At Health Align Solutions, we get how tough and time-consuming credentialing can be it often slows down getting paid and seeing patients. That’s why we handle everything for you, from getting you enrolled with all the major insurance companies and setting up fee-for-service or scheduled contracts, to taking care of all the paperwork and follow-ups. This way, you can focus on what you do best taking care of your patients and growing your practice without the hassle.
We create and consistently update your CAQH profile, making sure all sections are thoroughly completed and attested on time. This helps avoid delays with insurance approvals and keeps your enrollment process on track.
From securing your National Provider Identifier (NPI) to completing Medicare provider enrollment, we manage your NPPES and PECOS registrations end-to-end. This spares you the hassle of navigating federal portals and ensures prompt access to Medicare and Medicaid programs.
We oversee your Electronic Data Interchange (EDI) and Electronic Funds Transfer (EFT) enrollments so claims can be submitted electronically and payments received faster. Many providers experience lengthy wait times here — we prevent those delays with proactive monitoring and follow-ups.
Whether you’re undergoing initial credentialing or re-credentialing, we handle every step: preparing applications, gathering documents, submitting forms, and managing ongoing follow-ups. We also monitor renewal deadlines so your contracts remain current and your practice stays fully operational.
We collaborate with commercial and government payers to ensure your providers join in-network swiftly and receive fair reimbursement rates. Our negotiation expertise helps maximize your revenue by securing competitive contracts.
Instead of simply submitting paperwork and waiting, we actively track each application’s progress, follow up with payers, and escalate any issues. You’ll always be informed of your credentialing status without any added effort on your part.
If your current credentialing records are disorganized or outdated, we perform a thorough audit — reviewing login details, NPI links, and enrollment history — then fix errors and gaps to restore active status and recover lost revenue.
As your practice grows, we manage all revalidations, renewals, and new payer enrollments to avoid interruptions in billing, prevent eligibility lapses, and maintain full compliance with regulatory requirements
Real-time insurance verification is a key area where front desk teams contribute significantly in preventing claim denials and facilitating billing.
When it comes to credentialing, you should look no further than the Health Align Solutions, the best credentialing services provider. We have a highly experienced team, plus we use advanced tools to provide you with next-level services. Our success ratio is 99% and we ensure that the tasks are completed timely manner. No billing services provider can match the efficiency of the Health Align Solutions
(Medicare, Medicaid, Tricare)
Processing Time
Takes 3–6 months (industry average)
Compliance Requirements
Have strict CMS/state mandates
Application Complexity
Complex PECOS enrollment and state-specific forms
Reimbursement Focus
Have fixed fee schedules
Approval Rate
85% first-pass success rate in the industry
(Aetna, United Healthcare, BCBS, etc.)
Processing Time
Takes 2–4 months (varies by payer)
Compliance Requirements
Have Payer-specific rules
Application Complexity
Complicated CAQH profiles and payer portals
Reimbursement Focus
Rates are negotiable.
Approval Rate
75% first-pass success rate in the industry.
Processing Time
We slash timelines by 70%. We take 45 days for Medicare and 30 days for commercial payers.
Compliance Requirements
We pre-audit apps for CMS and commercial standards.
Application Complexity
We handle both error-free PECOS submissions and CAQH automation.
Reimbursement Focus
We push for 12–22% higher rates with commercial payers.
Approval Rate
Health Align Solutions promises a 98% first-pass rate with AI checks and payer relationships.