Let’s Get You Credentialed — The Right Way
Do not let inefficiencies, oversight, or delays affect your effectiveness as a practice. Sirius Solutions Global will provide you with a specialized credentialing team, a solid process, and a path to reimbursement faster than you think. We will manage the complexity and you can focus on your patients. Schedule Your Free Credentialing Assessment Today! Your providers deserve to be credentialed efficiently, accurately, and on time.
Why Choose Sirius Solutions Global
Credentialing is a lot more than the forms and paperwork you’ll fill out—it’s a strategic foundation for maintaining the financial health and professional credibility of your practice. See why practices across the United States use our credentialing services:
Speed & Accuracy: We improve the process to ensure payers don’t delay and can even reduce the credentialing timeline by up to 40%.
All-Specialty Expertise: Our credentialing experts understand the unique nuances regarding documentation and billing for dozens of specialties.
Payer Intelligence: We have the experience and know-how to accurately navigate Aetna, Humana, UHC, BCBS, Medicare, and others.
Transparency: Track your credentialing process seamlessly with status updates and reports.
Secure & Compliant: All our processes and systems are fully HIPAA compliant and secure.
Cost Savings: Save lost revenue from delays and denials, and avoid the stressful, costly outsourcing of an emergency cleanup later.
Our Full-Scope Credentialing & Enrollment Services
Sirius Solutions Global oversees the complete credentialing and enrollment lifecycle, from initial setup to ongoing maintenance. Our team of credentialing specialists, former payer representatives, and RCM experts works together to ensure nothing is missed.
Initial Provider Credentialing
Comprehensive confirmation of licenses, degrees, certifications, and employment history is known as initial provider credentialing
Payer Enrollment
Payer enrollment includes submitting an application and keeping track of it with Medicare, Medicaid, and all major commercial payers, such as Aetna, Cigna, BCBS, UHC, etc
NPI Registration
National Provider Identifier (NPI) registration (individual: Type 1, organization: Type 2)
CAQH Profile Creation & Maintenance
Setting up and maintaining CAQH profiles involves creating, refining, and periodically re-attesting provider profiles.
Medicare PECOS Enrollment
Medicare PECOS Enrollment: PECOS submission, attestation, and revalidation
Re-Credentialing & Revalidation
Keeping providers informed about all payers and monitoring due dates and renewals is known as re-credentialing and revalidation.
Credentialing for
Multi-State Providers
Upholding telehealth enrollments and licenses across state lines
Payer Portal Setup & Management
Getting into, submitting, and overseeing online payer accounts
Credentialing Audit & Cleanup
Fixing outdated profiles, previously rejected applications, or credentialing gaps
Ongoing Monitoring & Reporting
Up-to-date information on credentialing status, renewals, and expirations.
Credentialing & Enrollment
We don’t just find problems — we fix them and keep them fixed. Credentialing and payer enrollment shouldn’t be a paperwork nightmare or a months-long drain on your front office. At Sirius Solutions Global we combine hands-on credentialing specialists, robust workflows, and purpose-built automation so your providers are panel-ready - faster, cleaner, and with fewer surprises.
What Is Credentialing and Enrollment?
Credentialing is the formal process by which payers and hospitals verify a healthcare provider’s qualifications (license, education, board certification, malpractice history, etc.) to determine whether they can join a payer panel or practice at a facility. Enrollment is the administrative step of getting that provider assigned an NPI, payer IDs, and contract access so claims can be submitted and paid.
Get these steps right and your claims flow. Miss them - and you face denied claims, delayed payments, and lost revenue.
How AI helps
We use automation where it saves time and reduces human error, and we keep humans where nuance matters:
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Auto-fill & CAQH mapping — pre-populate fields from verified sources to reduce rework.
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Document OCR & parsing — extract license numbers, DEA dates, and expirations automatically.
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Deadline & expiration alerts — proactive reminders for re-attestations and recredentialing.
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Payer-rule detection — our system flags payer-specific oddities so credentialers don’t miss exceptions.
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Centralized dashboards — see status, outstanding items, and effective dates in one place.
Automation shortens processing time and prevents mistakes; certified credentialing specialists make judgment calls and manage payer communications.
Why Credentialing Is Essential for Your Practice
Credentialing and enrollment are more complicated than ever. Payers have varying requirements, documentation standards, processing times, and verification processes. If you submit incomplete or incorrect information, it could cause you delays for months, impact your patient volume, and negatively affect your brand.
Here’s why you need a reliable credentialing partner:
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Timely credentialing = Faster reimbursements
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In-network status = More access to patients & referrals
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Compliance assurance = Less chance of an audit or a legal complaint.
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Ongoing management = No expirations, missed revalidations, or lost payer relationships
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Reduced admin burden = More time to focus on patient care and growing your business
Why credentialing matters
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No panel = no claims paid. If a provider isn’t properly enrolled with a payer, that carrier can deny or retroactively reject claims.
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Slow credentialing = revenue gaps. Delays create reimbursement gaps, staffing headaches, and patient access problems.
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Payer differences are subtle but costly. Each payer has its own rules for effective dates, place of service, taxonomy, and specialty coding - small errors compound.
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Audits demand defensible files. If a payer audits you, a complete, properly documented credentialing file makes the process fast and defensible.
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