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Service · Credentialing & Enrollment

Credentialing that never lets a provider sit idle.

Every provider, every payer, every entity — enrolled, maintained, and re-credentialed on time. Metolius runs credentialing as one operation across your whole network, so nothing blocks a provider from getting paid.

The reality

A credentialing gap is a provider who can't bill.

Across a network, credentialing is where revenue quietly stalls. A new provider waiting on enrollment can't submit a claim. A missed re-credentialing date drops someone from a payer panel. When the work is spread across spreadsheets, inboxes, and separate teams at each site, no one holds a single view of who is enrolled where — and the backlog stays invisible until a denial arrives. At multi-site, multi-entity, multi-payer scale, that leakage compounds.

What we do

What Metolius runs for you.

CAQH managed end to end

Attestations, re-attestations, and document upkeep handled on a schedule across every provider — so profiles stay current and nothing lapses between cycles.

Payer enrollment across the network

Providers enrolled across Medicare, Medicaid, and your full commercial payer mix — managed to approval, not just submitted, so a new provider becomes billable as soon as each payer allows.

Re-credentialing on time, every cycle

Revalidations and re-credentialing tracked ahead of their deadlines, not reactively — so no one drops from a panel and no revenue window closes unnoticed.

One live status board

Every application — initiated, submitted, approved — surfaced in real time in PracticeOS and on the myMetolius dashboard, with full audit logging. One source of truth across every site and entity.

Multi-entity, multi-payer by design

Built for organizations running many sites at once: one operation coordinating credentialing across every entity and payer relationship in the network, not a separate effort per location.

How it works

From first call to live operation.

1

Discovery

We map every provider, entity, and payer relationship in your network and find the gaps — pending enrollments, upcoming revalidations, lapsed or at-risk credentials.

2

Migration

CAQH profiles, enrollment records, and credentialing files move onto PracticeOS as one clean source of truth. Backlogged and expiring items are worked first.

3

Dedicated ops team, SLAs in writing

A named operations team works your credentialing and enrollment queues to defined service levels — enrollment submissions, re-credentialing cycles, and CAQH upkeep, all held to SLA.

4

Live on myMetolius

Leadership watches credentialing status across the whole network in real time — who's enrolled where, what's in flight, what's coming due — in plain language, refreshed live.

What changes

What your operation feels like.

Providers billable sooner
New providers are enrolled and billable as soon as each payer permits, because enrollment is managed to approval instead of left in a queue.
No lapsed credentials, no dropped panels
Re-credentialing and revalidations are tracked ahead of deadline across every entity, so no provider quietly falls off a payer panel.
One source of truth
A single live view of every provider's credentialing status across every site and payer — with audit-ready documentation available on demand.
A service level that never drifts
Credentialing runs to written SLAs and never stalls — the constant flow the network can set its systems by.

Bring us your credentialing backlog. We'll run it as one operation.

Backed by fifty years of combined enterprise depth and a parent company that has served the world's largest health systems and insurers for three decades — SOC 2 Type II, HIPAA-compliant operations, delivered under one contract and one SLA.