Get Providers In-Network. Start Billing Sooner.
Managed payer enrollment for hospitals, medical groups, health systems, and telehealth organizations. Our team handles Commercial, Medicare, and Medicaid enrollment across all 50 states, from application to approval.
50-state coverage
Dedicated specialist
Payer follow-up
CAQH & NPPES
Manages
Payer Enrollment for Every Provider Type
Requirements vary by provider, payer, and state. Our specialists manage enrollment for physicians, nurses, APPs, and behavioral health providers.
Physicians
MDs and DOs across specialties, group and solo.
Advanced Practice
NPs, PAs, CRNA, CRNPs, and CNMs.
Behavioral Health
Psychiatrists, psychologists, LCSWs, LPCs, and MFTs.
Complete Payer Enrollment, End to End
Our team manages the process from application through approval and ongoing requirements.
Commercial Payer Enrollment
BCBS, Aetna, Cigna, UHC, Humana, and other commercial plans.
Medicare & Medicaid
PECOS, 855I/855B, Medicaid, MCO, and state-specific applications.
CAQH Management
Profile updates, provider data, and re-attestations.
Payer Follow-Up
Status checks, payer requests, corrections, and escalations.
Group & Roster
Provider affiliations, group enrollment, and roster updates.
NPI & NPPES
Provider and organization data alignment.
2x
Faster enrollment vs. in-house
58%
Reduction in administrative costs
100%
Applications actively followed up
50
States · All payer types
From Provider Onboarding to In-Network
You provide the information. Our team manages the enrollment.
1
Intake
Provider information reviewed against payer requirements.
2
Data Alignment
CAQH, NPI, NPPES, and documents checked for consistency.
3
Application Submission
Applications prepared and submitted across Commercial, Medicare, and Medicaid.
4
Payer Follow-Up
Payer communication, corrections, and escalations managed through approval.
5
In-Network
Approval and effective dates confirmed.
We Do the Work. You See Every Step.
Our specialists manage enrollment while you get visibility into progress and issues.
Real-Time Status
Projected Go-Live Dates
Revalidations
Enrollment Issues
Payer Enrollment Services for Healthcare Organizations
Enrollment gets harder as provider volume, payer relationships, and state requirements grow. DirectShifts gives you an experienced enrollment team without building one in-house.
Medical Groups
Enroll providers across commercial, Medicare, and Medicaid plans.
Health Systems
Coordinate enrollment, affiliations, and payer rosters.
Telehealth Organizations
Enroll providers across multiple states and Medicaid programs.
Organizations Without an Enrollment Team
Get enrollment expertise without hiring or training internal staff.
Why Work With Us?
DirectShifts gives you an experienced enrollment team without the cost and time of building one.
An Extension of Your Team
Our specialists work inside your processes, handling applications, follow-up, and corrections the way an internal team would.
Less Expensive Than In-House
No recruiting, training, or benefits. Get an experienced enrollment team for a fraction of the cost of building one.
Software Plus Service
Our team manages the work while the platform shows live status, projected go-live dates, and issues in one place.
FAQ
Your Questions Answered
How long does payer enrollment take?
Commercial enrollments usually run 60–120 days when handled reactively. With proactive follow-up, document readiness, and parallel submissions, we compress that significantly. Medicare/Medicaid timelines depend on CMS queues — we initiate simultaneously to avoid stacked delays.
Can payer enrollment start while credentialing is in progress?
Yes — and most teams miss this. Many payer applications can begin in parallel with credentialing. We align both on one platform so enrollment is ready the moment credentials verify.
What happens when a payer application is delayed or rejected?
We catch rejections and delays in real time, diagnose the cause, and resolve them without waiting for your team to notice. Every escalation is documented in your dashboard.
Do you handle Medicaid enrollment across multiple states?
Yes — all 50 states, including MCO applications, fee-for-service, and state-specific portals. Multi-state submissions coordinated simultaneously.
Do you enroll behavioral health providers and APPs?
Yes — physicians, nurses, NPs, PAs, psychiatrists, psychologists, LCSWs, LPCs, MFTs. Each credential type has different requirements; we manage the nuances.
Is CAQH and NPPES management included?
Yes. CAQH ProView, re-attestation tracking, and NPPES synchronization are part of the service. Clean upstream data means faster approvals downstream.
What does my team need to do?
Very little. You provide provider information and documents at intake. Our specialists handle the applications, CAQH and NPPES updates, payer follow-up, and corrections, and you can track progress, projected go-live dates, and any issues in one place.
Stop Leaving Revenue on the Table
Get providers enrolled and ready to bill sooner.
Our team handles enrollment start to finish. You stay informed every step of the way.
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