HIPAA Compliant
Provider Credentialing & Enrollment Services
We help physicians and healthcare practices with insurance credentialing, payer enrollment, and compliance workflows through credentialing solutions built for healthcare organizations, with accuracy and speed. Our physician credentialing services streamline CAQH, PECOS, Medicare, Medicaid, and commercial insurance enrollment so providers can get in-network faster and start billing without delays.
Reduce credentialing errors, eliminate administrative bottlenecks, and accelerate your revenue cycle with a structured, compliance-driven enrollment process designed for modern healthcare practices. With automation and AI-driven validation built in, we focus on ensuring accuracy while reducing administrative burden.
Revenue Impact
Common challenges include:
Every delay means lost revenue and reduced operational efficiency.
Full Service Suite
MCR DMEPOS Enrollment
We complete and submit the CMS-855S application for Medicare DMEPOS enrollment. Our team ensures you meet all National Supplier Clearinghouse requirements, maintain active accreditation, and have the correct surety bonds. This protects your billing privileges and prevents interruptions in Medicare payments.
Medical Billing Audit
We handle complete credentialing for UnitedHealthcare, Aetna, Cigna, Anthem, Humana, Blue Cross Blue Shield, and other local plans. We prepare applications, verify documents, and communicate with each payer's credentialing department. Your practice gets in-network faster and stays active with required re-credentialing every 2 to 3 years.
Revalidation and Re-Credentialing
Our experts track all provider revalidation dates across Medicare, Medicaid, and commercial payers. Since requirements vary by state and payer, we ensure providers stay current and compliant at all times. We update your information in PECOS, CAQH, and each payer's system to avoid deactivation. This guarantees uninterrupted enrollment and prevents costly claim denials.
CAQH Registration and Maintenance
Our physician credentialing services set up your CAQH ProView profile, upload all necessary documents, and complete the attestation every 120 days as required by payers such as Aetna, Cigna, and Anthem. An up-to-date CAQH file streamlines credentialing decisions and minimizes repeat paperwork.
Medicare and Medicaid Provider Enrollment
Our medical credentialing services manage your Medicare provider enrollment using CMS-855I, 855B, and 855R forms. We complete state Medicaid provider enrollments, including Medi-Cal, TMHP, and others. Timely submissions keep your billing status active.
NPI Registration (Type 1 and Type 2)
We prepare and maintain your Type 1 (individual) and Type 2 (group or organization) National Provider Identifiers through the NPPES portal. Accurate NPIs prevent claim denials and ensure compliance with HIPAA billing requirements.
PECOS Management
We set up and manage your PECOS (Provider Enrollment, Chain, and Ownership System) account, submit enrollment forms, and handle any changes in ownership or reassignment. Proper PECOS management keeps your Medicare enrollment current and prevents billing issues.
Hospital Privileges
We prepare hospital privilege applications, collect all required documents such as your CV, peer references, and malpractice insurance, and work directly with Medical Staff Offices. Most hospitals require reappointment every 2 years. You maintain active admitting privileges without interruptions to patient care.
Contract Negotiation
Our team reviews and negotiates payer contracts for UnitedHealthcare, Aetna, Blue Cross Blue Shield, Cigna, and other insurance companies. We help you secure better fee schedules and more precise payment terms. This protects your revenue and reduces the risk of underpayment or claim disputes.
Provider State Licenses
We handle new license applications, renewals, CME compliance, and background checks for all states. We also assist with multi-state licensing through the Interstate Medical Licensure Compact if needed. We manage the process to keep you authorized to practice.
Credentials Verification
We conduct complete primary source verification of your education, training, licensure, board certification, and malpractice history. Our process adheres to the standards of NCQA, URAC, and The Joint Commission. Accurate credentials verification speeds up approvals and protects you during audits.
DEA Registration
Our provider enrollment services assist with DEA registration forms and handle renewals every 3 years to comply with the Controlled Substances Act. This allows you to prescribe controlled medications without delays or legal risks.
Our Process
Cost Comparison
| In-House Medical Credentialing | Outsourced Medical Credentialing |
|---|---|
| In-house credentialing managed by a billing coordinator costs $45–$65 per hour and requires constant tracking of CAQH registration, PECOS enrollment services, payer enrollment services, and re-credentialing services deadlines. | Outsourcing medical credentialing services to a dedicated medical credentialing company eliminates administrative overload, reduces errors, and improves in-network enrollment speed by 30–40%, ensuring no missed renewals or billing interruptions. |
Timelines
| Payer Type | Examples | Standard Time Frame | Our Time Frame |
|---|---|---|---|
| Commercial Payers | Aetna, Cigna, UnitedHealthcare, BCBS, etc. | 90–120 business days from complete submission | 45–60 business days (from complete, clean application submission) |
| Medicare | CMS contractors (Novitas, Noridian, Palmetto, etc.) | 60–90 days from submission | 45–60 days |
| Medicaid | State-specific programs | 60–120 days depending on state | 50–70 days |
Multi-Specialty
Our customized payer enrollment services are designed for a wide range of healthcare professionals and facilities, including:
We support over 50+ medical specialties across multiple states.
All Practice Sizes
Individual Providers and Small Practices
We handle insurance enrollment and credentialing for solo providers and small groups that lack in-house staff.
Mid-Sized and Large Group Practices
We help multi-specialty clinics manage credentialing data and payer enrollments as their teams grow.
Hospital-Affiliated or Health System Practices
Our medical credentialing services help hospitals and health systems manage records for hundreds of providers.
Why Dastify
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.
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.
Onboarding
Every practice has different needs, so we offer multiple audit approaches:
01
Connect With Us
Reach out to Dastify Solutions to discuss your practice details and the health plans you want to join. We will provide a personalized quote and flexible payment options to fit your needs.
02
Provide Your Documents
03
We Handle the Applications
04
Credential Verification and Approval
Trust Signals
Dedicated credentialing and enrollment services team
Higher first-time approval rates
— Discover how physician groups thrive with us
Our Satisfied Clients
Dastify Solutions has been a huge help with all of our surgical prior authorizations. They are reliable, efficient, and make the process so much easier. We can always count on them, which allows us to focus on providing the best care for our patients. Highly recommend!
HM Harlee Mallin - Utah
Dastify is awesome! They have assisted our company every step of the way. They are easy to work with and are always responsive and professional. I would recommend them for all of your billing needs!
S Steen - New Mexico
Very happy with Dastify's services for our practice. We highly recommend them! They are very thorough and professional.
CM Chelsey Murrel - Utah
Common Questions
Frequently Asked Questions
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.
