Your Providers.
Panel-Ready. 40% Faster.
Every day without credentials is a day your providers cannot see patients and your practice cannot collect. We manage the entire process - start to finish, without the paperwork nightmare.
- CAQH, PECOS, NPI, Medicare, Medicaid & 50+ commercial payers
- Reduce credentialing timelines by up to 40%
- Multi-state and telehealth enrollment handled end-to-end
- Ongoing monitoring - never miss a renewal or revalidation again
Credentialing & Enrollment Across Every Major Payer
Credentialing Delays Cost More Than Just Time
Most practices underestimate what slow, incomplete, or broken credentialing is actually costing them. Here is the real math.
A provider generating $15K/month loses over $500 for every day they are not panel-ready. A 30-day delay costs your practice $15,000 in collectible revenue - gone.
Without panel approval, in-network patients go elsewhere. Every day in credentialing limbo is a scheduling slot you cannot fill and a referral relationship you risk losing.
Payers audit credentialing files. Gaps or expired data mean retroactive denials reaching back months - not just going forward. An incomplete file is a liability waiting to be triggered.
Everything Credentialing.
Nothing Missed.
From initial setup to ongoing renewals, we manage every step of the credentialing and enrollment lifecycle so nothing slips through the cracks.
Licenses, degrees, certifications, and malpractice history fully verified from primary sources.
Applications submitted and tracked with Medicare, Medicaid, Aetna, BCBS, Cigna, UHC, and 50+ more.
Type 1 (individual) and Type 2 (organization) NPI registration, updates, and ongoing management.
Profile creation, data verification, and regular re-attestation managed so your profile never lapses.
PECOS submission, attestation, and revalidation managed end-to-end with CMS requirements met.
Renewal tracking across all payers monitored and actioned before expiration - nothing ever lapses.
State licenses and payer panels maintained across state lines for telehealth and multi-location providers.
Login credentials, application submission, and ongoing management of all payer online portals handled.
Fixing outdated profiles, previously rejected applications, and gaps in existing credentialing files.
Real-time status updates, expiration alerts, and renewal reminders - so you are never caught off guard.
We Credential & Enroll With Every Major Payer
Every commercial payer, every government program. One team. One process. No payer left uncovered.
And 40+ additional commercial and regional payers
Credentialing vs. Enrollment: What's the Difference?
These terms are used interchangeably — but they describe distinct processes. Understanding both prevents timeline confusion and missed revenue.
| Factor | Credentialing | Provider Enrollment |
|---|---|---|
| Core Purpose | Verification — confirms qualifications, training, licensure, and background meet required standards | Registration — formally registers the provider with a payer so claims can be processed and paid |
| Who Conducts It | Hospitals, health systems, managed care organizations, credentialing committees | Insurance payers — Medicare, Medicaid, commercial insurers, CMS, state agencies |
| Output | Credentialing approval — provider may practice at the facility or join payer network | Enrollment confirmation + effective date — billing can begin |
| Key Systems | CAQH ProView, hospital medical staff office, credentialing software | PECOS (Medicare), state Medicaid portals, payer-specific enrollment portals |
| Recurrence | Every 2–3 years (payers); every 2 years (hospitals) | Revalidation every 5 years (Medicare); varies by payer |
| Revenue Impact | Cannot bill in-network without completed credentialing | Cannot receive insurance payment without completed enrollment |
Panel-Ready in 60-90 Days. We Track Every Step.
A clear, managed process from day one to first claim. No guesswork. No missed deadlines. No surprises.
Application & Documents
Gather all provider credentials, verify licenses, complete CAQH profile, and confirm payer target list.
Primary Source Verification
Credentials, education, board certification, and malpractice history verified directly from primary sources.
Payer Submission
Applications submitted electronically to all target payers simultaneously. Confirmation numbers logged and tracked.
Active Follow-Up
Status tracked daily. Payer communications, document requests, and pending items resolved proactively.
Panel-Ready
Effective date confirmed, payer IDs assigned, and first claims submittable. Your provider is live and billing.
What Documents Does Credentialing Require?
Incomplete documentation is the single biggest cause of credentialing delays. We audit every document package before a single application is submitted.
Primary Credentials
- Current CV — chronological, no unexplained gaps
- Active state medical license(s)
- DEA registration certificate (prescribers)
- Board certification certificate(s)
- Medical school diploma / degree
- Residency / fellowship completion certificates
Identity & Practice
- Government-issued photo ID
- NPI confirmation — Type 1 (individual)
- CAQH ProView ID + attestation confirmation
- Professional liability declarations page
- Signed W-9 + voided check
- Work history — last 5–10 years (payer dependent)
Group / Practice
- NPI Type 2 (organization)
- IRS EIN letter
- Business / legal entity documentation
- Group liability insurance declarations
- CMS-855B + CMS-855R (Medicare group)
- Practice ownership documentation
Automation Where It Saves Time. Humans Where It Matters.
We use AI to eliminate manual errors and accelerate processing. Our specialists make judgment calls, manage payer relationships, and handle the exceptions technology cannot.
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Auto-fill & CAQH Mapping - Pre-populate fields from verified sources. Zero manual re-entry, zero transcription errors.
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Document OCR & Parsing - License numbers, DEA dates, and expiration dates extracted automatically from uploaded documents.
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Expiration & Renewal Alerts - Proactive reminders before re-attestations, revalidations, and license renewals are due.
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Payer-Rule Detection - System flags payer-specific documentation requirements so credentialers catch exceptions before submission.
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Centralized Status Dashboard - Every provider, every payer, every deadline in one real-time view accessible at any time.
