Provider Credentialing & Enrollment Services
From Application to Enrollment, We Manage the Process
Provider credentialing and payer enrollment can require months of applications, documentation, follow-up, and communication with health plans and facilities. Delays can affect when a provider can begin seeing patients and receiving reimbursement.
Since 2001, Peregrine Healthcare has provided credentialing and provider enrollment services for physicians, medical practices, and healthcare organizations nationwide.
From payer selection and application through contracting, enrollment confirmation, and ongoing credentialing maintenance, Peregrine manages the process from start to finish.
Comprehensive Credentialing & Enrollment Services
Whether you’re adding a provider, opening a new practice, expanding locations, or maintaining an established group, Peregrine can manage the administrative work involved in credentialing and enrollment.
Our Services Include
- Commercial Payer Credentialing & Recredentialing
- Medicare Enrollment, PECOS & Revalidation
- CAQH Profile Management & Attestations
- NPI Applications & Updates
- Hospital & Facility Appointments and Reappointments
- Provider Additions & Terminations
- Demographic & Practice Information Changes
- Credentialing File Maintenance
- License & Credential Expiration Tracking
- Payer Application Tracking & Follow-Up
- Enrollment Confirmation
- Managed Care Contracting Support
More Than Application Submission
A Start-to-Finish Credentialing Process
Peregrine stays involved throughout the credentialing and enrollment process, helping practices navigate each stage.
- Payer Selection
Identify appropriate payer opportunities and assist with panel availability and next steps.
- Application & Enrollment
Prepare and submit required credentialing and enrollment applications and supporting documentation.
- Follow-Up
Track applications and communicate with payers and facilities throughout the process.
- Contracting
Assist with payer agreements, contract review, and managed care contracting needs.
- Confirmation
Track enrollment through completion and help confirm provider participation and effective dates.
- Ongoing Maintenance
Support recredentialing, CAQH attestations, revalidations, demographic updates, expirations, and other ongoing requirements.
Free Provider Credentialing & Enrollment Checklist
Adding a provider, opening a practice, or enrolling with new payers? Staying organized from the beginning can help prevent avoidable credentialing delays.
Download Peregrine’s Provider Credentialing & Enrollment Checklist, a practical guide covering:
- Provider Documentation
- CAQH
- Medicare & PECOS
- Commercial Payers
- Facility Credentialing
- Enrollment Confirmation
- Ongoing Maintenance
Why Peregrine?
Credentialing Expertise Since 2001
Decades of experience managing provider credentialing, enrollment, payer requirements, and ongoing maintenance.
Start-to-Finish Management
From applications and payer follow-up through confirmation and ongoing maintenance.
Ongoing Credentialing Support
We help manage recredentialing, attestations, revalidations, expirations, and changes after initial enrollment.
Connected Healthcare Expertise
Credentialing can be coordinated with contracting, billing, revenue cycle management, and practice start-up services.
Frequently Asked Questions
What is provider credentialing?
Provider credentialing is the process of verifying a healthcare professional's qualifications, licenses, education, training, and other information required by health plans, hospitals, and healthcare organizations.
What is payer enrollment?
Payer enrollment is the process of enrolling a provider or healthcare organization with a health plan so eligible services can be billed and reimbursed according to the payer's requirements.
How long does provider credentialing take?
Credentialing timelines vary by payer, provider type, application requirements, panel availability, and other factors. Because the process can take several months, practices should begin credentialing as early as possible.
Does Peregrine manage CAQH and Medicare enrollment?
Yes. Peregrine provides CAQH profile management and attestations as well as Medicare enrollment, PECOS maintenance, and revalidation support.
Can Peregrine help with payer contracting?
Yes. Credentialing services can be coordinated with Peregrine's Managed Care Contracting & Payer Negotiation Services, helping practices manage both enrollment and payer participation requirements.
Can Peregrine help credential a new medical practice?
Yes. Peregrine supports new practices with credentialing and provider enrollment and can coordinate these services with broader Practice Start-Up Services.
Not Ready to Outsource Credentialing?
Start with our free Provider Credentialing & Enrollment Checklist to help make sure your practice has the essential steps covered.
Take Credentialing Off Your Team’s Plate
Whether you’re credentialing one physician or managing multiple providers, payers, facilities, and locations, Peregrine can manage the process and ongoing follow-up for you.
📲 Get Started With Credentialing
877-463-1110
Supporting healthcare organizations nationwide since 2001.
Based in Texas and Arizona. Trusted nationwide.