Provider Enrollment & Credentialing Services | Advantum Health
Faster approvals and revenue from day one.
We manage the full credentialing lifecycle across all 50 states and every major payer. Your providers reach active billing status without delay and stay there without gaps.
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Where credentialing most commonly falls behind
Providers working weeks before reimbursement arrives, because enrollment was not in place before Day 1.
Credentialing applications lost in payer queues with no visibility into status or expected approval date.
Re-credentialing deadlines missed because no one owns the expiration calendar.
A provider joins the group, but billing is held up for months while enrollment catches up.
Multi-state expansion stalled at the revenue cycle level, not the clinical level.
Your internal team is stretched across other priorities and enrollment becomes reactive instead of proactive.
The full credentialing lifecycle, owned end to end
Medicare & Medicaid enrollment (PECOS)
Full PECOS enrollment for all provider types across all 50 states. Every submission, follow-up and status tracked in real time via Advantum One.
Commercial payer enrollment
Simultaneous enrollment across BlueCross, Aetna, Cigna, UnitedHealthcare and hundreds of regional plans. Parallel processing cuts timelines dramatically.
CAQH ProView management
Complete profile creation, maintenance and 120-day re-attestation. A lapsed profile stalls enrollment across multiple payers at once.
Group & IPA enrollment via EVE
Advantum EVE manages enrollment across entire provider rosters for groups, IPAs, PHOs and health systems, not just individual providers.
Hospital privileges credentialing
Medical staff office coordination, primary source verification and full documentation management for hospital and facility privileges.
Ongoing maintenance & re-credentialing
We monitor every provider's calendar and initiate outreach 90 days in advance. Your billing eligibility is never interrupted by an oversight.
Speed at step one changes everything downstream
A gastroenterology group expanding into three new markets needed 14 providers enrolled across 8 payers within 60 days of opening. Their internal process had historically taken 120 to 180 days per provider. Advantum was engaged 45 days before opening.
"Advantum handled complexities we did not even anticipate: multi-state licensing variations, a payer that had updated credentialing requirements without notice and a provider with a malpractice gap. They handled all of it. We were billing Day 53."
Regional Director of Operations, Gastroenterology Practice Group
Stop letting enrollment delays drain revenue
Talk to an enrollment specialist. We assess your current process, identify the gaps and show you exactly where Advantum compresses your timeline.
No obligation. Response within one business day.