Healthcare Credentialing, Licensing & Payer Enrollment
Credentialing & enrollment, done right, for growing healthcare groups.
Credify Health helps healthcare organizations enroll providers, secure payer contracts, manage licensing, stay compliant, open new markets, and expand into new states with less delay and less internal workload.
- Commercial, Medicaid & Medicare enrollment
- Provider & multi-state licensing
- State expansion & PC/entity setup consulting
- Monthly credentialing & compliance monitoring
Credentialing Status
Live provider tracking
Faster
Time to bill
In-network
Payer status
Zero lapses
Compliance
Introducing Credify SoftwareRevolutionizing credentialing.
A purpose-built platform that pairs our credentialing expertise with automation — so provider enrollment, licensing, and compliance run faster, cleaner, and fully transparent for your team.
- Automated payer enrollment tracking
- Real-time license & CAQH monitoring
- Multi-state expansion workflows
- Client & provider portals
Credify Software
Launching September 1, 2026
Automation engine
Payer forms, follow-ups, and status tracking — handled.
Faster time to bill
Cut enrollment turnaround from months to weeks.
Compliance built in
Continuous monitoring for licenses, DEA, CAQH & exclusions.
For Startups
Built for healthcare startups
From first provider to first payer, we help new practices and healthcare ventures get credentialed, licensed, and ready to bill — without building an internal credentialing team.
Launch faster
Get your providers, entity, and payer enrollment roadmap in place from day one.
Expand cleanly
A repeatable process for licensing and enrolling as you add states and providers.
Stay compliant
Monthly monitoring keeps every provider continuously enrolled as you grow.
Full enrollment lifecycle
One partner for the entire enrollment lifecycle
From NPI and CAQH setup to payer contracting, licensing, state expansion, closed-panel strategy, and ongoing compliance monitoring — Credify Health manages the paperwork, portals, and payer follow-ups so your providers can start billing sooner, stay enrolled, and confidently move into new specialties.
What we do
Credentialing, licensing & contracting under one roof
A complete set of services to get and keep your providers enrolled, licensed, and in-network.
Credentialing & Enrollment
Get providers credentialed, enrolled, and in-network across commercial, Medicaid, and Medicare — with the portals and IDs configured correctly.
- Provider Credentialing
- Commercial Payer Enrollment
- Medicaid Enrollment
- Medicare Enrollment
- ABA Credentialing
Contracting
Secure participation agreements, negotiate the network you need, and keep contracts moving with persistent follow-up.
Learn moreLicensing
Provider and group licensing across states, plus the operational side of PC/entity setup for expansion.
Learn moreCompliance & Monitoring
Ongoing monitoring that keeps every provider continuously enrolled — expirables tracked, revalidations submitted, portals maintained.
Learn moreConsulting
Strategy and operations support for organizations entering new markets, adding payers, or building credentialing workflows.
Learn moreIndustries served
Built for the organizations that need credentialing most
We adapt to your specialty, payer mix, and states — from single practices to multi-state groups.
ABA Therapy Companies
Credentialing and payer enrollment built for the pace and multi-state footprint of growing ABA organizations.
Behavioral Health Groups
Enrollment for therapists, psychiatrists, and behavioral health practices across commercial and Medicaid networks.
Medical Groups
End-to-end credentialing and contracting for primary care and specialty medical groups adding providers and locations.
Therapy Practices (PT, OT, SLP)
Enrollment support for physical, occupational, and speech therapy practices and their clinicians.
Urgent Care Centers
Group and provider enrollment for urgent care centers that need to get billing quickly at new sites.
Primary Care Groups
Credentialing, enrollment, and contracting for primary care practices of every size.
Why choose Credify Health
Why Credify Health
A specialized partner that owns the work and keeps you continuously enrolled.
Specialized, not generalist
Credentialing, licensing, and enrollment are all we do. That focus means fewer mistakes and faster resolution when payers push back.
We own the follow-up
Applications stall without persistent follow-up. We chase payers so your internal team doesn't have to.
Built for multi-state growth
We handle the state-by-state complexity of Medicaid, licensing, and payer rules as you expand.
Ongoing compliance monitoring
Monthly monitoring keeps every provider continuously enrolled — no surprise lapses or expired licenses.
Operational and transparent
You get clear status on every provider and application — no black box, no guessing where things stand.
Less internal workload
Offload the paperwork, portals, and phone calls so your staff can focus on patient care and operations.
How it works
A clear, proven credentialing process
From discovery to ongoing monitoring, you always know what's happening and what's next.
Discovery Call
We learn about your providers, payers, states, and goals to scope the work and set expectations.
Document Collection
We gather licenses, education, malpractice, and organizational documents into an organized, audit-ready file.
Credentialing & Licensing Review
We review current credentialing and licensing status to find gaps and priorities.
Payer & State Strategy
We map which payers and states to pursue, and in what order, to get you enrolled where it matters most.
Compliance & Monthly Monitoring
Stay enrolled with monthly compliance monitoring
Getting enrolled is only half the battle — staying enrolled is where organizations lose revenue. Credify Health monitors your credentialing, licensing, and payer status every month so nothing expires, lapses, or falls through the cracks.
See compliance monitoringMonthly Monitoring
License Tracking
CAQH Tracking
Recredentialing Reminders
Medicare / Medicaid Revalidation Tracking
Payer Portal Maintenance
State Payer Research
Medicaid & Commercial Payer Strategy
Licensing Requirements
Entity / PC Setup Consulting
Provider Enrollment Planning
Timeline Planning
State Expansion
Expand into new states without the guesswork
Entering a new state means new Medicaid rules, new licensing requirements, new payers, and new documentation. Credify Health helps healthcare organizations plan and execute state expansion end to end — so you launch with a clear roadmap instead of costly trial and error.
Book a CallSound familiar?
Common problems we solve
If any of these sound familiar, credentialing and enrollment are costing you revenue and time.
Delayed payer approvals
Applications sitting for weeks with no movement and no follow-up.
Missing or outdated documents
Incomplete files that get kicked back and reset the clock.
CAQH problems
Out-of-date profiles and missed attestations blocking enrollment.
Payer portal issues
Access and configuration problems that stall your billing team.
Medicare & Medicaid confusion
State-by-state and CMS rules that are easy to get wrong.
State licensing delays
Unfamiliar requirements slowing down new providers and locations.
Trouble expanding into new states
No clear roadmap for licensing, payers, and entity setup.
No clear tracking system
No single view of what's submitted, pending, or approved.
Missed recredentialing deadlines
Lapses that quietly interrupt participation and revenue.
Contract follow-up not handled
Contracts stuck in review with no one chasing the payer.
Overwhelmed internal staff
Credentialing work pulling your team away from patients and operations.
Get started
Ready to get your providers enrolled?
Book a call or request a quote. We'll map your payers, states, and timeline and take the credentialing workload off your team.