Cornerstone Credentialing

Credentialing is essential for validating your qualifications, ensuring compliance with hospital and insurance regulators, and getting you in-network with insurance payors. Without it, you can't bill insurers or see patients under most plans. It's also required by hospitals, facilities, and many telehealth platforms.

CAQH (Council for Affordable Quality Healthcare) is a centralized database that many insurance companies use to access provider information. Keeping your CAQH profile current and accurate is critical for maintaining insurance contracts and avoiding payment delays.

An NPI (National Provider Identifier) is a unique identification number for covered health care providers. Type 1 is for individual providers, while Type 2 is for organizations or group practices. Most solo providers need a Type 1, and group practices often need both.

You can—but it’s time-consuming, detail-heavy, and comes with a steep learning curve. Errors or delays in credentialing can cost you thousands in lost revenue. Outsourcing to a specialist ensures accuracy, timeliness, and frees you to focus on patient care and running your practice.

It varies by payor, but initial credentialing can take 90–120 days, and sometimes longer. Having a knowledgeable credentialing partner helps minimize delays and ensures you’re not waiting longer than necessary due to missing information or incorrect submissions.

We offer end-to-end credentialing support, including CAQH setup and maintenance, NPI registration, payor enrollment, recredentialing, hospital/facility privileges, and ongoing support through our Monthly Maintenance Plan. We also assist with licensing, DEA, CSR, and CME tracking.

Absolutely. We act as your partner, not your replacement. You maintain full ownership of your accounts (like CAQH and NPPES), and we ensure they’re managed and updated accurately on your behalf, with your review and approval when needed.

Not at all. We specialize in working with small groups and solo practitioners. We understand your unique needs, budget, and time constraints—and we tailor our services to provide just the right amount of support.

We offer flexible pricing, including à la carte services, bundled payor applications, and a monthly maintenance plan. Visit our Services & Fees page for full details or reach out for a custom quote.

We’re here to help you transition smoothly. Whether you’re leaving a group, launching your own clinic, or expanding your existing practice, we’ll guide you through licensing, credentialing, and payor setup so nothing falls through the cracks.