Provider credentialing and payer enrollment

Eligibility Hub prepares, submits and tracks provider enrollment with Medicare, Medicare Advantage, commercial plans and state Medicaid, and keeps each CAQH ProView profile current. Your practice signs in to payer portals and signs the forms. Credentialing is available now and delivered by our credentialing team. Each application is $99 per provider, per payer.

Get started Book a call

At a glance

Availability: AvailableDelivered by our credentialing team.
Part of the cycle: Credential: enroll providers with payers
What it costs: $99 per payer application (one provider, one payer), billed separately from the 1.5% service fee.
Your practice: Sign in to PECOS, CAQH and payer portals. We never use your passwords.

Who does what

Eligibility Hub does

Collect and check every field and document, then pre-fill applications
Submit through each payer's route and track every application to approval and effective date
Confirm enrollment against CMS public enrollment data
Send CAQH re-attestation reminders every 120 days
Run monthly OIG and SAM exclusion checks and alert you before licenses and malpractice coverage expire
Keep a revalidation calendar (Medicare revalidates every 5 years)

Your practice does

Sign in to PECOS, CAQH and payer portals. We never use your passwords.
Enter SSNs and bank details, and sign attestations and contracts
Upload licenses, malpractice certificates, a W-9 and each provider's CV

Enrollment we handle

Payers and profiles

Medicare through PECOS (855I, 855R, 855B), reassignments, revalidation and practice-location changes
Medicare Advantage and commercial plans
State Medicaid
CAQH ProView, the profile most payers read from

Limits worth knowing

Payers set their own review times. We track every application but cannot shorten a payer's review.
We do not sign in with your passwords or enter SSNs or bank numbers. Your practice does those steps.

Questions

How much does credentialing cost?

$99 per payer application (one provider, one payer), billed separately from the 1.5% service fee. You choose providers and payers and authorize the charge before any application is submitted.

Is credentialing available now?

Yes. Credentialing is delivered by our credentialing team: we prepare, submit and track each application by hand and keep you posted. Book a call to start, or choose applications in the portal after setup.

Do you need our PECOS or CAQH passwords?

No. Your practice signs in to PECOS, CAQH and payer portals. We prepare everything and tell you exactly what to enter.

What documents will we need?

Typically licenses, malpractice certificates, a W-9 and each provider's CV. We check every field before anything is submitted.

Review the scope before you begin

$99 per payer application (one provider, one payer), billed separately from the 1.5% service fee. See pricing for how the fee is calculated.