Do you handle the credentialing process?

Yes. Credentialing is part of our network expansion service. We prepare applications, gather documentation, submit materials, track status, and follow up through payer review. Credentialing and network participation decisions remain with each payer.

Can you help us expand into new states?

Yes. We can help plan multi-state expansion. Each state has different payer dynamics, Medicaid structures, and network opportunities. We map those requirements and opportunities for the facility under review.

Which insurance networks do you work with?

We work with 50+ networks including BCBS, UnitedHealth, Aetna, Cigna, Humana, Medicaid MCOs, Medicare Advantage plans, and regional payers across the country.

How long does it take to get into a new network?

Credentialing timelines vary by payer, but most take 60-120 days. We track application status and follow up with the payer, while actual timing remains under payer control.

What if we are treating out-of-network patients who keep getting denied?

Out-of-network denials can signal a contracting and network strategy issue. We review payer options and manage applications for selected payers, while each payer controls network participation.

Network Development

Credentialing & Provider Enrollment

Strategic payer mix analysis, network-gap review, and credentialing support. We help identify which networks warrant attention and manage application steps for selected payers.

Request a Network Development Consultation

Network planning ledger

Payer priorities: Population, rates, fit
Network gaps: Coverage, referrals
Credentialing: Prepare, submit, track

Credentialing timelines vary by payer. Network participation and application timing remain subject to payer review.

Network need

Why Network Strategy Matters

Being in-network is not just about credentialing. The question is which networks align with your patient population, geography, referral patterns, and available terms.

Network Participation Can Support

Access to in-network referral pathways
A more diversified payer mix
Less dependency on a single insurer
A route to address out-of-network denials

Signals to Review Network Fit

Patients denied because you are out of network
Too dependent on one or two payers
Expanding to a new state or region
Not sure which networks are worth joining

The planning goal is to prioritize networks that match the facility's patient population and strategic criteria, then pursue participation through each payer's process.

Payer and credentialing scope

Payer Prioritization and Credentialing Scope

From target selection through credentialing paperwork, we organize the work and manage payer follow-up while each payer controls final participation.

Payer Mix Strategy

Market opportunity assessment
Network value analysis
Revenue impact projections

Network Gap Analysis

Current coverage assessment
Missing payer identification
Priority ranking by ROI

Credentialing Support

Application preparation
Documentation management
Status tracking and follow-up

Multi-State Expansion

State-specific requirements
Regional payer identification
Expansion planning

Payer Relationship Building

Provider relations contacts
Network participation advocacy
Issue escalation support

Ongoing Network Optimization

Network performance monitoring
Expansion recommendations
Contract renewal planning

Our process

Our Network Development Process

A four-step approach for reviewing the current network, setting payer priorities, managing applications, and revisiting the network mix

Discovery

We review your current network participation, patient demographics, and referral patterns to understand where you are today and where you want to grow.

Current Network
Patient Demographics
Referral Patterns

Analysis

We analyze which networks may make sense for your practice based on patient volume potential, rate competitiveness, and strategic fit.

Patient Volume Potential
Rate Competitiveness
Strategic Fit

Strategy & Execution

We prepare credentialing applications, support initial rate discussions, and manage payer onboarding steps. Credentialing and participation decisions remain with each payer.

Applications
Initial Rates
Payer Onboarding

Ongoing Optimization

We monitor your network mix, identify potential expansion opportunities, and review whether participation remains aligned with your practice goals.

Network Mix
Expansion Review
Renewal Planning

Planning context

Facility and Network Fit

Payer priorities are specific to the facility. Patient population, geography, referral patterns, available rates, and state requirements shape the network plan.

Patient Population

Patient demographics help identify which payer relationships may warrant attention.

Geography & Referrals

Geographic coverage and referral patterns help surface network gaps for review.

Rates & Strategic Fit

Rate competitiveness and network value help organize payer priorities.

State Requirements

State-specific requirements, Medicaid structures, and regional payers shape multi-state planning.

Ready to Expand Your Network?

Let us help you develop a network strategy around your facility, payer priorities, and credentialing requirements.

50+ networks | 50+ clients served | Nationwide support

Get Free Network Analysis

Frequently asked questions

Frequently Asked Questions

Payer criteria, state requirements, application timing, and network participation vary by facility and payer.

We look at your patient population, geographic area, referral sources, and the rates each payer offers for your services. Not every network is worth joining. We help you prioritize the ones that align with those factors, while payer terms and patient volume remain market-specific.

Free consultation available

Ready to get in-network with more payers?

Tell us which networks you're targeting and where your applications stand. We'll outline your best path to participation.

Request Your Free Consultation

Credentialing & Provider Enrollment

Network Participation Can Support

Signals to Review Network Fit

Payer Mix Strategy

Network Gap Analysis

Credentialing Support

Multi-State Expansion

Payer Relationship Building

Ongoing Network Optimization

Discovery

Analysis

Strategy & Execution

Ongoing Optimization

Patient Population

Geography & Referrals

Rates & Strategic Fit

State Requirements

Ready to Expand Your Network?

How do you decide which networks we should join?

Do you handle the credentialing process?

Can you help us expand into new states?

Which insurance networks do you work with?

How long does it take to get into a new network?

What if we are treating out-of-network patients who keep getting denied?

Credentialing & Provider Enrollment

Network Participation Can Support

Signals to Review Network Fit

Payer Mix Strategy

Network Gap Analysis

Credentialing Support

Multi-State Expansion

Payer Relationship Building

Ongoing Network Optimization

Discovery

Analysis

Strategy & Execution

Ongoing Optimization

Patient Population

Geography & Referrals

Rates & Strategic Fit

State Requirements

Ready to Expand Your Network?

How do you decide which networks we should join?

Do you handle the credentialing process?

Can you help us expand into new states?

Which insurance networks do you work with?

How long does it take to get into a new network?

What if we are treating out-of-network patients who keep getting denied?