payers you want to join.
02
We create or update CAQH, NPPES, and PECOS profiles, and verify all information matches across sources.
03
Applications are completed and submitted to each payer, with confirmation of receipt.
04
We contact payers on a scheduled cadence, respond to information requests, and escalate stalled applications.
05
Once approved, we confirm effective dates and participation status and share them with your billing team so claims go out correctly.
06
We track re-attestations, revalidations, re-credentialing, and expirations, and handle updates before deadlines.
FREE REVENUE REVIEW
Tell us about the providers you need to credential and the payers you want to work with. We’ll send a timeline and a document checklist.
Please don't include patient health information in this form. Privacy Policy
WHY CHOOSE ELARA ASSOCIATES
not a black box.
so no claims are submitted before a provider's effective date.
so new providers aren't promoted to patients whose plans they can't accept yet.
Enrollment is a natural time to review reimbursement terms. See Contract Negotiations.
for your practice.
Timelines vary by payer and state. Many commercial payers take 60 to 120 days or longer, and some panels are closed to new providers. Complete applications and regular follow-up help avoid unnecessary delays.
Typically a CV with work history, state licenses, DEA certificate, board certification, malpractice insurance, education and training records, and NPI information. We provide a full checklist at intake.
It depends on the payer and the situation. Some payers allow retroactive effective dates; many don’t. We’ll explain the options for each payer so you can schedule accordingly.
Yes. Many commercial payers re-credential providers about every three years, and Medicare requires periodic revalidation. We track these dates and submit on time.
We can request exceptions, document network adequacy needs where applicable, and identify alternative payers. Approval is at the payer’s discretion.
Tell us about the providers you need to credential and the payers you want to work with. We’ll send a timeline and a document checklist.
