At Velora, we provide specialized medical billing and credentialing services designed to support healthcare providers with end-to-end administrative solutions. One of our cornerstone offerings is our Credentialing Services, which ensures that providers are authorized, verified, and fully enrolled with insurance payers to deliver care and receive timely reimbursements.
Credentialing is not just a regulatory requirement—it’s a critical foundation for any healthcare practice’s operational and financial success. Our team of credentialing experts helps you avoid delays, denials, and compliance issues by managing every detail with precision, timeliness, and transparency.
We handle the entire lifecycle of provider credentialing, including enrollment, renewals, revalidations, and payer contracting. Below is an overview of our Credentialing Services and the key sub-services that make up this comprehensive offering:
1. CAQH Management
The Council for Affordable Quality Healthcare (CAQH) is a vital component of provider credentialing. Velora offers full-service CAQH Management to ensure your data remains current, complete, and accessible to payers.
Key features:
- 🔄 Profile Creation & Updates: We assist in setting up CAQH profiles and regularly update them to maintain accuracy.
- ✅ Document Management: All required credentials, licenses, and certifications are uploaded and managed securely.
- ⏰ Reattestation Monitoring: We ensure timely reattestation to avoid disruptions in your credentialing status.
By managing your CAQH profile efficiently, we reduce the risk of delays in payer enrollment and protect your revenue flow.
2. Contracting Services
Securing contracts with insurance payers is a critical step toward establishing a solid revenue stream. Our Contracting Services help providers negotiate and manage payer agreements with confidence.
Key features:
- 🤝 Payer Negotiations: We handle communication and negotiations with commercial and government payers to secure favorable reimbursement rates.
- 📃 Contract Review: Every contract is reviewed to identify clauses that may affect your billing or compliance down the line.
- 🔁 Contract Renewal Support: We keep track of expiration dates and initiate renewals well in advance.
With Velora’s support, providers can focus on delivering care while we manage the complex and time-consuming process of contract acquisition and maintenance.
3. EDI/EFT/ERA Setup
Electronic transaction capabilities are essential for modern healthcare billing and credentialing. Our EDI (Electronic Data Interchange), EFT (Electronic Funds Transfer), and ERA (Electronic Remittance Advice) Setup services streamline payment processing and claims management.
Key features:
- 💳 EFT Enrollment: We help you set up direct deposit of insurance payments to improve cash flow and reduce payment delays.
- 📤 EDI Registration: Velora registers your practice for electronic claim submission to eliminate paperwork and speed up processi
- 📥 ERA Setup: We configure remittance advice delivery so your team can reconcile payments more efficiently.
This digital infrastructure reduces manual errors, shortens payment cycles, and enhances overall financial transparency.
4. NPI/Tax ID Registration
Before a provider can bill insurers or register with networks, they must have a valid National Provider Identifier (NPI) and a registered Tax Identification Number (TIN). Velora simplifies this foundational process for new and expanding practices.
Key features:
- 🧾 NPI Application Assistance: We help individuals and organizations apply for and maintain their NPI numbers.
- 🏛️ IRS Registration: Support for obtaining and verifying Tax ID numbers through the IRS for practice-level registration.
- 📑 Documentation Handling: All forms and supporting documents are properly prepared and submitted to avoid delays.
Accurate NPI and TIN registration is essential for compliance and billing integrity—Velora ensures it’s done right the first time.
5. Revalidation and Recredentialing
Credentialing is not a one-time event; it requires regular revalidation and recredentialing to maintain your active provider status with payers and networks. Velora manages these cyclical requirements with precision.
Key features:
- 🔁 Automated Monitoring: We track recredentialing timelines and notify you well before due dates.
- 📤 Form Submission & Follow-ups: Our team submits updated applications and handles any follow-up inquiries from payers.
- 📚 Document Updates: We review and refresh all licenses, certifications, and malpractice insurance documents as needed.
Missing a revalidation deadline can disrupt your ability to bill payers—Velora ensures continuous compliance without interruptions.
6. State License Renewal
Healthcare providers must keep their professional licenses active and in good standing. Our State License Renewal services ensure timely submission of all required materials to maintain licensure in one or multiple states.
Key features:
- 📆 License Expiry Tracking: We maintain a database of your licenses and alert you well before renewal deadlines.
- 🗂️ Document Collection & Review: We gather and review CE credits, training records, and other documentation needed for submission.
- 📨 Application Filing: Velora completes and submits your renewal applications on your behalf.
With us handling your renewals, you can avoid lapses in licensure and remain compliant with state medical boards.
Why Credentialing Matters—and Why Velora is the Right Partner
Credentialing directly impacts your ability to operate, receive payments, and build trust with patients and payers. A single error or missed deadline can delay claims, cause denials, or even jeopardize your practice’s eligibility with insurance networks.
Velora brings deep industry experience, robust systems, and proactive communication to every credentialing project. Whether you’re a solo practitioner, multi-specialty clinic, or growing healthcare organization, our team ensures:
- 🔒 Compliance with Payer and State Regulations
- 🏥 Timely Enrollment and Revalidation
- 💼 Minimized Revenue Loss Due to Administrative Errors
- 👨⚕️ More Time for Patient Care, Less Paperwork
Benefits of Velora’s Credentialing Services
Working with Velora delivers lasting value for your healthcare practice:
- 📈 Accelerated Payer Enrollment: We get you credentialed quickly so you can start billing sooner.
- 🧘 Reduced Administrative Burden: Offload complex paperwork to our expert team.
- 💰 Improved Revenue Flow: Faster contracting and EDI/EFT setup lead to quicker reimbursements.
- 🔎 Greater Accuracy and Transparency: Every step is documented, trackable, and handled with full visibility.
- 🛡️ Risk Reduction: Avoid credentialing-related denials, audit risks, and legal penalties.
Partner with Velora Today
Credentialing can be a daunting, time-consuming process—but it doesn’t have to be. At Velora, we make provider credentialing simple, seamless, and stress-free.
Our all-in-one solution covers everything from payer enrollment to license renewals, and we back it with industry expertise and a customer-first approach. Let us help you stay credentialed, compliant, and focused on what matters most: providing excellent care to your patients.
Reach out to Velora today to streamline your credentialing processes and gain a reliable partner in practice growth.