Bring Structure to Provider Credentialing & Payer Enrollment
ATS Healthcare helps practices organize provider information, prepare applications, coordinate verification, follow up with reviewing organizations and keep enrollment work visible. The goal is a clearer path from provider onboarding to confirmed participation—without relying on scattered records or unassigned follow-up.
- Provider File Coordination
- Application Follow-Up
- Recredentialing Support
- Practice-Startup Support
Credentialing and Enrollment Support Across the Provider Lifecycle
ATS Healthcare provides provider credentialing and payer enrollment support for independent practices, medical groups, FQHCs and RHCs. Depending on scope, ATS can help gather and maintain provider data, coordinate primary-source verification, manage CAQH information, prepare payer or program applications, support NPI, DEA and licensing workflows, track status and manage recredentialing deadlines.
Credentialing, Enrollment and Contracting Are Related not Interchangeable
Provider Credentialing
Verifies a clinician’s education, training, experience, licensure, certifications and other qualifications against the reviewer’s requirements.
Payer Enrollment
Registers the provider and organization with a payer or program so it can determine participation, effective dates and claims-routing details.
Contracting establishes participation terms between the organization and payer. One completed step does not automatically complete the others, and a submitted application is not the same as an approved effective date.
Support from Provider File to Ongoing Maintenance
Provider Data & Documents
Collect and organize demographic, professional, education, training, work-history, insurance, disclosure and practice information.
Verification Coordination
Verify or coordinate required sources and resolve missing, expired or inconsistent information within the agreed scope.
CAQH Profile Support
Create, update and maintain provider information and documentation in the CAQH Provider Data Portal where required
Payer & Program Applications
Prepare and submit enrollment applications using the payer or program’s approved process and required provider attestations.
NPI, DEA & Licensing Support
Coordinate new applications, updates or renewals for identifiers, registrations and licenses included in the engagement.
IPA Enrollment Support
Assist with Independent Physician Association applications, supporting information and administrative follow-up where applicable.
Status Follow-Up
Track submissions, reference numbers, requests for information, application status, participation decisions and effective dates.
Recredentialing & Maintenance
Monitor agreed renewal or recredentialing dates and coordinate updates to keep provider records current.
Built for Provider Onboarding, Growth and Ongoing Readiness
ATS can coordinate defined credentialing and enrollment work when launching a practice, adding a provider, opening a location, entering a new state, adding a payer or maintaining existing provider files and recredentialing requirements.
Clear Ownership Without Overpromising the Decision
The Provider & Practice
Supply accurate information, review applications, complete required attestations and disclose changes promptly.
ATS Healthcare
Organize the file, prepare and submit approved applications, follow status and communicate required next actions.
Payers & Reviewing Organizations
Set requirements, verify information, request additional material and control approval, participation and effective dates.
Important Limitation
Submission, credentialing completion or an identifier does not by itself guarantee network participation, an effective date or reimbursement.
A Defined Process with Visible Next Steps
Scope the Need
Identify providers, entities, locations, payers, programs, identifiers, licenses and target dates.
01
Build the File
Gather required information, resolve gaps and establish a controlled provider record.
02
Prepare & Submit
Complete applications, obtain required review or attestation and submit through approved channels.
03
Follow & Resolve
Track responses, coordinate additional information and keep each application assigned to a next action.
04
Confirm & Maintain
Record outcomes and effective dates, confirm provider, group, location and billing relationships, then monitor agreed renewal and recredentialing requirements.
05
Know What Is Complete, Pending or Waiting on Action
ATS uses agreed status communication and reporting to distinguish files that are incomplete, ready to submit, pending review, awaiting additional information, approved, denied or approaching renewal. Available fields and reporting depend on the systems, reviewing organizations and agreed service scope.
Experienced Support for Detailed, Multi-Step Work
ATS combines practice-specific service, dedicated account management and customized reporting with 20 years of experience supporting medical practices nationwide. The working model adapts to the organization’s systems, payer mix and internal responsibilities.
Related resource · Credentialing vs. Payer Enrollment:
Serving medical practices
Revenue Collected Annually
Collection Efficiency
States Nationwide service coverage
*Based on ATS internal reporting. Individual results may vary by practice, payer mix, specialty and service scope.
Credentialing & Payer Enrollment FAQs
What is the difference between provider credentialing and payer enrollment?
Credentialing verifies a provider’s qualifications. Payer enrollment registers the provider and organization with a payer or program so the reviewer can determine participation, effective dates and billing relationships.
What information is needed, and how long does the process take?
Requirements and timelines vary by reviewing organization, application type and file completeness. Common items include provider, professional, license, insurance, disclosure and practice information. ATS manages agreed preparation and follow-up; reviewers control timing and decisions.
Start with the Revenue-Cycle Pressure You Need to Solve
