CAQH & Payer Credentialing
Enroll with commercial payers and maintain active credentialing through CAQH and direct insurer portals.
Providers Credentialed
500+ DMEPOS and healthcare providers supported with CAQH and payer applications
Credentialing Timelines Tracked
100% of enrolled clients received recredentialing reminders on time
Payer Experience
Commercial enrollment support for over 50 insurance networks
Why CAQH & Credentialing Are Essential for DME Billing
While your CMS-855S and PTAN get you enrolled with Medicare, commercial insurers require separate applications and credentialing. Most require ongoing validation through the CAQH ProView system, plus network-specific applications and document uploads. Missing deadlines, incorrect NPI linkage, or incomplete supporting documents can delay payments—or block your DME business from joining a network entirely.
We manage your credentialing lifecycle, from CAQH profile setup to payer submission and document tracking—so you stay active, billable, and compliant.
CAQH Profile Creation & Updates
We complete your CAQH profile, upload credentials, and monitor attestations to ensure validation stays current.
Commercial Payer Enrollment
We assist in enrolling with insurance plans like Aetna, Cigna, UnitedHealthcare, Blue Cross, and regional payers.
Credential Tracking & Renewal Alerts
All licenses, accreditations, and recredentialing dates are monitored with automated reminders to avoid disruptions.
Why Credentialing Delays Happen—and How We Keep You Enrolled
Frequent Credentialing Issues
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Incomplete CAQH Profiles
Missing signatures, expired documents, or incomplete attestations can cause delays or denials by payers. -
Unlinked NPIs or Tax Info
Discrepancies between your CAQH profile and your NPPES or IRS records will flag your application. -
No Follow-Up with Payers
Payers often require status checks, corrections, or additional forms—failing to follow up can stall approval indefinitely. -
Missed Recredentialing Windows
Credentialing must be renewed every 2–3 years per payer. Missing a window may result in termination from the network.
How We Manage Credentialing from Start to Finish
Initial Profile Setup or Clean-Up
We create or clean your CAQH profile, verify NPI and licensure accuracy, and upload all required documentation.
Document Management & Monitoring
Our system tracks expiring licenses, insurance certificates, and accreditations, alerting you in advance of any lapse.
Payer-Specific Filing Support
We complete and submit payer applications according to network standards, including follow-up and document resubmission if needed.
Lavear Dashboard Integration
All credentialing records, CAQH status, and payer submission logs are accessible 24/7 via your client dashboard.
How We Support CAQH & Payer Credentialing
Profile & Documentation Review
We review your NPI, licenses, CMS enrollment, and practice details to ensure consistency across CAQH and payer portals.
CAQH Setup or Refresh
Your CAQH ProView account is completed, verified, and attested—backed with current credentials and digital signatures.
Payer Enrollment Filing
We submit applications and contracts with commercial insurance plans, verifying all fields, attachments, and sign-offs.
Recredentialing & Renewal Support
We keep your payer credentials current with auto-alerts and document refreshes before any deadlines hit.
Credentialing Benefits
Get on the panel—and stay on it without gaps or delays.
Faster Payer Approvals
We eliminate missing items and reduce back-and-forth with payers by managing everything upfront.
Avoid Reimbursement Interruptions
With license and accreditation monitoring, your payer credentials stay active and up to date.
Reduce Admin Burden
Our team handles credentialing, CAQH attestations, and payer communications so your staff doesn’t have to.