Missed charge scan
90 days of encounters reviewed
Medical Credentialing Services That Get You Paid Faster
Every day your credentialing sits in limbo is a day you’re not getting reimbursed. Theiatrics takes the entire process off your plate — from CAQH setup to payer enrollment — so your revenue cycle never skips a beat.
Typical Timeline Without Help
Application prep & submission
3–4 weeks
Payer processing time
60–90 days
Follow-ups & corrections
2–6 weeks
Revenue gap risk
HIGH
With Theiatrics managing your credentialing,
applications go out complete and correct from day one —
cutting processing time and eliminating the back-and-forth that costs practices weeks of lost revenue.
Other Service
Optimize Operations for Maximum Efficiency
Contact us to explore how our consulting can position your business as a frontrunner.
UNDERSTANDING THE PROCESS
Credentialing Is the Gateway
to Getting Reimbursed
Before a provider can bill a single insurance claim, payers need to verify their qualifications, malpractice history, state licensure, and more. That's credentialing — and it's one of the most paper-intensive, time-consuming processes in healthcare administration.
A typical credentialing application involves coordinating with multiple payers, submitting dozens of documents, and following up repeatedly over months. When something slips through the cracks, practices face payment delays, claim denials, or worse — a gap in insurance participation that leaves revenue on the table.
That's exactly why practices across the country trust Theiatrics to handle it. We have a dedicated credentialing team that knows the requirements of every major payer, stays ahead of deadlines, and follows each application through to approval.
500+
Providers Credentialed
50
States Covered
21+
Specialties Served
98%
Application Accuracy Rate
WHAT WE HANDLE
End-to-End Credentialing Services
From new provider setups to ongoing maintenance, we manage every piece of the credentialing puzzle so your team doesn’t have to.
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Initial Provider Credentialing
For new providers joining a practice or starting fresh, we handle the complete initial credentialing process — gathering documents, completing applications, and submitting to all relevant payers on your behalf.
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Re-Credentialing
Most payers require re-credentialing every two to three years. We track expiration dates across your entire provider roster and initiate the renewal process well in advance so you’re never caught off guard.
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Hospital Privileging
We manage the hospital privileging process — coordinating with medical staff offices, submitting peer references, and tracking committee approval timelines so your providers can begin seeing hospital patients without delay.
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CAQH ProView Setup & Maintenance
CAQH is used by hundreds of payers as the foundation for credentialing. We set up your provider’s profile, populate it accurately, and handle the quarterly re-attestation and document updates to keep it current.
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Payer Enrollment & Contracting
Getting approved by a payer is one thing; getting contracted is another. We guide providers through enrollment with Medicare, Medicaid, and commercial payers — and help secure favorable contract terms wherever possible.
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Telehealth Credentialing
As telehealth expands across state lines, credentialing requirements multiply. We specialize in multi-state credentialing for telehealth providers, making it practical to see patients wherever they are — legally and compliantly.
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Primary Source Verification (PSV)
We verify licenses, board certifications, malpractice history, DEA registrations, and work history directly from primary sources — ensuring your credentialing file meets both payer and accreditation standards.
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Status Tracking & Reporting
You’ll always know where each application stands. We provide transparent status updates throughout the process and flag any payer requests or missing documentation the moment they arise.
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Ongoing Compliance Monitoring
Licenses expire. Certifications lapse. We monitor your providers’ credentials year-round and send proactive alerts before anything jeopardizes your billing eligibility or compliance standing.
Why Choose Theiatrics
We Treat Credentialing Like a Clinical Priority
A lot of billing companies offer credentialing as an afterthought. At Theiatrics, it's a core service with a dedicated team behind it. Here's what that means for your practice.
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Dedicated Credentialing Specialists Your credentialing isn't passed between generalists. A dedicated specialist owns your file, knows your providers, and is accountable to real timelines.
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Deep Payer Relationships We work with Medicare, Medicaid, and dozens of commercial payers daily. We know the right contacts, the preferred formats, and how to get things resolved quickly.
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No Revenue Gaps We time every application to ensure providers are approved and active before they begin seeing patients — eliminating the billing blackout that hurts so many new hires and practice expansions.
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Full Transparency We believe you should always know the status of your applications. No "we're working on it" — just clear, consistent updates that keep you in control.
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HIPAA-Compliant Processes Every document, credential, and communication is handled under strict HIPAA compliance standards. Your providers' sensitive information stays protected at every step.
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We Serve All 50 States Whether you're a single-state practice or a growing multi-location group, our team has the reach and the expertise to credential providers anywhere in the country.
