Maverick Health Innovations
(737) 231-4078Talk to a specialist

Services

Insurance Credentialing & Payer Enrollment Services

Get in-network with Medicare, Medicaid, and every major commercial plan — and know your effective date before you book the patient.

Getting in-network is the gate between holding a license and getting paid. Do it yourself and it’s a part-time job: every payer has its own portal, its own forms, and its own queue — and one stale CAQH attestation or missing document quietly adds 60 days. Most delays aren’t the payer being slow; they’re files sitting untouched with nobody following up.

We run credentialing as a production process: your file is built once, applications go out clean, and every open application gets touched weekly until the panel says yes and the effective date is in writing.

What's included

  • Payer research and panel strategy for your specialty and market
  • Application preparation and submission for every payer you choose
  • CAQH profile setup or cleanup before anything is filed
  • Weekly follow-up with every payer until the panel says yes
  • Closed-panel appeals built on network-adequacy gaps
  • Effective dates confirmed in writing, with retro-billing guidance

How it works

  1. Intake and file build

    One session to collect licenses, history, and target payers. We build your file once and reuse it for every application.

  2. Applications filed

    Clean, complete submissions — the single biggest factor in avoiding the resubmission loop that adds months.

  3. Weekly payer follow-up

    Every open application is touched weekly. Files that sit in payer queues untouched are where timelines die.

  4. Effective date confirmed

    We confirm your in-network effective date in writing so you know the first day you can bill.

✦ Typical timeline: 90–150 days per payer — the payer's review is the slow part; clean files and weekly follow-up are what keep it from stretching to 200.

Pricing is quoted per practice — payers, providers, and states drive it — and your exact number goes in writing before you commit.How pricing works →

Common questions

Which payers can you credential me with?
Medicare, state Medicaid programs (including Texas TMHP), and every major commercial plan — BCBS, UnitedHealthcare, Aetna, Cigna, Humana, and regional plans in your market. We'll also tell you which panels in your area are worth the effort.
What happens if a panel is closed?
Closed doesn't always mean no. We file appeals built on network-adequacy gaps — specialty shortages, language, geography. When a panel truly won't open, we say so and prioritize the payers that will.
Can I see patients while credentialing is in progress?
You can see them, but most payers won't pay for visits before your effective date. Some allow retroactive billing once approved. We confirm each payer's rules so you don't eat the revenue.
What do you need from me to start?
Roughly 30 minutes: licenses, NPI, malpractice face sheet, work history, and access to (or permission to create) your CAQH profile. We handle the rest.

Talk it through with a specialist.

Free 20-minute consult — your payers, your timeline, and what it'll cost.

Talk to a specialistor call (737) 231-4078