· Reviewed by Nimra Khalid
What is credentialing outsourcing?
Credentialing outsourcing means a remote team prepares and follows up on the applications that let a provider bill a payer: CAQH profiles, NPI records, Medicare and Medicaid enrollment, commercial payer applications and periodic revalidations. The practice keeps ownership of every login and signs every attestation. The provider assembles the packets, submits them, chases the payer and tracks deadlines.
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Credentialing: what we do and how it runs
Credentialing outsourcing means a remote team prepares and follows up on the applications that let a provider bill a payer: CAQH profiles, NPI records, Medicare and Medicaid enrollment, commercial payer applications and periodic revalidations. The practice keeps ownership of every login and signs every attestation. The provider assembles the packets, submits them, chases the payer and tracks deadlines.
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What it is
Credentialing outsourcing means a remote team prepares and follows up on the applications that let a provider bill a payer: CAQH profiles, NPI records, Medicare and Medicaid enrollment, commercial payer applications and periodic revalidations. The practice keeps ownership of every login and signs every attestation. The provider assembles the packets, submits them, chases the payer and tracks deadlines.
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What you get
One named specialist owns every application from packet to approval
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How it runs
CAQH, NPI, PECOS and payer portals kept current and attested
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Billing audit call
A 30-minute call to list your providers, locations, tax IDs, current payer enrollments and any applications already in progress. We identify which enrollments are holding claims today.
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A named accountant, a backup and a team lead
Inside your own software, on a fixed close calendar, with a reply from a person within 1 business day. Call +1-657-777-0006 or start a quote.
Book a billing audit 06 / 06
Who it is for
Growing practices
You are adding a provider or a location and every payer wants a different form. Until enrollment is approved, that provider's claims sit unpaid.
Practice administrators
You keep a spreadsheet of expirations and attestations and dread the day one slips. A dedicated specialist turns that spreadsheet into a tracked process with reminders.
Agencies and suppliers
Home care agencies, DME suppliers and labs need Medicaid, MCO and Medicare enrollment across states, plus revalidation on each payer's cycle.
What's included
- CAQH profile setup, document upload and re-attestation every 120 days
- NPI creation and updates in NPPES for individuals and groups
- Medicare enrollment and changes through PECOS, including reassignment of benefits
- State Medicaid and MCO enrollment for each state you serve
- Commercial payer applications and contract follow-up until approval
- Group linking so new providers bill under your tax ID and locations
- EFT and ERA enrollment with each payer once approved
- Revalidation calendar with reminders 90 days before each due date
- Expirables tracking: licenses, DEA, board certifications, malpractice coverage
- Payer follow-up calls every two weeks until a decision is issued
- Weekly status report per provider and payer
- Credentialing file kept per provider for audits and hospital privileges
Deliverables and KPIs
| Deliverable | KPI we report | Cadence |
|---|---|---|
| Applications submitted | Submitted within 5 business days of a complete document packet | Per application |
| Payer follow-up | Every open application contacted at least every 2 weeks with notes logged | Biweekly |
| CAQH attestation | Every profile re-attested before the 120-day window closes | Quarterly |
| Revalidation tracking | Reminder issued 90 days before each payer revalidation date | Monthly |
| Expirables tracking | No license, DEA or malpractice document lapses without a 60-day warning | Monthly |
| Status report | Enrollment cycle time reported per payer and provider | Weekly |
KPIs are what we measure and report, agreed per engagement. Service-level commitments are set in your agreement.
How it works
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Billing audit call
A 30-minute call to list your providers, locations, tax IDs, current payer enrollments and any applications already in progress. We identify which enrollments are holding claims today.
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Document packet and access
We send a checklist per provider: license, DEA, board certificates, malpractice face sheet, work history and identification. You grant delegated access to CAQH, PECOS, NPPES and payer portals, and we sign a BAA.
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Dedicated specialist assigned
A named credentialing specialist, a backup and a team lead take over the applications. Each payer application is tracked from packet to approval on one log you can see in the LedgerDesk client portal.
