Everything Your Practice Needs to Get Providers Credentialed and Paid
As a centralized credentialing verification organization (CVO), we handle the full lifecycle: primary source verification (PSV), commercial and full-panel payer enrollment, CAQH management, and recredentialing, so your providers get credentialed and stay enrolled.
Provider Credentialing
We manage the full credentialing process from start to finish. That includes primary source verification (PSV) of licenses, DEA registration, board certifications, malpractice history, and NPDB queries, plus OIG/SAM exclusion screening. Every credential is verified at its primary source and documented in an audit-ready file. Our credentialing team operates nationwide, supporting providers and practices across all 50 states.
Payer Enrollment
Getting credentialed is only half the battle. We file commercial and full-panel payer enrollment, including Medicare, Medicaid, and commercial plans, so your providers can start billing as quickly as possible. We manage enrollment in every state, including state-specific Medicaid portals and requirements, so multi-state groups have one centralized enrollment partner instead of fifty.
Credentialing Monitoring (Monthly)
We track every provider's license, DEA, board certification and malpractice expiration dates, screen each provider monthly against the OIG (Office of Inspector General) and SAM (System for Award Management) exclusion lists and state Medicaid sanction lists, keep CAQH (Council for Affordable Quality Healthcare) profiles re-attested every 120 days, and track Medicare and Medicaid revalidation deadlines, with a quarterly status report.
Licensing and Registrations
New and multi-state license applications, including interstate compact licenses, DEA and state controlled substance registrations, and APRN (Advanced Practice Registered Nurse) supervisory and practice filings. Ideal for telehealth companies, staffing agencies and new graduates.
New Practice Launch
Group NPI setup, group Medicare (PECOS) and Medicaid enrollment with provider reassignments, up to five commercial payer group applications, and CAQH practice setup, so a new practice or location is ready to bill on day one.
Revalidation and Maintenance
Medicare and Medicaid revalidation filings before deadlines, practice location, ownership and reassignment changes, and payer demographic updates and directory attestations.
Re-Credentialing & Ongoing Monitoring
Credentials expire. Licenses lapse. Sanctions happen. We monitor every provider file continuously and manage re-credentialing cycles, typically every 2 to 3 years, so nothing slips through the cracks. We monitor and re-credential providers nationwide, with coverage across all 50 states.
CAQH Profile Management
Most payers require an up-to-date CAQH profile before enrollment. We build, maintain, and attest your providers' CAQH profiles on your behalf, keeping them current and compliant at all times. We manage CAQH profiles for providers nationwide, keeping every file current across all 50 states.
Payer Contract Review & Negotiation
Not all payer contracts are created equal. We review reimbursement rates, terms, and fee schedules and negotiate on your behalf to make sure your practice gets paid what it deserves. We review and negotiate payer contracts for practices nationwide, across all 50 states.
Deep Florida Roots, National Reach
Promisa Health is headquartered in Fort Lauderdale, with particular depth in Florida Medicaid (AHCA), Florida Blue, and the broader South Florida payer landscape. That local expertise means Florida practices work with a team that knows their payers and portals inside out, while clients nationwide benefit from the same rigorous, AI-powered credentialing and enrollment processes.
Every Service Backed by a Guaranteed File Delivery Timeline
We guarantee when your credentialing file is complete and submitted. Payer approval timelines vary by payer, typically 90 to 180 days for commercial plans.
Guaranteed by Promisa Health
Guaranteed by Promisa Health
Guaranteed by Promisa Health
What we don't guarantee: payer approval timelines. Once your file is submitted, the payer controls the review and approval process. Commercial payers typically take 90 to 180 days to approve; Medicare and state Medicaid timelines vary by program. We follow up weekly and push every application forward, but the final approval date is set by the payer, not us.
Who We Serve
Promisa Health specializes in serving:
- Independent physician practices
- Federally Qualified Health Centers (FQHCs)
- Urgent care centers
- Multi-specialty group practices
Serving practices nationwide, with deep expertise in Florida Medicaid and the South Florida payer landscape.