- 410 Peachtree Pkwy, Suite 4245 Cumming, GA 30041
- Email: info@prohealthcareadvisors.com
- Services
Medical Billing and Practice Management
Creative Collection Solution
MD Audit Shield – RAC
Physician Credentialing
EMR/EHR Software
Electronic Fund Transfer (EFT)
CodeMAXX Services
Hippa
Physician Credentialing & Provider Enrollment Services That Get You In-Network Faster
We help physicians, clinics, and healthcare organizations complete credentialing, CAQH setup, payer enrollment, and re-credentialing with all major insurance networks—reducing delays and helping you start billing sooner.
Physician Credentialing & Provider Enrollment Services for Healthcare Practices
Pro Health Care Advisors provides complete physician credentialing and provider enrollment services for healthcare practices of all sizes — from solo physicians to large multi-specialty groups. We connect your credentialing status directly to your medical billing workflows so claims never sit behind an uncredentialed provider.
Whether you are credentialing a new physician, adding payers, or maintaining re-credentialing deadlines, our team handles everything — CAQH setup, primary source verification, payer submissions, and ongoing tracking — with no gaps in network participation. Per CMS provider enrollment guidance, incomplete applications are the leading cause of credentialing delays.
Why Credentialing Delays Are Costing Your Practice Revenue in 2026
A provider who isn't credentialed can't be reimbursed. Read about the top medical billing mistakes costing practices revenue in 2026.
Incomplete Applications & Missing Documents
Missing licenses, malpractice history, or outdated CAQH attestations are the most common reason payers reject or delay applications — pushing back the date a provider can start billing under medical billing.
Slow Payer Turnaround Times
Without active follow-up, applications can sit in payer queues for months. Stalled credentialing means delayed go-live dates and increases claim denials for services billed too early.
Expired Licenses & Lapsed Re-credentialing
Missed re-credentialing deadlines can drop a provider out-of-network without warning. Per NCQA credentialing standards, lapsed verifications can suspend network participation entirely.
Complete Physician Credentialing & Provider Enrollment Services
Everything your practice needs to get providers credentialed, enrolled, and billing — connected directly to your revenue cycle and practice management.
We prepare and submit complete credentialing applications to every payer your practice needs — government and commercial — and manage the process from submission to approval.
- New provider enrollment with all payers
- Medicare & Medicaid enrollment (PECOS)
- Commercial payer applications
- Effective date negotiation
- Welcome letter & panel confirmation tracking
We build your CAQH ProView profile from scratch or take over an existing one, then keep every attestation, document, and re-attestation current so payers always pull accurate data.
- Full CAQH ProView profile build
- 120-day re-attestation management
- Document upload & expiration tracking
- Payer authorization & data accuracy checks
Beyond payer enrollment, we manage hospital and facility privileging applications — coordinating primary source verification, references, and committee review timelines so providers can practice without delay.
- Hospital privileging applications
- Surgical center & facility credentialing
- Primary source verification coordination
- Medical staff office liaison support
We track every payer and facility re-credentialing deadline on your behalf and submit renewals well ahead of expiration — so your providers are never silently dropped from a network.
- Re-credentialing deadline tracking
- Renewal application preparation & submission
- Network participation status monitoring
- Proactive alerts before expiration
We monitor state medical licenses, DEA registrations, board certifications, and malpractice coverage expiration dates — flagging renewals early so nothing lapses and jeopardizes credentialing status.
- State license expiration monitoring
- DEA registration tracking
- Board certification renewal alerts
- Malpractice coverage verification
Launching a new practice or adding a provider? We handle NPI registration, tax ID/group enrollment, payer contracting, and effective-date coordination so you can start seeing insured patients as fast as possible.
- NPI Type 1 & Type 2 registration
- Group & tax ID payer enrollment
- Payer contract review coordination
- EFT & ERA enrollment setup
- Go-live timeline planning
Insurance Payers & Networks We Credential With
Pro Health Care Advisors credentials providers with all major government and commercial payers — connecting network status directly to medical billing and practice management for seamless revenue cycle performance.
Our 4-Step Physician Credentialing Process
A structured, fully tracked credentialing process — from document collection through approval and ongoing maintenance — built for busy healthcare practices.
Why Healthcare Practices Choose Pro Health Care Advisors for Credentialing
Credentialing isn't just paperwork — it's the gate that determines when your providers can start getting reimbursed by every payer in your network.
Physician Credentialing for Healthcare Practices Across Georgia & the US
From solo physicians in Cumming, GA to large multi-specialty groups nationwide — credentialing services for 30+ specialties.
Mental Health & Behavioral Health Credentialing
Mental health providers face unique payer panels and licensure board requirements. We credential LCSWs, psychiatrists, and therapists for behavioral health billing from day one.
Specialty Provider Credentialing — 30+ Specialties
Cardiology, Oncology, Wound Care, Urology, and more — each specialty has unique board certification and payer panel requirements. Our team aligns every application with CMS enrollment guidelines for your field.
Group & Solo Practice Provider Enrollment
Solo physician or growing multi-provider group — our credentialing services scale to your practice size and panel needs, connected directly to complete practice management.
Credentialing & Medical Billing Insights for 2026
Expert articles to help your practice get providers credentialed faster and avoid revenue gaps.
The exact documents, attestations, and timelines providers need to avoid the most common credentialing delays this year.
Read Article →A provider seeing patients before credentialing is approved means unbillable visits. Here's how that revenue gap quietly adds up.
Read Article →CAQH and PECOS serve different purposes in the enrollment process. Understanding both is the first step toward a smoother revenue cycle.
Read Article →Ready to Get Credentialed Faster & Start Billing Sooner?
Most revenue gaps in new or growing practices trace back to credentialing delays — not patient care. Our free assessment identifies exactly where your applications stand and how to speed up approval.
- All major payers & networks supported
- Complete CAQH profile build & maintenance
- Active payer follow-up — no stalled applications
- HIPAA compliant document handling throughout
- Ongoing re-credentialing & license tracking included
Our physician credentialing and revenue cycle management services are exclusively available to US-based healthcare providers. Ready to get every provider in-network faster?
Get a Free Consultation →