AI-Assisted Credentialing & Enrollment

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
See The Process
500+ providers across 40+ states
Credentialing specialist - Sirius Solutions Global
40%
Faster Timeline
500+
Providers Credentialed

Credentialing & Enrollment Across Every Major Payer

40%Faster Timelinevs standard credentialing avg
50+Payers Enrolledcommercial & government
500+Providers Credentialedacross 40+ states
6+Years in Credentialingall specialties, all payers
The Cost of Getting It Wrong

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.

$500+
Lost per uncredentialed provider day

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.

Day 1
Referrals you cannot accept

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.

Retro
Claim denials from incomplete files

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.

Full-Scope Coverage

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.

Initial Provider Credentialing

Licenses, degrees, certifications, and malpractice history fully verified from primary sources.

Payer Enrollment

Applications submitted and tracked with Medicare, Medicaid, Aetna, BCBS, Cigna, UHC, and 50+ more.

NPI Registration

Type 1 (individual) and Type 2 (organization) NPI registration, updates, and ongoing management.

CAQH Profile Setup & Maintenance

Profile creation, data verification, and regular re-attestation managed so your profile never lapses.

Medicare PECOS Enrollment

PECOS submission, attestation, and revalidation managed end-to-end with CMS requirements met.

Re-Credentialing & Revalidation

Renewal tracking across all payers monitored and actioned before expiration - nothing ever lapses.

Multi-State & Telehealth Enrollment

State licenses and payer panels maintained across state lines for telehealth and multi-location providers.

Payer Portal Setup & Management

Login credentials, application submission, and ongoing management of all payer online portals handled.

Credentialing Audit & Cleanup

Fixing outdated profiles, previously rejected applications, and gaps in existing credentialing files.

Ongoing Monitoring & Reporting

Real-time status updates, expiration alerts, and renewal reminders - so you are never caught off guard.

Payer Coverage

We Credential & Enroll With Every Major Payer

Every commercial payer, every government program. One team. One process. No payer left uncovered.

Medicare
Medicaid
Aetna
Blue Cross Blue Shield
Cigna
UnitedHealthcare
Humana
Tricare
Molina Healthcare
WellCare

And 40+ additional commercial and regional payers

Our Process

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.

1
Day 1-3

Application & Documents

Gather all provider credentials, verify licenses, complete CAQH profile, and confirm payer target list.

2
Day 4-10

Primary Source Verification

Credentials, education, board certification, and malpractice history verified directly from primary sources.

3
Day 11-20

Payer Submission

Applications submitted electronically to all target payers simultaneously. Confirmation numbers logged and tracked.

4
Day 21-60

Active Follow-Up

Status tracked daily. Payer communications, document requests, and pending items resolved proactively.

5
Day 60-90

Panel-Ready

Effective date confirmed, payer IDs assigned, and first claims submittable. Your provider is live and billing.

AI-Assisted Tracking

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.

  • Auto-fill & CAQH Mapping - Pre-populate fields from verified sources. Zero manual re-entry, zero transcription errors.
  • Document OCR & Parsing - License numbers, DEA dates, and expiration dates extracted automatically from uploaded documents.
  • Expiration & Renewal Alerts - Proactive reminders before re-attestations, revalidations, and license renewals are due.
  • Payer-Rule Detection - System flags payer-specific documentation requirements so credentialers catch exceptions before submission.
  • Centralized Status Dashboard - Every provider, every payer, every deadline in one real-time view accessible at any time.
Credentialing Tracker
Live
Provider Payer Status
Dr. Sarah Mitchell Aetna Panel Ready
Dr. James Torres UnitedHealthcare In Review
Dr. Karen Lee Medicare Submitted
Dr. Michael Ross BCBS Renewal Due
14
Active
5
In Review
1
Renewal Due
Last updated
Just now
Why Choose Us

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.

Why choose Sirius for credentialing
40%
Faster Timeline
6+ Years
Credentialing all specialties across all 50 states

AI + Human

Automation handles the repetitive work. Certified credentialing specialists handle payer relationships, exceptions, and escalations.

40%
Faster credentialing vs industry average
50+
Payers enrolled and actively managed
500+
Providers successfully credentialed

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.