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Follow-up and maintenance
Open applications are chased every two weeks and status is reported weekly. Once approved, the specialist enrolls EFT and ERA, updates payer IDs in your billing system and adds the revalidation date to the calendar.
Software we work in
How much does credentialing cost?
Credentialing is commonly priced per application, per provider per payer, or as a monthly maintenance fee for attestations, revalidations and expirables tracking. Most practices combine a per-application fee for new enrollments with monthly maintenance, and engagements run month-to-month. Pricing depends on volume and scope, so we send a custom quote within 1 business day.
What moves the quote
- Number of providers and locations to enroll
- Number of payers and states per provider
- Whether ongoing maintenance (CAQH, revalidation, expirables) is included
- Applications already in progress that need to be rescued
Market benchmarks
| Market | Typical range | Source |
|---|---|---|
| US | Dedicated offshore back-office staff typically run $8 to $35 per hour all-inclusive, against $40 to $75 per hour for US-based staff | Madras, Acculink, Rose Talent (2026) |
Third-party ranges for orientation, not our prices.
Book a billing audit No setup fee. Month-to-month.
Credentialing for your industry
Security and compliance
- HIPAA-trained staff, a signed BAA, and delegated portal access you can revoke at any time
- MFA on every login, per-client access logs, provider documents stored in your drive not ours
- Every attestation and signature is made by the provider; we prepare, you sign
Full control list on the security page and country rules on the compliance page. Certifications are listed only when held.
Frequently asked questions
How much do credentialing services cost?
Pricing depends on volume and scope, and we send a custom quote within 1 business day. Credentialing is commonly priced per application, per provider per payer, or as a monthly maintenance fee for attestations, revalidations and expirables. As a market reference, dedicated offshore back-office staff typically cost $8 to $35 per hour all-inclusive, compared with $40 to $75 per hour for US-based staff (Madras, Acculink, Rose Talent, 2026).
How long does payer enrollment take?
It depends on the payer, and we do not promise a timeline that a payer controls. Medicare enrollment through PECOS and commercial payer credentialing each have their own review cycles that commonly run several weeks to a few months. What we control is submitting a complete packet quickly, following up every two weeks and reporting cycle time per payer so you can plan start dates.
Is credentialing delivered by LedgerBPO or SS Support Network?
Both. LedgerBPO is the accounting and billing division of SS Support Network LLC, and credentialing is delivered by the same healthcare BPO team that supports practices and agencies at https://sssupportnetwork.llc/. You sign one agreement, and the credentialing specialist works alongside the biller so approved enrollments are loaded into your billing system straight away.
What documents do you need from each provider?
A current state license, DEA registration where applicable, board certificates, malpractice insurance face sheet, education and training history, a complete work history with gaps explained, a government ID and a signed authorization to act on the provider's behalf. We send a checklist per provider and track what is missing on the weekly report.
Do you keep CAQH profiles up to date?
Yes. CAQH requires re-attestation every 120 days, and we re-attest each profile before the window closes, upload renewed documents and confirm that each payer you work with is authorized to view the profile. A lapsed attestation is one of the most common reasons a payer pauses claims.
Can you rescue applications that are already stuck?
Yes. We start by pulling status on every open application, calling each payer for the reason it is pending, and fixing missing items in the packet. Applications that were never received are resubmitted. You receive a single log of every application, its status and its next action within the first two weeks.
Do you handle revalidations and expirables?
Yes. Medicare, Medicaid and many commercial payers require periodic revalidation, and licenses, DEA registrations and malpractice policies all expire. Each date sits on a calendar with reminders 90 days ahead for revalidations and 60 days ahead for expirables, so nothing lapses without warning.
What happens to claims while a provider is waiting for approval?
That depends on each payer's rules on retroactive effective dates and billing under a supervising provider, and we explain the options for each payer during enrollment. Our medical billing team holds those claims in a tracked queue and releases them the day the enrollment is approved, so nothing is lost to timely filing.
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