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THE CAPRI COLLECTIVEOPERATIONS PARTNERS

Clear Passage

Credentialing, Payer Enrollment & Contracting

Credentialing & Payer Contracting. Handled.

From your first payer application to managing enrollment across an entire organization, The Capri Collective handles the administrative work behind getting and staying credentialed.

We prepare applications, coordinate submissions, manage payer follow-ups, and keep you informed throughout the process.

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Service commitments

48-Business-Hour Submission

Complete, eligible applications submitted within 48 business hours of receiving and verifying all required documentation, information, authorizations, and payer access.

Unlimited Payer Follow-Ups

We keep following up with payers on every included application, keeping you informed as it progresses.

Payer approval, participation decisions, effective dates, and processing timelines are determined by the payer.

Three connected pieces

Credentialing, Contracting & Enrollment Aren’t the Same Step.

Credentialing

Prepare and maintain the provider qualifications and application information a payer reviews, including CAQH where required.

Payer Contracting

Coordinate network participation, contract and fee schedule review, and administrative follow-through on participation terms.

Payer Enrollment

Coordinate individual and group payer records, enrollment applications, participation status, and effective-date tracking.

These steps can overlap. Credentialing alone does not establish a contract, an effective enrollment date, a patient authorization, or a payable claim. Payers make participation and approval decisions.

Already enrolled and need help getting claims paid? Explore ABA billing services →

Support built around your practice

Choose the Credentialing Support You Need.

Individual Credentialing

Best for individual providers or organizations adding a clinician to a payer network.

Includes

  • Application preparation
  • Document review and coordination
  • Application submission
  • 48-business-hour submission commitment
  • Unlimited payer follow-ups
  • Enrollment tracking
  • Status updates

Startup Group Credentialing

Best for new ABA and healthcare group practices.

Includes

  • Group enrollment
  • Up to 3 providers
  • Up to 3 commercial carriers
  • CAQH setup and attestation
  • Application preparation and submission
  • 48-business-hour submission commitment
  • Unlimited payer follow-ups
  • Enrollment tracking

Solo BCBA Credentialing Bundle

Best for independent BCBAs establishing payer participation under their own practice.

Includes

  • Up to 8 individual provider-payer applications
  • CAQH setup and initial attestation
  • Payer application preparation
  • Application submission
  • 48-business-hour submission commitment
  • Unlimited payer follow-ups
  • Enrollment tracking and status updates
  • Enrollment documentation organization

A credentialing package — not a business formation or full practice launch package.

Ongoing Credentialing Management

Best for established organizations needing continuous credentialing oversight.

Includes services such as

  • Provider roster management
  • New provider enrollment coordination
  • CAQH monitoring
  • Recredentialing tracking
  • Payer demographic updates
  • Location additions
  • Enrollment issue resolution
  • Status reporting

Support is matched to your provider roster, payers, locations, and ongoing workload. We’ll define the application responsibilities together.

Additional Credentialing & Contracting Services

  • CAQH Profile Setup
  • CAQH Annual Management
  • Recredentialing
  • Payer Contracting & Network Expansion
  • Multi-State Enrollment Projects
  • Credentialing Operations Audit
Discuss Your Needs

CAQH annual management includes quarterly monitoring, reattestation coordination, and routine profile maintenance within the agreed scope.

Payer contracting may include

  • Network participation research
  • Payer application and contracting coordination
  • Contract and fee schedule review
  • Reimbursement analysis
  • Negotiation support
  • New-location or new-market participation planning

We do not guarantee network acceptance, rate increases, or payer approvals. Payer contracts belong to the contracted entity and do not transfer between separate legal entities.

Credentialing Support for Every Stage of Growth.

Independent BCBAs

Establish payer participation under your own credentials and business structure.

New ABA Practices

Set up group enrollment and credential your initial team.

Growing Organizations

Add providers, locations, and payer relationships.

Multi-State Providers

Coordinate enrollment, maintenance, and payer records across markets.

A Straightforward Process.

  1. 01

    Choose Your Service

    Select an individual application, group package, solo bundle, or ongoing support.

  2. 02

    Send Your Information

    We provide the requirements and securely collect the necessary documents and authorizations.

  3. 03

    We Submit

    Our team prepares and submits complete, eligible applications within 48 business hours once all requirements are received and verified.

  4. 04

    We Follow Through

    We track application progress, respond to administrative requests, and provide unlimited payer follow-ups on included applications.

Payer approval, participation decisions, effective dates, and processing timelines are determined by the payer.

Need Help Beyond Enrollment?

Credentialing is one piece of running a practice. Our team can also help with startup, revenue cycle management, intake, authorizations, scheduling, and ongoing operations.

Credentialing and Comprehensive RCM support are coordinated so responsibilities stay clear and work is not duplicated.

Explore Anchored Revenue for other healthcare specialties →

Nationwide coverage

Expertise That Extends Beyond State Lines.

Capri engagements are conducted remotely and through team-based collaboration, with occasional on-site visits when a project calls for them.

Explore nationwide services →

Frequently Asked Questions

How quickly do you submit applications?

Complete, eligible applications are submitted within 48 business hours after all required documents, information, authorizations, and payer access have been received and verified.

Are payer follow-ups included?

Yes. Unlimited payer follow-ups are included for active applications within your purchased service scope.

How long does credentialing take?

Payer processing times vary. We control preparation, submission, and administrative follow-through, but not payer approval timelines.

Can you credential my entire group?

Yes. We coordinate group enrollment and provider applications around your team, locations, and payers.

Can you help with just one payer application?

Yes. We can prepare and manage a single provider-payer application without a broader engagement.

Do you manage CAQH?

Yes. We offer initial profile setup and annual maintenance.

Can you handle credentialing after my practice opens?

Yes. Ongoing credentialing management is available through a custom monthly service agreement.

Get started

Let's Get Your Credentialing Moving.

Tell us which providers and payers you need help with. We'll confirm the scope and next steps.

Please don't include Social Security numbers, patient records, or confidential credentialing documents here. We'll collect required documents through a secure process after scoping.

Schedule a Consultation

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