Our team gets your providers credentialed and enrolled with commercial and Medicaid payers, then keeps them in-network as you grow. Take credentialing on its own, or credentialing through collections on one behavioral health platform.
Grab your free billing audit, get the pricing and packages guide, or just schedule a call. Whichever gets you answers fastest.
Walk through your providers, payers, and locations with the people who would run your credentialing, and get a full enrollment and re-credentialing plan built for your organization.
We handle CAQH, the applications, and the payer follow-up in the background, and keep a re-credentialing calendar so no provider lapses out-of-network.
It varies by payer. Commercial enrollment commonly takes a few months, and Medicaid often runs longer. We shorten it where we can by submitting clean CAQH profiles and complete applications the first time, and we track every application so nothing stalls unnoticed in a payer's queue. You get a realistic timeline per payer up front, not a guess.
We keep it current. CAQH attestations, license and DEA expirations, and re-credentialing dates all sit on an auditable calendar we manage, so a lapse never quietly drops a provider out of network. Setup is the easy part; staying enrolled is where revenue is usually lost.
Yes, both, and the behavioral health lines within them: detox, residential, PHP, IOP, and outpatient. We work from payer-specific playbooks for commercial and Medicaid enrollment so applications match what each one actually requires, which is where behavioral health providers most often get bounced.
Those claims are at risk, which is why enrollment status and billing belong together. We flag services rendered before a provider is in-network, pursue retro-authorization or effective-date backdating where a payer allows it, and hold or route claims so they aren't denied for enrollment gaps. You see every provider's status on one roster the whole time.
Credentialing stands on its own. We can run only your provider enrollment and re-credentialing and leave the rest of your billing alone, or carry it straight through to collections on one platform once providers are live. Either way we work inside the EHR and billing systems you already use.
Behavioral health credentialing services cover everything it takes to get a provider enrolled and billable with a payer: CAQH setup and upkeep, commercial and Medicaid enrollment applications, the follow-up that moves an application through a payer’s queue, and the re-credentialing that keeps an approved provider from lapsing. What separates a behavioral health credentialing team from a general medical one is the payer landscape. Detox, residential, PHP, IOP, and outpatient programs deal with level-of-care requirements, Medicaid managed-care plans, and payer rules that a general medical credentialer rarely touches.
The reason credentialing gets its own team is simple: a provider who is not yet enrolled cannot bill, and every week of delay is revenue the program never recovers. We treat enrollment as the front of the revenue cycle, not an afterthought, with behavioral-health-specific payer playbooks so applications go in complete the first time instead of bouncing back for missing detail.
It is one of the most expensive gaps in behavioral health: a provider is hired, credentialed clinically, and seeing clients, but the enrollment paperwork with the payers is still sitting in a queue. The sessions happen. The claims cannot go out. And every day that enrollment drags on is billable care the program will likely never collect on, because payers rarely backdate an effective date to cover it.
If your providers are ready but your enrollments are not, the first step is a billing audit: a structured look at which providers are enrolled with which payers, where applications are stuck, and where a re-credentialing date is about to lapse. In most programs the delay is not one big failure. It is a stack of small ones, an unsubmitted CAQH attestation, an application missing one document, a renewal nobody was tracking, that no single person had time to chase. Get the findings first, then decide what to do about them.
Detox and residential providers get enrolled against facility and program requirements that commercial and Medicaid payers scrutinize closely. PHP and IOP providers run into payer panels that treat those levels of care differently, and outpatient mental health groups add volume: new clinicians onboarding constantly, each needing enrollment across the same set of payers. Each level of care is its own enrollment puzzle, and a credentialing team that only works in behavioral health knows which payers move quickly, which require extra documentation, and where applications tend to stall.
Multi-location and growing programs feel this hardest, because the roster never stops changing. A provider added at one location, a clinician who now needs enrollment with a new plan, a re-credentialing date buried three months out. We manage the whole roster in one place and keep an auditable re-credentialing calendar, so enrollment keeps pace with your census instead of falling behind it.
BH Rev provides behavioral health credentialing services with one named team handling CAQH, payer enrollment, application follow-up, re-credentialing, and roster management, and the same team can carry the work forward into verification of benefits, coding, claim submission, denials, and A/R on one behavioral health platform. One team owning enrollment through collections means no handoff where a credentialed provider still somehow never gets billed, no single point of failure when someone leaves mid-application, and one set of numbers everyone answers to.
That accountability is visible, not promised. Enrollment status, application progress, and upcoming re-credentialing dates stay in the open instead of living in one person’s inbox, and a monthly scorecard puts it alongside the billing it feeds. Most credentialing arrangements go quiet until something lapses. This one runs where you can see it, whether we handle credentialing on its own or your full revenue cycle, and we staff to your volume as you add providers and locations.
