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Credentialing and payer enrollment that keeps revenue on schedule.

Enrollment, contracting, and recredentialing run as a revenue timeline, not a paperwork queue.

Credentialing delays are revenue delays.

A provider who is not enrolled cannot bill. Weeks lost to incomplete applications, slow payer responses, or an expired credential turn into claims you cannot submit.

AZ Integrated Health Solutions (AZI) runs credentialing as a scheduled operation with named owners and due dates, tied to your billing calendar so enrollment finishes before a provider starts seeing patients.

Start dates drive the timeline

Enrollment is scheduled backward from a provider’s first patient day.

One owner per application

Every payer file has a named owner, so nothing sits waiting on someone else.

Expirations tracked, not remembered

Licenses, DEA, and recredentialing dates are monitored before they lapse.

What credentialing and enrollment covers.

Six areas where enrollment status, payer records, and billing readiness have to stay in sync.

📝

Provider enrollment

Initial enrollment with Medicare, AHCCCS, and commercial payers.

DeliverableCompleted payer applications with approval tracking

🤝

Payer contracting

Contract requests, negotiation support, and fee schedule review.

DeliverableExecuted contracts and documented fee schedules

🔁

Recredentialing and revalidation

Revalidation cycles completed before deadlines create billing gaps.

DeliverableRevalidation calendar with owners and due dates

🏥

CAQH and roster upkeep

Profiles, attestations, and group rosters kept current with every payer.

DeliverableAttested CAQH profiles and clean payer rosters

📅

Expirables monitoring

Licenses, DEA, malpractice, and board certifications tracked to date.

DeliverableExpiration tracker with advance alerts

🧾

Billing handoff

Enrollment status connected to claims so nothing bills before approval.

DeliverableGo-live checklist shared with the billing team

Credentialing for a single provider, not just a group.

Credentialing is the most common way an individual provider starts with AZI, and it does not require a broader management engagement.

  • Solo practitioners opening or maintaining a payer panel.
  • Locum and part-time clinicians working across multiple sites.
  • Providers joining an existing group who need enrollment finished before their start date.
  • Telehealth clinicians managing multi-state licensure and payer records.

Engage AZI for credentialing on its own, or add revenue cycle, reporting, staffing, marketing, or technology later through an integrated management engagement.

Start an individual credentialing inquiry

How the work runs

How the credentialing engagement runs.

Every engagement runs the same four stages, each with a named owner and a due date tied to your billing calendar. Timelines vary by payer, state, and provider history. A new entity with no prior payer relationships typically runs six to eight months from intake to full enrollment.

  1. 01

    Intake and entity setup

    Confirm the legal entity, tax and NPI records, service locations, and the payer list the group needs. Where the entity is new, this covers the group NPI, CAQH registration, and the records payers require before an application can open.

  2. 02

    Provider documentation

    Collect and verify licensure, DEA, board certification, malpractice coverage, work history, and CAQH attestation for every provider in scope. Gaps get resolved here rather than after an application is filed.

  3. 03

    Payer enrollment

    File initial applications with Medicare, AHCCCS, and the commercial payers on your list, with contract requests and fee schedule review where a contract is needed. Each payer file has one named owner.

  4. 04

    Application monitoring and follow-up

    Track every application through to approval, follow up on payer responses, and confirm effective dates. Approved providers are handed to billing before anything is submitted, and revalidation dates go on the calendar the same day.

Credentials on the team: Certified Professional Coder (CPC), Certified Professional Biller (CPB), and Certified Professional Medical Auditor (CPMA), issued by AAPC.

What this looks like

A new entity, payer-ready in six to eight months

The situation

A newly formed healthcare organization needed its providers credentialed with payers and the administrative infrastructure to begin delivering services. No payer relationships, no enrollment history, and no back office in place.

What AZI did

Provided entity-development and implementation support: provider documentation, payer enrollment, application monitoring, and follow-up ran through one team that tracked every application until it cleared, alongside clearinghouse enrollment and setup, human resources and payroll systems, and a company handbook developed in collaboration with the organization’s legal team.

Outcome

Providers were credentialed within six to eight months while billing, payroll, and administrative operations were stood up in parallel. The organization moved into active operations and has since added service lines with AZI’s support.

One AZI engagement, anonymized with the client’s permission. Timelines vary by payer, state, and provider history.

Fit

Where credentialing fits.

A short read on whether this engagement is worth a conversation.

This fits when

  • A new entity or location needs providers enrolled before it can bill.
  • A provider is joining your group with a start date already set.
  • A solo or part-time clinician is maintaining panels across several payers.
  • CAQH profiles, group rosters, or revalidation dates have drifted out of date.
  • Revenue has already been lost to an expired license, DEA, or missed revalidation.
  • Licensure and payer records have to stay current in more than one state.

Not the right fit

Hospital privileging and medical staff appointment, which the facility controls, and payer disputes already in appeal or legal review.

Start with your enrollment list, not a contract.

Send the providers and payers you need enrolled. You get back the sequence, the owners, and the timeline before anything is signed.

Start a credentialing conversation
  1. Intake call

    Twenty minutes on the providers, the payers, and the dates you are working toward.

  2. Enrollment plan

    A written sequence with owners and target dates for each payer file.

  3. Written proposal

    Scope and fees for the enrollments in the plan, with nothing signed before you see it.