The Sirius Difference in Credentialing
Your front office should be focused on patients, not chasing payer portals. Here is why practices across 40+ states trust us with their credentialing.
AI + Human
Automation handles the repetitive work. Certified credentialing specialists handle payer relationships, exceptions, and escalations.
Fully HIPAA Compliant
256-bit AES encryption, zero data breaches in 6+ years, PCI-DSS Level 1 certified. Your provider data and patient records handled with the highest security standards.
Real-Time Visibility
Live dashboard showing every provider, every payer, every status, and every upcoming deadline. Full transparency at every stage of the process.
We Credential Every Specialty. Every Provider Type.
From solo practitioners to large multi-specialty groups — if you bill insurance, we credential you.
| Specialty Category | Provider Types We Credential | Key Credentialing Consideration |
|---|---|---|
| Behavioral Health | Psychiatrists, Psychologists, LCSWs, LPCs, LMFTs, PMHNPs, ABA providers, Addiction counselors | Mental health parity compliance, behavioral health carve-out plans, state Medicaid pathways |
| Primary Care | Family medicine, Internal medicine, Pediatrics, Geriatrics, Hospitalists | Full panel enrollment with all major commercial payers, Medicare, and state Medicaid |
| Surgical Specialties | General surgery, Orthopedics, Neurosurgery, Spine, Bariatric, Vascular, Plastics | Hospital privileging for OR procedures often required alongside insurance enrollment |
| Advanced Practice | Nurse Practitioners, Physician Assistants, CRNAs, Certified Nurse Midwives | Collaborative practice agreement documentation; state-specific supervising physician requirements |
| Therapy & Rehab | Physical Therapy, Occupational Therapy, Speech-Language Pathology, Audiology, Chiropractic | Specialty-specific payer credentialing; Medicare enrollment under correct provider type |
| Telehealth | All telehealth and telepsychiatry providers — single state or multi-state | Multi-state licensure + payer enrollment in each patient state; IMLC coordination |
| Dental | General dentists, Oral surgeons, Periodontists, Orthodontists, Endodontists | Delta Dental, Cigna Dental, MetLife, Aetna Dental, United Concordia enrollment |
| Home Health & DME | Home health agencies, DME/DMEPOS suppliers, Infusion therapy | CMS surety bond, accreditation coordination, DMEPOS supplier enrollment (CMS-855S) |
Trusted by Practice Administrators Nationwide
Real credentialing outcomes from real practices - not estimates.
"We added three new providers in Q1 and Sirius had all of them credentialed within the expected window. No delays, no surprises. They even caught a CAQH attestation that had lapsed without our knowledge and fixed it before it impacted a single claim."
"We operate across four states and credentialing was a constant nightmare. Sirius consolidated everything into one managed process. We have not had a lapsed enrollment since they took over, and the dashboard gives me visibility I never had before."
"One of our providers was stuck in credentialing limbo for 11 weeks with our previous company. Sirius cleaned up the rejected application and had her panel-ready in 18 days. We started seeing patients that same week."
"CAQH profiles were outdated across six of our providers and none of us knew. Sirius audited everything, corrected all the data, and set up automated renewal alerts. We have had zero credentialing issues in 14 months."
"I opened a solo practice from scratch. Sirius handled every enrollment from NPI registration to PECOS to all commercial payers. I saw my first in-network patient on day 31. That would not have happened if I did it alone."
10 Credentialing Mistakes Costing Practices Revenue
Most credentialing delays trace back to the same preventable errors. Here's what to watch for — and how we prevent every one.
| Credentialing Mistake | Revenue Impact | How We Prevent It |
|---|---|---|
| Incomplete CAQH profile | Delays every commercial payer simultaneously — one error, multiple cascades | Pre-submission CAQH audit before any payer application begins |
| Expired CAQH attestation | Profile goes dark — payers cannot access data; stalls in-progress applications | Quarterly re-attestation on managed calendar — never missed |
| NPI taxonomy code mismatch | Claims route to wrong specialty; denials even after credentialing completes | NPI taxonomy verified against all billed services before submission |
| Missing Medicare revalidation | Billing privileges deactivated — all Medicare claims rejected until reactivation | PECOS revalidation tracker; action initiated immediately upon CMS notice |
| CV gaps without explanation | Application flagged; payer requests explanation; processing delayed by weeks | CV audit before submission — gaps identified, explanation letters prepared |
| Wrong malpractice coverage dates | Application rejected for apparent coverage gap; resubmission required | Coverage certificates reviewed; continuous coverage documentation secured |
| Applying to closed panels | Weeks lost on an application that was never going to succeed | Panel status verified for every target payer before application initiated |
| Billing before effective date | Claims denied as pre-enrollment — non-appealable with most payers | Effective date confirmed in writing with every payer before billing begins |
| Missing DEA for prescribers | Required for all prescribers; omission causes immediate application rejection | DEA status and expiration verified at start of every engagement |
| Missed recredentialing deadlines | Contract terminated — practice discovers only when claims are denied | Active recredentialing calendar; renewals initiated 90 days before deadline |
Questions About Credentialing?
Straightforward answers to the questions every provider asks before getting started.
Get Your Free Credentialing Assessment
In 30 minutes, we will review your current credentialing status, identify any gaps or upcoming expirations, and give you a clear roadmap to panel-ready. No obligation.
- Full review of your current credentialing and enrollment status
- Identify any expired, expiring, or missing payer enrollments
- Custom panel-ready roadmap with realistic timeline estimate
- Response within one business day
HIPAA-compliant. Your information is never shared.