You Spent Years Earning Your Credentials. Don't Let a Paper Process Keep You From Getting Paid.
ClaimCure manages your entire credentialing journey — from verifying your panel status on Day 1, to the moment your contract is live and your first claim goes through. No chasing payers. No missed deadlines. No revenue gaps.
The Real Cost of Getting This Wrong
The average credentialing cycle takes 90-120 days if managed in-house. During that time, every patient you see under an un-credentialed status is a claim you can't submit — or worse, one you submit and have to write off.
- •Retroactive billing is not permitted by most payers
- •Expired CAQH profiles trigger automatic panel removal
- •A single data discrepancy can delay enrollment 30-60 days
Primary Care Physician
20 patients × $150 avg reimbursement — lost per day during credentialing gap
Specialist
15 patients × $400 avg reimbursement — lost per day during credentialing gap
The End-to-End Process
From your first call to your first paid claim — every step, every milestone.
Data Verification
Before a single application goes out, we verify your panel status, NPI, DEA, license, CAQH, board certs, malpractice, and hospital privileges across every payer.
Intake & Discovery
Dedicated credentialing specialist assigned. We collect your target payer list, locations, provider type, timeline, and full credentialing packet.
Profile Build
CAQH ProView optimization, NPI/NPPES confirmation, Medicare PECOS enrollment, Medicaid status check, and primary source verification package.
Application Submission
Complete, clean applications to each target payer — Aetna, BCBS, Cigna, United, Humana, Medicare, Medicaid, and 200+ regional plans.
Active Follow-Up
Proactive outbound contact with every payer on a regular cadence. Status tracking, deficiency resolution, committee meeting monitoring.
Contract Review
Fee schedule adequacy review, timely filing limits, clean claim requirements, termination provisions, and negotiation support.
Go-Live Confirmation
Effective date confirmation, provider record verification in payer systems, test eligibility check, and billing team notification.
Ongoing Maintenance
License tracking, CAQH re-attestation (every 120 days), DEA renewal, malpractice updates, re-credentialing cycles, and panel audits.
Your Patients Are Waiting. So Are the Payers.
Every week your credentialing sits incomplete is revenue your practice isn't collecting.