01Provider credentialing
Build a complete, review-ready provider profile with licenses, certifications, work history, and primary-source verification.
- License and certification review
- Primary-source verification
- Initial and re-credentialing support
CREDENTIALING & ENROLLMENT SERVICES
Get your providers ready for the right payer relationships.
Novera organizes the documents, applications, follow-up, and maintenance work behind payer participation so your practice can move from paperwork to patient access with confidence.
Credentialing clarity
Built around your providers and payer mix
Built around your providers and payer mix
PAYER-READY PRACTICEEnrollment + Maintenance
Every detail has a destinationOne clear record for every payer conversationTHE NOVERA DIFFERENCE
Credentialing should create momentum, not another administrative queue.
Provider enrollment touches licenses, payer rules, identifiers, applications, contracts, and deadlines. Novera brings those moving parts into one organized workflow so your team knows what has been submitted, what needs attention, and what comes next.
Organized recordsDocuments stay ready for review.
Clear follow-upPayer questions do not disappear.
Visible renewalsMaintenance dates stay in view.
WHAT WE HANDLE
A complete path from provider file to payer participation
Whether you are adding a provider, opening a location, or cleaning up an existing enrollment record, our support is shaped around the work your practice needs next.
01
02Payer panel enrollment
Coordinate applications across commercial payers and networks so providers can participate where their patients receive care.
- Application preparation and submission
- Payer follow-up and status tracking
- Network participation support
03CAQH profile management
Keep the CAQH profile accurate, attested, and aligned with the documents payers use during their review.
- Profile setup and attestation
- Document and data updates
- Periodic profile quality checks
04NPI and tax identity
Set up the identifiers and tax details that help payers connect the provider, group, and claims to the right practice.
- Individual and group NPI support
- EIN and tax ID checks
- Claim identity consistency
05Medicare and Medicaid
Navigate government payer enrollment and revalidation requirements with a clear record of deadlines, documents, and next steps.
- PECOS application support
- Revalidation and re-enrollment
- Government payer requirements
THE PRACTICE IMPACT
What a well-managed enrollment workflow changes
Credentialing is not only a compliance task. It affects when providers can see patients, how confidently claims move, and how much administrative work stays on your team.
Faster payer decisions
Accurate applications and consistent follow-up reduce avoidable back-and-forth.
Fewer enrollment gaps
A maintained provider profile keeps licenses, attestations, and payer records in view.
More revenue readiness
Participating with the right payers helps your practice serve patients and bill with confidence.
HOW WE WORK
A steady process for payer-ready providers
We make the work visible from the first document request through approval and ongoing maintenance.
One owner for the handoffYou get a clear point of contact for questions, status, and next steps.
Map the provider profile
We gather the provider, group, license, tax, and practice information needed for a complete starting point.
Verify the record
We compare documents, identifiers, and payer requirements so inconsistencies are surfaced before submission.
Submit and coordinate
Applications move to the right payer channels while our team tracks requests, questions, and status changes.
Maintain participation
After approval, we keep renewal dates, revalidation needs, and profile updates visible for the next cycle.
READY WHEN THE PAYER ASKSClear records. Fewer surprises.
MAINTENANCE THAT STAYS VISIBLE
Keep your credentialing record useful after approval.
Approvals are a milestone, not the finish line. We help keep provider information, payer records, and renewal needs organized so your practice can protect participation over time.
Renewal awareness
Keep re-credentialing and revalidation dates from becoming surprises.
Profile consistency
Align CAQH, NPI, tax, location, and provider details across records.
Practical reporting
See what is pending, approved, expiring, or waiting on a response.
COMMON QUESTIONS
What practices ask before getting started
A clear enrollment plan starts with clear answers. Here are a few of the questions we hear most often.
What is provider credentialing?
Credentialing is the process of verifying a provider's qualifications, licenses, education, work history, and other documentation before a payer approves participation.
How is enrollment different from credentialing?
Credentialing confirms who the provider is and whether they meet payer standards. Enrollment connects that approved provider to a payer network, group, location, and billing relationship.
Can you help with CAQH and NPI information?
Yes. We can help organize CAQH setup and attestation work alongside NPI, EIN, tax ID, and group information so the records support a consistent enrollment application.
Do you support re-credentialing and revalidation?
Yes. Ongoing maintenance can include renewal reminders, document updates, re-credentialing, and government payer revalidation support.
How do we get started?
Tell us about your providers, specialties, payer goals, and current enrollment challenges. We will outline a practical starting point and the information needed for a focused review.
START WITH A CONVERSATION
Let's make your next payer conversation easier.
Tell us about your providers, payer goals, and current enrollment challenges. We'll help you identify a focused next step.