We manage the full credentialing process for healthcare providers, making it easier for them to bill insurers and qualify for in-network payments. Our medical credentialing services cover 75+ specialties in all 50 states, handling everything from primary source verification to enrollment in premium insurance networks.
Delays in credentialing, claim denials due to incorrect enrollment, time-consuming CAQH setup, missed PECOS revalidations, and costly revenue loss resulting from credentialing errors are challenges that overwhelm many practices.
Outsourcing your medical credentialing services to Dastify Solutions eliminates these issues. We ensure every application, update, and renewal is handled accurately and on time, so you stay compliant, get paid faster, and focus fully on patient care.
| Payer Type | Examples | Standard Time Frame | Our Time Frame |
|---|---|---|---|
| Commercial Payers | Aetna, Cigna, UnitedHealthcare, BCBS, etc. | 90 to 120 business days from the date all information is received | 45–60 business days |
| Government Payers | Medicare (via Novitas, Noridian, Palmetto, etc.) | 60 to 90 days from the date of submission. | 45–60 days |
| Medicaid (State-specific) | 60 to 120 days, depending on the state | 50–70 days |
We handle insurance enrollment and credentialing for solo providers and small groups that lack in-house staff.
We help multi-specialty clinics manage credentialing data and payer enrollments as their teams grow.
Our medical credentialing services help hospitals and health systems manage records for hundreds of providers.
Lower Administrative Workload
Outsourcing healthcare credentialing services enables your team to allocate more time to patient care and other high-value tasks, reducing the time spent on paperwork.
Drive Consistent Revenue Growth
Accurate credentialing reduces denials and delays, allowing your practice to get paid faster and earn more.
Personalized Support
A dedicated project manager works closely with you from start to finish, ensuring every step of the credentialing process runs smoothly.
Available in All 50 States
Our provider enrollment services are available in all 50 states, including specialized support for high-volume regions like California credentialing services and Texas Medicaid enrollment.
Growth Catalyst
Join more insurance networks and expand your patient base to help your practice grow faster.
Time-Efficient
Speed up the credentialing process and get approved in weeks, rather than waiting for months.
Turnaround times differ depending on the insurance company. Most large commercial payers typically take 90 to 120 days to complete the credentialing and contracting process. Smaller or regional plans may require additional time due to slower internal workflows.
Once a participation request is submitted, providers must go through two essential steps:
It’s important to note that commercial payers do not permit retroactive billing. Reimbursement is only allowed for services delivered after the provider is officially enrolled and active in the payer’s system. Billing as an out-of-network provider may lead to higher patient responsibility, as patients may be liable for the full cost of care.
Yes. We handle multi-state credentialing for telehealth, locum tenens, and expanding practices.
Medicare enrollment usually takes 60 to 90 days, though timelines can differ by state.
The effective date is set by when Medicare receives the application, so providers can bill for services delivered after submission, even if approval comes later. Medicare also allows up to 30 days of retroactive billing before the effective date. Keep in mind, processing times and retroactive billing rules can vary by state programs and commercial payers such as BCBS
Absolutely. We help provider groups implement or manage delegated credentialing that complies with NCQA and payer contracts.
A valid place of service is required before starting the medical credentialing or contracting process. Providers cannot use a residential address as a substitute for a clinic or practice location, even temporarily. However, a home address may be listed for billing or correspondence purposes, provided a separate, physical clinic address is also included.
If the practice location is still under development or construction, the future address can still be submitted as part of the application. In most cases, applications may be filed up to 30 days before the official opening date. This policy is widely accepted by commercial insurance carriers as well.
Medicare requires providers to revalidate their enrollment periodically. For most individual providers, this occurs every five years. However, states may require more frequent revalidations for certain high-risk provider types, such as home health agencies, behavioral health services, rehabilitative services, and laboratories.
The revalidation can be completed either through the CMS-855I paper form or via the PECOS (Provider Enrollment, Chain, and Ownership System) online portal. Once a revalidation request is received, providers have 60 days to respond. Delayed responses can lead to a suspension or loss of billing privileges.
For group practices or supplier organizations, the CMS-855B application is required. If an electronic funds transfer (EFT) hasn’t been set up previously for the group, it must be included during the revalidation process.
Insurance credentialing requirements vary depending on the payer, the provider’s specialty, and the state in which the provider operates. Still, there is a standard set of documents that most insurers request as part of the credentialing application.
Personal and Professional Credentials
Additional Documents Based on Provider Type or Background
Documents Related to the Business Entity
The CP575 is the official letter issued by the IRS to confirm a provider’s Employer Identification Number (EIN) after it has been assigned to a business. This document is required during the Medicare enrollment process to verify the legal business name.
If the original CP575 is not available, providers can request a 147C letter from the IRS as an alternative form of EIN verification. Medicare only accepts the CP575 or the 147C as valid proof of the Employer Identification Number (EIN).
Fast, accurate credentialing done right the first time, with zero hassle for your practice. Our trusted healthcare credentialing services ensure your practice remains compliant, in-network, and gets paid faster.
