Credentialing & Payer Contracting
Credentialing errors lead to denied claims, delayed reimbursements, and lost revenue. We ensure every provider is properly enrolled before the first claim is submitted.
Book a Discovery CallNo obligation. No long-term contracts.
The Reality
Every payer has different enrollment requirements and approval timelines. A single enrollment mistake can delay reimbursement for weeks, leaving providers seeing patients without getting paid. Most practices discover the issue only after claim denials begin to accumulate.
Talk With Our TeamSuccess Story
See how Lama Healthcare partners with practices to improve operational efficiency, strengthen revenue cycles, and create measurable business outcomes.
Real Incident
Las Vegas Medical Practice
A newly hired provider was successfully credentialed and immediately began seeing patients. Weeks later, claim denials started piling up because the provider had been enrolled under the wrong specialty taxonomy code. We identified the issue, corrected the enrollments, coordinated with payers, and helped recover as much revenue as possible.
Our Services
From first enrollment to ongoing maintenance, we manage every stage of provider credentialing with complete visibility and accountability.
Complete provider enrollment across Medicare, Medicaid, and commercial payers, tracked from submission to approval.
Keep CAQH profiles accurate, up to date, and fully compliant to prevent enrollment delays.
Manage PECOS, Medicaid, and NPI enrollment to ensure providers are ready to bill.
Monitor renewals, submit applications early, and prevent credentialing lapses.
Review payer agreements, identify opportunities, and support stronger reimbursement rates.
Resolve enrollment denials with documentation, appeals, and direct payer follow-up.
Track every application, milestone, and approval with real-time visibility through Practice One.
Oversee external vendors, monitor timelines, and ensure every enrollment stays on track.
Why Choose Lama Healthcare
Most practices use separate vendors for credentialing and billing. We bridge that gap by ensuring every enrollment milestone is communicated to billing before claims are submitted, eliminating the disconnect that causes preventable denials.
Every enrollment approval, taxonomy code, effective date, and payer confirmation is shared with your billing team before claims are submitted.
Track every provider, payer, application status, approval, and renewal deadline through Practice One without chasing vendors for updates.
Instead of coordinating multiple vendors, you work with one team that manages credentialing, follows up with payers, resolves delays, and keeps your practice informed.
Who We Serve
Whether you're onboarding new providers, expanding locations, or managing multiple specialties, we ensure your providers are credentialed correctly and ready to bill.
Credentialing support for single and multi-provider physician groups.
Provider enrollment and payer contracting for growing NP practices.
Credentialing management for therapists, psychiatrists, psychologists, and counselors.
End-to-end enrollment for specialty providers with complex payer requirements.
Provider credentialing and payer enrollment for outpatient surgical facilities.
Enrollment management for home health agencies, physical therapy, and rehabilitation practices.
Our Process
Every provider follows the same standardized process, ensuring nothing is missed before the first claim is submitted.
We review your providers, specialties, payer mix, existing enrollments, and documentation requirements.
Our team prepares CAQH, Medicare, Medicaid, commercial payer applications, taxonomy information, and supporting documents.
Applications are submitted, tracked continuously, and followed up with payers until approval is received.
Enrollment details, payer approvals, taxonomy codes, and effective dates are verified with your billing team before claims begin.
We continue tracking recredentialing deadlines, enrollment updates, payer changes, and contract renewals throughout the provider lifecycle.
What You Gain
Our focus is reducing administrative delays and ensuring providers can begin billing with confidence.
Featured Metric
Track every provider, payer, and credentialing milestone from one dashboard.
One team manages applications, follow-ups, escalations, and communication.
Know exactly where every application stands without contacting multiple vendors.
Proactive monitoring helps prevent avoidable credentialing lapses.
Frequently Asked Questions
The timeline depends on each payer. Medicare, Medicaid, and commercial insurers all have different processing times. We track every application proactively and follow up regularly to minimize delays.
Providers may begin seeing patients, but claims often cannot be reimbursed until enrollment is approved with the appropriate payer. We help coordinate approvals so billing begins at the right time.
CAQH is a centralized provider database used by many insurance companies during credentialing. Keeping provider profiles accurate and regularly attested prevents unnecessary enrollment delays.
Yes. We manage Medicare enrollment through PECOS, Medicaid enrollment, NPI registration, and ongoing provider maintenance for government payers.
Absolutely. We evaluate reimbursement rates, identify underperforming contracts, compare them against current benchmarks, and support negotiations for stronger payer agreements.
We identify the reason for the denial, prepare supporting documentation, submit reconsiderations, and work directly with the payer until the issue is resolved whenever possible.
We continuously monitor renewal deadlines, manage recredentialing submissions in advance, and notify your team before credentials expire so providers maintain uninterrupted billing privileges.
Every enrollment milestone, including payer approval, effective dates, taxonomy verification, and payer participation, is communicated to the billing team before claims are submitted.
Get Started
Most practices have at least one enrollment gap they aren't aware of. We'll review your provider enrollments, credentialing timelines, and payer participation to identify potential risks before they become lost revenue.
Why Lama Healthcare?
Strategic healthcare operations consulting.
Revenue cycle optimization with measurable outcomes.
Dedicated experts focused on long-term growth.
Response Time
24 hrs
We'll get back to you within one business day.
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