Credentialing guide
A plain-English guide to credentialing, contracting, enrollment, payer follow-up, billing setup, and what happens after approval.
Credentialing checks who you are and whether you meet payer standards. Contracting sets the participation agreement and rates. Enrollment connects the approved provider or group to the payer's payment and claim systems.
Most payer packets ask for identity, license, education, malpractice, work history, NPI, taxonomy, W-9, practice location, EFT, CAQH, and disclosure data.
Approval still needs operational follow-through. You need effective dates, payer IDs, contract details, EHR profiles, eligibility workflows, claim testing, and a process for denials and underpayments. This is where credentialing turns into billing operations.
Bomi can help with CAQH, payer attestations, credentialing follow-up, renewals, demographic updates, and the billing workflow that comes next: eligibility checks, benefits summaries, claim submission, denial tracking, client balances, and revenue reporting.
Credentialing gets messy fast
Use Bomi when you are ready to move from launch planning into payer setup, CAQH, insurance billing, claims, denials, balances, and revenue management.