Credentialing & payer
enrollment services
CAQH, Medicare, Medicaid, and commercial panels for physicians, NPs, PAs, physical, occupational and speech therapists, and practices nationwide. Pricing listed below.
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Open any service for the situations it fits.
CAQH profile, new buildYour CAQH profile created from your file: every section completed, documents uploaded, attested, with us added as an authorized user$500 / providerWhen it fits ▾
Your CAQH profile created from your file: every section completed, documents uploaded, attested, with us added as an authorized user
Fits when:
- You have never had a CAQH profile, or the one you have was abandoned years ago.
- A payer told you your CAQH profile is incomplete and you are not sure what is missing.
CAQH profile, update and attestationAn existing profile completed and corrected, documents refreshed, attested$250 / providerWhen it fits ▾
An existing profile completed and corrected, documents refreshed, attested
Fits when:
- You have a profile but it has not been attested in months, so every pending application is stalled on it.
- You changed practices and the profile still points at your old employer.
Medicare enrollmentPECOS enrollment or reassignment (855I, 855R, 855B as applicable) and EFT setup, followed through to approval. Billed half at engagement, half at approval$500 / providerWhen it fits ▾
PECOS enrollment or reassignment (855I, 855R, 855B as applicable) and EFT setup, followed through to approval. Billed half at engagement, half at approval
Fits when:
- You just got your NPI and cannot bill Medicare until PECOS is done.
- You left a group and your Medicare enrollment stayed with their Tax ID.
Medicaid enrollmentYour state Medicaid program through its portal, followed through to approval. Each additional state is a separate enrollment; managed-care plans are commercial applications. Billed half at engagement, half at approval$500 / provider / stateWhen it fits ▾
Your state Medicaid program through its portal, followed through to approval. Each additional state is a separate enrollment; managed-care plans are commercial applications. Billed half at engagement, half at approval
Fits when:
- Your patients are on Medicaid and you are turning them away or writing the visits off.
- You are adding a second state and the portal rules are different from the first.
Availity setupRegistration and payer-portal linkage on Availity, which most commercial plans route enrollment and status through$250 / providerWhen it fits ▾
Registration and payer-portal linkage on Availity, which most commercial plans route enrollment and status through
Fits when:
- A plan told you to apply through Availity and the registration is where you got stuck.
Commercial payer applicationOne participation application to a commercial plan, Medicaid managed-care plan or Medicare Advantage plan, followed through to approval. Billed half at engagement, half at approval$200 / applicationWhen it fits ▾
One participation application to a commercial plan, Medicaid managed-care plan or Medicare Advantage plan, followed through to approval. Billed half at engagement, half at approval
Fits when:
- You know exactly which plans your patients carry and want those and nothing else.
- A regional payer matters in your ZIP; the intake suggests the plans practices near you usually join.
Ongoing maintenanceCAQH re-attestations, expirables, revalidations, roster reviews for groups; billing starts the quarter of your first approval$100 / provider / quarterWhen it fits ▾
CAQH re-attestations, expirables, revalidations, roster reviews for groups; billing starts the quarter of your first approval
Fits when:
- CAQH re-attestation lapses every ~120 days if nobody owns it, a stale profile silently stalls every pending application.
- A missed Medicare revalidation deactivates billing entirely; a lapsed license or DEA on file does the same with commercial payers.
- Group practices: providers join and leave, every change ripples across every payer record.
Primary source verificationLicense, education, work history, and board certification verified with the issuing sources; scope and pricing quoted individuallyPricing on requestWhen it fits ▾
License, education, work history, and board certification verified with the issuing sources; scope and pricing quoted individually
Fits when:
- A hospital, facility, or payer asks for documented PSV evidence and you have none on file.
- You want your file verification-ready before applications go out, so nothing bounces later.
Group onboardingPractice-level setup: Tax ID / Type 2 NPI linkage, group payer records, roster build$500 one-timeWhen it fits ▾
Practice-level setup: Tax ID / Type 2 NPI linkage, group payer records, roster build
Fits when:
- You are forming a practice: the entity needs its own Type 2 NPI, tied correctly to your EIN, before any group enrollment can start.
- Providers will bill under the group, each needs their individual enrollment reassigned to it (Medicare 855R and payer equivalents).
Contract rate negotiationFull fee-schedule analysis and review of your top codes against Medicare benchmarks, then negotiation; fee due only on a successfully improved contract$500 / contractWhen it fits ▾
Full fee-schedule analysis and review of your top codes against Medicare benchmarks, then negotiation; fee due only on a successfully improved contract
Fits when:
- A payer contract arrived and you were about to sign the first fee schedule they offered.
- You have real volume with a payer and have never renegotiated, break-even on the fee is usually an uplift under 1%.
NPI procurementType 1 (individual) or Type 2 (organization) NPI application prepared and filed via NPPES, taxonomy set correctly, delivered and registry-verified$100 / NPIWhen it fits ▾
Type 1 (individual) or Type 2 (organization) NPI application prepared and filed via NPPES, taxonomy set correctly, delivered and registry-verified
Fits when:
- You are a new practitioner and have never had an NPI, nothing in credentialing can start without it.
- Your new practice entity needs its own Type 2 NPI tied to the EIN before any group enrollment.
