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Provider Credentialing

Get providers billable, and keep them there

Helix manages payer enrollment, CAQH, primary source verification and re-credentialing end to end — so new providers start billing sooner and no one ever lapses out of network.

Full payer enrollment

Commercial, Medicare and Medicaid handled end to end.

CAQH setup & maintenance

Profiles built, attested and kept current.

Zero lapse tracking

Every revalidation filed ahead of deadline.

Proactive follow-up

We chase the payers so your staff doesn't.

What's included

Credentialing, handled end to end

From a provider's first application to ongoing maintenance years later — nothing slips.

01

Document collection

License, DEA, board certs, malpractice and work history gathered and verified.

02

CAQH & NPI setup

CAQH ProView profile built and attested; NPI and PECOS records aligned.

03

Payer applications

Enrollment filed with every commercial, Medicare and Medicaid payer you need.

04

Follow-up & approval

Persistent payer follow-up until the effective date is confirmed in writing.

05

Re-credentialing

Revalidations and CAQH re-attestations filed ahead of every deadline.

06

Expirable tracking

License, DEA and cert expirations monitored so coverage never lapses.

Why it matters

Every uncredentialed day is unbilled revenue

A provider who sees patients before enrollment is final often can't bill for that work at all. A single missed revalidation can drop a provider out of network mid-cycle. Helix treats credentialing as a revenue function — because that's exactly what it is.

0%

Faster approvals

0

Network lapses

0%

Clean applications

0+

Payer relationships

STEP 01

Gather

We collect and verify every document and credential.

STEP 02

Build

CAQH, NPI and PECOS profiles set up and attested.

STEP 03

Submit

Applications filed to every required payer in parallel.

STEP 04

Maintain

Revalidations and expirables tracked so nothing lapses.

Proof, not promises

Credentialing that protects revenue

Meridian Multispecialty Group
28-provider group · Arizona
CredentialingPayer Enrollment
−43%
time to first bill
0
network lapses
$190K
revenue protected
100%
on-time revalidations

"New hires used to wait months to bill, and we once lost a provider's network status to a missed revalidation. With Helix, that just doesn't happen anymore."

Challenge

A fast-growing group adding providers every quarter, with enrollment delays pushing first-bill dates out 4–5 months and a near-miss network lapse from an untracked Medicare revalidation.

Solution

Helix took over all enrollment and CAQH maintenance, parallel-filed applications across payers, and put every license, DEA and revalidation date on a tracked expirable calendar.

Outcome

Time-to-first-bill dropped 43%, every revalidation filed on time, zero lapses, and roughly $190K in otherwise-unbillable revenue protected.

Representative composite based on Helix engagement outcomes. Individual results vary.

HV
Harbor View Surgical
6-surgeon practice · Maryland
52d
avg enrollment (from 96)
$76K
revenue protected
"Two new surgeons were billing six weeks sooner than our last hire. That's real money we'd have lost."
Result: 2 providers billable in under 8 weeks.
PV
Prairie Valley Pediatrics
4-provider practice · Nebraska
100%
CAQH attested on time
0
enrollment denials
"We stopped tracking spreadsheets of expiration dates. Helix just handles it before we even notice."
Result: zero coverage gaps across 3 payers.
Questions

Credentialing FAQ

How long does payer enrollment take?
Most commercial payers take 60–120 days and Medicare/Medicaid 45–90 days. We manage CAQH, submissions and persistent follow-up to keep applications moving and avoid restarts.
Do you handle re-credentialing?
Yes. We track every revalidation and CAQH attestation date and file ahead of deadlines so providers never lapse out of network.
Can you credential a brand-new practice?
Absolutely — from group NPI and tax ID setup through every individual provider enrollment, we stand up your credentialing from scratch.

Adding providers or worried about lapses?

Book a free consultation and we'll review your enrollment status and revalidation calendar for gaps.

Book Free Consultation