Provider Credentialing Services

AelfaCred supports hospitals, medical groups, clinics, and other healthcare organizations with provider credentialing, ongoing maintenance, and recredentialing. Our specialists coordinate documentation and payer follow-ups, while the platform helps your team track application status, organize records, and monitor upcoming deadlines.

01Collect
02Verify
03Enroll
04Maintain

What Our Specialists Handle

Pick one service or combine all three. You choose which providers and tasks we take on.

01

Provider Credentialing

We collect provider documents and complete applications, then follow up with payers on anything outstanding.

  • Collect provider documents and flag what is missing.
  • Prepare applications for commercial payers, Medicare, and Medicaid, and set up the CAQH profile.
  • Follow up on pending requests and record each payer’s response.
  • Track enrollment status and the next step for each provider and payer.
02

Credentialing Maintenance

Credentialing information goes stale between applications. We keep it current so the next payer request does not start a scramble.

  • Maintain CAQH profiles and complete attestations on schedule.
  • Track license, certification, and malpractice coverage expirations, and collect renewals before they lapse.
  • Update group and provider directory information every three months.
  • Keep supporting documents organized for any payer request.
03

Recredentialing

Each commercial payer sets its own recredentialing cycle, so due dates differ by payer. Most Medicare providers and suppliers revalidate every five years, and DMEPOS suppliers every three.

  • Build a calendar of recredentialing and revalidation due dates by payer.
  • Gather updated documents ahead of each request.
  • Submit updates and answer payer questions.
  • Follow up until the payer confirms completion.

Stop chasing paperwork. Start moving providers.

Discuss Your Credentialing Needs

Who We Work With

Requirements differ by organization type, so we scope each engagement to your setup.

Hospitals and Health Systems

Provider credential files, privileging documents and renewal milestones across departments and locations.

Medical Groups and Clinics

Individual provider records, group enrollment and payer applications for new clinicians and ongoing maintenance.

Surgery Centers and Other Facilities

Ambulatory surgery centers, rural health clinics and FQHCs, each with its own enrollment requirements.

Billing Companies

Provider records and application tasks for every practice you serve, with missing documents, pending signatures and follow-ups visible for each file.

Independent Physicians

Application preparation, CAQH upkeep and renewal tracking for a solo practice, with specialist support when you don’t have a credentialing staff.

In-House Teams

Use the AelfaCred platform on its own to track applications, expirations and signatures. Add specialists if volume grows.

Tell Us What To Take Off Your Plate

Describe your credentialing workload. We will recommend which tasks to take on and define the scope.

FREQUENTLY ASKED QUESTIONS

01What credentialing services does AelfaCred provide?

Application preparation, primary source verification, payer enrollment follow-up, CAQH profile support, recredentialing and revalidation tracking, and ongoing record maintenance, all within an agreed scope.

02How long does credentialing take?

Commercial payers commonly take two to four months, and some take longer. Medicare and Medicaid depend on the state and the type of application. We cannot speed up a payer’s review, so we concentrate on sending complete applications and following up on a schedule. Once we know your payers, we can give you a better estimate.

03What do you need from us to get started?

A provider roster with the payers you want to enroll with, plus current licenses and credential documents.

04Who reviews applications before submission?

Your team. You review the details and provide the required signatures or authorizations before anything goes out.

05Can we outsource only part of the process?

Yes. Your team keeps the tasks you choose and our specialists take the ones we agree on.

06Do you guarantee payer approval?

No. Credentialing and enrollment decisions belong to the payer. We help with preparation, tracking, and follow-up.

07Do you support hospitals and medical groups?

Yes. Services can be scoped for hospitals, medical groups, clinics, and other healthcare institutions based on their provider roster, facility structure, payer requirements, and operational needs.

08What is credential maintenance?

Credential maintenance is the ongoing work of keeping licenses, certifications, CAQH information, supporting documents, and renewal dates current after initial credentialing.

09Can AelfaCred help with recredentialing and revalidation?

Yes. AelfaCred can help track recurring deadlines, prepare renewal workflows, organize required documentation, and follow up on outstanding items. Payers and credentialing bodies determine their own review timelines and decisions.

010Can the software be used without managed services?

Yes. Organizations can use the platform internally, select agreed managed services, or combine both approaches.