- The taxonomy code on an NPI application is cross-checked by every payer later, set wrong, it becomes a silent delay.
Tax ID (EIN) procurementIRS SS-4 prepared and filed; EIN delivered, for newly forming practices$150When it fits ▾
IRS SS-4 prepared and filed; EIN delivered, for newly forming practices
Fits when:
- You are launching a new practice and need the EIN before the bank account, the Type 2 NPI, or any group enrollment.
Fingerprinting coordinationWhen an enrollment requires fingerprints: we identify the requirement, book the correct IdentoGO Live Scan appointment with the right service code, and track results to the agency$75 / occurrenceWhen it fits ▾
When an enrollment requires fingerprints: we identify the requirement, book the correct IdentoGO Live Scan appointment with the right service code, and track results to the agency
Fits when:
- A Medicaid or state program flags your enrollment for fingerprint-based screening and the requirement is unclear.
- The wrong service code wastes the appointment, we book it right the first time, at the location nearest you.
DME supplier enrollmentFor accredited suppliers: Medicare DMEPOS enrollment (CMS-855S) followed through to approval, plus revalidations and added locations; Medicaid and commercial DME contracts at the standard prices$1,000 / location; revalidation or added location $500When it fits ▾
For accredited suppliers: Medicare DMEPOS enrollment (CMS-855S) followed through to approval, plus revalidations and added locations; Medicaid and commercial DME contracts at the standard prices
Fits when:
- You are accredited and enrolled in one state and want to supply patients in another, each physical location has to be separately enrolled, and the state licence usually gates the timeline.
- You added a product category and need the enrollment and contracts to match what you are actually supplying.
- Your DMEPOS revalidation is coming and nobody owns it, DMEPOS revalidates every three years, not five.
Becoming a DME supplierStanding up a new DMEPOS supplier: accrediting-organization selection and application support, surety bond and supplier-standard readiness, facility and licensure requirements, then enrollmentPricing on requestWhen it fits ▾
Standing up a new DMEPOS supplier: accrediting-organization selection and application support, surety bond and supplier-standard readiness, facility and licensure requirements, then enrollment
Fits when:
- You are starting a DME business and need to know, honestly and early, what the accreditation, the $50,000 surety bond, and the physical-location standards will actually require of you.
- You are a physician or therapist supplying items to your own patients and want to know whether you are exempt from accreditation before you spend anything.
Therapy practices: PT, OT and speech-languagePayer enrollment for physical, occupational and speech-language therapists and the groups they work in: Medicare (CMS-855I / 855B via PECOS), state Medicaid and its managed-care plans, CAQH, and the commercial panels, including the therapy networks some plans delegate to Optum Physical Health and American Specialty Health, which need their own applicationsPricing on requestWhen it fits ▾
Payer enrollment for physical, occupational and speech-language therapists and the groups they work in: Medicare (CMS-855I / 855B via PECOS), state Medicaid and its managed-care plans, CAQH, and the commercial panels, including the therapy networks some plans delegate to Optum Physical Health and American Specialty Health, which need their own applications
Fits when:
- Your therapy group is enrolled with Medicare and Medicaid but wants commercial panels, and the plan you called sent you to a network vendor you have never heard of.
- You are a therapist going into private practice and need Medicare private-practice enrollment, CAQH, and the first panels done in the right order.
Special servicesNot everything we can help with fits a list. Describe what you need and you get a straight answer on whether it is something we do and what it would costPricing on requestWhen it fits ▾
Not everything we can help with fits a list. Describe what you need and you get a straight answer on whether it is something we do and what it would cost
Fits when:
- Your situation does not match any box above, tell us what it is and you get a real answer, including a referral if the answer is no.
How it works
1Intake
About 15 minutes online. Your NPI is checked against the CMS registry as you type and documents upload next to the fields they belong to.
2File build
We reconcile your NPPES record, CAQH and every application so they match exactly. Mismatches are the most common silent cause of delay.
3Submission and follow-up
Every application has an owner and a next date. Your status page shows every application's current step. Check status any time with your reference number, no login.
4Approval, then the watch cycle
Effective dates recorded, then CAQH re-attestation, license and DEA expirations, Medicare revalidation and exclusion screening stay on our calendar, not yours.
Most credentialing failures are silent: a stale attestation, a registry mismatch, a development letter nobody answered in its 30-day window. We built our own operations system so nothing can go silent. That system is the service.
✓Application status
Live status of every application with the reference number from your intake. No portal, no password.
%Rate ROI calculatorYour codes, your volumes: the break-even on a rate negotiation in under a minute.
?GuidesHow long credentialing takes, NP credentialing, Medicare and PECOS, and more.
Working with us
One point of contact
You work with the person doing the work, from intake through approval. Questions go to support@pecs.health and are answered within one business day.
Visibility without a login
Your reference number opens live application status at pecs.health/status. Maintenance clients get a quarterly summary of what was done and what is being watched.
Billing, stated plainly
Invoices at named milestones, net-7, by ACH or card. Never a percentage of collections. Nothing is due to submit an intake; each service begins once its own invoice is paid.
Leaving is simple
Maintenance ends with 30 days' notice. Your CAQH profile, portal registrations and records stay with you, organized.
Ready when you are
The intake takes about 15 minutes and saves as you go. You get a reference number the moment you submit.
Start intakeAsk a question first