What Delayed Credentialing Really Costs
Practices often underestimate the financial impact of a slow credentialing process. Here's what the numbers typically look like for a single provider.
90
Avg. days without help
$30K+
Revenue lost per provider
40%
Of apps have errors without expert review
2–3x
Faster approval with Theiatrics
These figures are industry estimates and vary by specialty, payer, and state.
Start Credentialing Today21+ SPECIALTIES
We Work Across All Major Medical Specialties
Credentialing requirements differ significantly by specialty. Our team has handled everything from high-complexity procedural specialties to behavioral health — and knows exactly what each payer expects.
Discuss Your Specialty →
Can’t find your specialty listed? We almost certainly cover it. We’ve billed for over 30 distinct specialties. Call us and we’ll tell you exactly what our experience in your space looks like.
📞 +1 713-281-4490
Gastroenterology
Cardiology
Anesthesia
Pain Management
Oncology
Neurology
Orthopedics
Radiology
Dermatology
Family Medicine
OB/GYN
Mental Health
Urology
Podiatry
Wound Care
Internal Medicine
Skilled Nursing
ASC
Home Health
Behavioral Health
DME
Ready to Stop Losing Revenue to Credentialing Delays?
Let Theiatrics handle the paperwork, follow-ups, and payer coordination — so your providers can get approved and start billing without missing a beat.
Get Your Free Credentialing ConsultationCOMMON QUESTIONS
Everything You Should Know About Professional Credentialing Services
Questions we hear often from practice managers, physicians, and billing staff — answered plainly.
Have a specific charge entry question? Our specialists respond within 4 hours. You'll speak with someone who does charge entry daily — not a generalist support team.
📞 Call Our Charge Team
📞 Call Our Charge Team
What exaclty is medical creadentialin?
Medical credentialing is the formal process through which insurance companies and hospitals verify that a healthcare provider is qualified to deliver patient care. It covers license verification, board certifications, malpractice history, educational background, and work history. Without it, a provider cannot be accepted into an insurance network or bill for covered services.
What is CAQH and Why does it matter?
CAQH ProView is a centralized database used by most major commercial insurers to store and access provider credentialing information. Keeping your CAQH profile complete, accurate, and regularly attested is critical — outdated or incomplete profiles can cause applications to stall or get rejected. Theiatrics sets up new profiles and maintains existing ones on your behalf, including the quarterly re-attestation that many providers overlook.
How long does the credentialing process take?
Most credentialing applications take between 60 and 120 days from submission to approval, depending on the payer and the complexity of the provider's background. With Theiatrics managing the process, we reduce delays by submitting complete applications the first time and following up proactively. The timeline also depends on how quickly the provider can supply required documents at the start.
Can a provider see patients while credentialing is still in progress?
Technically, yes — a provider can see patients during the credentialing window. However, they cannot bill under that payer's plan until approval is granted. Some payers offer retroactive billing once credentialing is complete, but this varies and is not guaranteed. We advise practices to plan around the expected credentialing timeline so billing can start from day one of patient care.
Does Theiatrics handle Medicare and Medicaid enrollment?
Yes. We manage enrollment with Medicare through the PECOS system, as well as Medicaid enrollment in any state. Both programs have distinct requirements and timelines that differ from commercial payer credentialing. Our team handles all of it — including the CMS 855 forms, revalidation cycles, and any correspondence with contractor MACs.
What happens during Re-credentialing?
Re-credentialing is a periodic reverification process most payers require every two to three years. It involves updating credentials, confirming continued licensure and malpractice coverage, and submitting a new application cycle. Missing a re-credentialing deadline can result in termination from the payer network. Theiatrics tracks all renewal dates and initiates the process well before any expiration — so you never face an unexpected gap in network participation.
How much do your credentialing services cost?
Pricing depends on the number of providers, the payers involved, the specialty, and whether you need initial credentialing, re-credentialing, or ongoing maintenance. We don't believe in one-size-fits-all pricing. Contact us for a free consultation and we'll put together a transparent quote based on your specific needs — no hidden fees, no long-term lock-ins.
FREE CHARGE AUDIT
Find Lost Revenue Before Claims Are Filed
We review recent encounters, identify missed or undercoded charges, and show exact revenue impact — before you commit to anything.
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⚖️
E/M validation
Codes matched with documentation
Codes matched with documentation
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Revenue impact
Exact dollar value identified
Exact dollar value identified
⚡
24-hour results
From certified specialists
From certified specialists
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No cost, no commitment
100% risk-free audit
100% risk-free audit
Talk to a specialist
(+1) 713-281-4490
Get in touch with us
5900 Balcones Drive Ste 7988, Austin, Texas, 78731, USA
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