Partner Success

Trusted by Practice Administrators Nationwide

Real credentialing outcomes from real practices - not estimates.

★ Featured Testimonial

"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."

PM
Patricia Moore
Practice Administrator - Multi-Specialty Group, Dallas TX
★ Featured Testimonial

"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."

RK
Dr. Robert Kim
Medical Director - Multi-State Telehealth Practice
Verified
"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."
18 daysFrom rejected to panel-ready
LR
Lisa Reed
Office Manager - Family Practice, Houston TX
Verified
"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."
6Profiles corrected in 72 hours
TN
Tom Nguyen
COO - Multi-Specialty Clinic, Phoenix AZ
Verified
"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."
Day 31First in-network patient seen
AC
Dr. Andrea Cruz
Solo Practice Owner - Internal Medicine, Miami FL
Questions

Questions About Credentialing?

Straightforward answers to what practices ask most before getting started.

Credentialing is how payers and hospitals verify a provider's qualifications - license, education, board certification, malpractice history. Without it, your provider cannot join a payer panel and your claims cannot be paid. Get it right and claims flow. Miss a step and you face denials, delays, and lost revenue.
Most providers are panel-ready within 60-90 days depending on the payer and specialty. With our process, we cut the typical timeline by up to 40% through parallel payer submissions, proactive follow-up, and eliminating rework caused by incomplete applications.
CAQH ProView is the centralized database most major payers use to verify provider credentials. We set up your profile, populate it accurately, and handle the re-attestation process every 120 days so your data never goes stale. An expired CAQH profile can halt credentialing across multiple payers at once.
Yes. We manage the full PECOS process - initial enrollment submission, identity proofing, attestation, and revalidation cycles. Medicare revalidation is required every 5 years for most providers. We track every deadline and submit before the window closes.
All of them. Medicare, Medicaid, Aetna, BCBS, Cigna, UnitedHealthcare, Humana, Tricare, Molina, WellCare, and 40+ additional commercial and regional payers. We maintain up-to-date payer-specific requirements for every network we work with.
Yes - multi-state credentialing and telehealth enrollment is one of our core specializations. Each state has its own licensing board requirements, Medicaid enrollment process, and commercial payer rules. We manage all of it from a single point of contact.
Pricing starts at $99 per payer enrollment with no long-term contracts. We also offer full-service credentialing packages for practices adding multiple providers or managing ongoing renewals across a large panel. Contact us for a custom quote based on your provider count and payer mix.
We investigate the rejection reason, correct the root issue, and resubmit with complete documentation. Most rejections trace back to missing documents, incorrect NPI information, or incomplete CAQH data - all fixable quickly when you know what to look for.
Yes. Re-credentialing cycles vary by payer (typically every 2-3 years for commercial, every 5 years for Medicare). We track every renewal date, submit applications proactively, and alert your team to any provider actions required. Nothing lapses.
Credentialing is the verification of a provider's qualifications. Enrollment is the administrative process of getting that provider assigned payer IDs and contract access so claims can actually be submitted. You need both. Credentialing without enrollment means the payer knows who you are but cannot pay you. We handle both from start to finish.
Yes. Telehealth credentialing requires state-by-state licensing and payer enrollment across every state the provider sees patients in. We manage the full multi-state credentialing and telehealth enrollment workflow, including Medicaid enrollment in each relevant state.
You have real-time access to our credentialing dashboard - every provider, every payer, every status, and every upcoming deadline visible at any time. No more calling payers to find out where things stand. You see exactly what we see.
Absolutely. Credentialing audit and cleanup is one of our most requested services. We assess your current state, identify expired enrollments, outdated CAQH profiles, missing payer IDs, and rejected applications - then fix everything systematically and build a maintenance process so it never happens again.
All of them. Primary care, internal medicine, psychiatry, behavioral health, acupuncture, physical therapy, chiropractic, oral surgery, dermatology, orthopedics, cardiology, oncology, and 40+ more. Every specialty has unique payer documentation requirements. Our credentialing team knows them all.
Get your free credentialing assessment
Ready to Get Panel-Ready?

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
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