New Provider?
Get credentialing and payer enrollment moving.
Medical Credentialing Services & Payer Enrollment
Get Providers Credentialed, Enrolled, and Ready to Bill
Waiting for in-network credentialing approvals? Credentialing delays, payer requirements, and administrative follow-ups can keep your team tied up. Dastify Solutions manages the administrative work behind provider credentialing and payer enrollment, helping keep applications and payer communication organized.
Is Credentialing Creating More Work for Your Practice?
Getting a provider in-network involves more than completing an application.
Common credentialing challenges include:
CAQH Profile Not Updated?
We help review and maintain required provider information and attestations.
Payer Application Returned?
We coordinate requested documentation and help address missing or incomplete information.
Provider Information Changed?
We assist with updates to practice locations, contact information, specialties, licenses, and other applicable provider details.
Revalidation Approaching?
We help track applicable requirements and organize the information needed for the process.
Adding a New Provider?
We coordinate the credentialing and enrollment workflow based on the provider’s payer participation needs.
What Do You Need Help With?
New Practice or Location?
Set up payer enrollment for your expansion.
Adding Insurance Networks?
Handle payer applications and requirements.
Managing Multiple Providers?
Take credentialing administration off your staff's plate.
Recredentialing Due?
Stay ahead of recurring enrollment requirements.
Medical Credentialing & Enrollment Services
Dastify Solutions manages the administrative side of provider credentialing and payer enrollment; from gathering provider information and verifying credentials to maintaining enrollment information.
Provider Credentialing & Verification
We review provider credentials and documentation required for payer participation, including applicable licenses, education, training, certifications, work history, malpractice information, and professional details.
CAQH Profile Management
We assist with CAQH profile setup, updates, documentation management, and attestations to help keep provider information current for participating payers.
Medicare & Medicaid Enrollment
Our team supports applicable Medicare and Medicaid enrollment, revalidation, and provider information updates based on program and jurisdiction-specific requirements.
Commercial Payer Enrollment
We help prepare and coordinate commercial payer enrollment applications based on the applicable payer's requirements, documentation, and submission process.
NPI Registration & Management
We support Type 1 individual and Type 2 organizational NPI registration and provider information management through the NPPES system.
PECOS Enrollment & Revalidation
We assist eligible Medicare providers with PECOS enrollment, updates, revalidation, and applicable reassignment or ownership-related information.
Recredentialing & Revalidation
Credentialing doesn't end after initial enrollment. We help track recurring requirements, provider information updates, and applicable recredentialing or revalidation activities.
Provider Data & Demographic Updates
Keep provider information aligned across applicable payer systems when practice locations, contact information, specialties, licenses, or other details change.
NPDB & OIG Exclusion Monitoring
We support applicable credentialing-related verification and exclusion screening requirements as part of the provider credentialing process.
Insurance Contracting Support
We assist practices with payer contracting processes, documentation, and contract-related administrative requirements.
How We Move Credentialing From Application to Follow-Up
- 01
Collect Provider Information
We gather the demographic, professional, licensing, education, employment, practice, and insurance information required for the applicable credentialing process.
- 02
Verify Credentials
Our team reviews applicable licenses, certifications, professional history, malpractice information, and supporting documentation.
- 03
Review Provider Profiles & Documentation
We review relevant provider profiles to identify missing, outdated, or inconsistent information before submission.
- 04
Prepare Payer Applications
Applications are organized according to the requirements of the applicable Medicare, Medicaid, or commercial payer.
- 05
Submit & Follow Up
We coordinate application submission and track enrollment communications, outstanding requests, and additional documentation requirements.
- 06
Track Enrollment Status
Your team gets better visibility into application progress and outstanding items that require attention.
- 07
Support Ongoing Requirements
After initial enrollment, we continue to support applicable provider updates and ongoing credentialing requirements.
Keep Provider Information Accurate Across Enrollment Systems
Provider information can change as your practice grows. Dastify Solutions helps coordinate applicable updates across CAQH, NPI, PECOS, and payer records.
One Credentialing Team for Different Insurance Requirements
Managing different payer requirements internally can quickly become time-consuming. Dastify Solutions helps practices coordinate applicable enrollment requirements across:
Medicare
Medicaid
Commercial Insurance
Payer requirements vary by program, state, provider type and insurance plan. Our team works according to the applicable requirements rather than using a one-size-fits-all process.
Credentialing and Enrollment Timelines
Processing times vary by payer, state, provider type, contracting requirements, and application completeness. Dastify Solutions prepares complete applications, submits them, tracks their status, and follows up through the payer’s or agency’s decision. We provide an estimated timeline for each case after reviewing its requirements.
Credentialing Support for Growing Healthcare Practices
Whether you're adding your first provider or managing a growing network, Dastify Solutions helps organize the credentialing work behind your practice.
New Practice Credentialing
Start your payer enrollment process with organized provider information and documentation.
New Provider Enrollment
Coordinate credentialing and enrollment when physicians, APPs, therapists and other eligible providers join your practice.
Multi-Location Practices
Help maintain provider and practice information as your organization expands across locations.
Insurance Network Expansion
Coordinate enrollment requirements when your practice seeks participation with additional insurance plans.
Recredentialing
Track applicable recurring credentialing requirements and provider information updates.
Multi-State Practices
Support credentialing workflows involving different state and payer requirements.
Specialized Support for Behavioral & Mental Health Providers
Behavioral and mental health practices often work with multiple commercial, government and behavioral health payer networks. We support credentialing workflows for:
Psychiatrists
Psychologists
Licensed Clinical Social Workers
Mental health practices
Marriage and Family Therapists
Behavioral health groups
Telehealth providers
Licensed Professional Counselors
Multi-state behavioral health practices
Credentialing Support Across Multiple Specialties
Dastify Solutions supports healthcare organizations across a broad range of specialties and practice models.
Don't see your specialty?
Our team can review your provider and payer requirements and determine the applicable credentialing workflow.
Health Insurance Networks We Support
Optum Behavioral
Beacon Health
Magellan Health
Cigna EAP
Aetna Behavioral
Blue Cross Blue Shield plans, where applicable
UnitedHealthcare
Humana Behavioral
Tricare East/West
ComPsych
Carelon (Anthem)
Lyra Health
Why Practices Choose Our Medical Credentialing Company
Dedicated Credentialing & Enrollment Team
Payer Enrollment Status Tracking
PECOS Enrollment & Revalidation Support
Multi-state insurance credentialing services coverage
Scalable for Multi-Provider Practices
Frequently Asked Questions
What is the difference between credentialing and payer enrollment?
Credentialing generally involves verifying a provider's professional qualifications and credentials. Payer enrollment involves submitting the required information and documentation to an insurance payer so the provider or organization can participate in that payer's network and billing processes.
Can you credential a new provider joining my practice?
Yes. We help organize provider information, documentation, applications, submissions, and payer follow-ups for applicable enrollment requirements.
What happens after a provider is credentialed?
After credentialing, providers may still require ongoing enrollment maintenance, demographic updates, recredentialing, revalidation, or payer-specific updates. Dastify Solutions can support these ongoing requirements.
Can Dastify Solutions help if a payer application is already pending?
Yes. Our team can review the applicable enrollment status, outstanding requirements, documentation, and payer follow-up needs to determine the next steps.
Ready to Simplify Provider Credentialing?
Your team has practice to run. Let Dastify Solutions manage the administrative work behind provider credentialing and payer enrollment. Our well-trained team helps keep the process organized, accurate, and moving forward.