Our Service
We simplify
credentialing and licensing
so you can start seeing patients faster
What’s Included
- Provider Credentialing
- State Licensing & Renewal
- Payer Enrollment & Contracting
- CAQH Registration & Maintenance
- Insurance Panel Negotiation
- NPI, PECOS & Medicaid Setup
Provider Credentialing & Licensing
for Confident Payer Partnerships
Simplify Your Path to Compliance. Accelerate Your Practice’s Success.
At The Heaven Solutions, our Credentialing & Licensing solutions are built to remove the complexity from provider enrollment and ensure you’re ready to deliver care without delay. Our Mission is simple: streamline your credentialing process, eliminate administrative stress, and fast-track your access to payers and patients so you can stay focused on what matters most.
We leverage decades of experience and cutting-edge systems to help physicians, facilities, and healthcare professionals achieve credentialing approval twice as fast, with unmatched accuracy and transparency.
Whether you are a solo practitioner, a specialty group, or a multi-site healthcare facility, our RCM solutions are custom-tailored to improve cash flow, reduce claim denials, and enhance compliance, while keeping your focus where it belongs: on quality patient care.
Why Choose The Heaven Solutions
Unmatched Speed & Precision
- Fast-track approvals with weekly follow-ups
- 95% success rate in initial payer enrollment
- Significantly shorter turnaround than industry averages
Comprehensive Service Model
- One-stop credentialing and compliance solution
- Integration with our RCM and admin support services
- End-to-end management from application to ongoing updates
Security & Compliance
- HIPAA-compliant data handling
- Up-to-date with payer-specific regulations and state laws
- Proactive monitoring to prevent delays and disruptions
Client-First Experience
- Dedicated credentialing specialists
- Personalized communication and support throughout
- Transparent progress tracking
Our Core Credentialing & Licensing Services
CAQH Registration & Maintenance
We handle your CAQH ProView profile to ensure it stays current, complete, and ready for payer access.
Key focus areas
● Initial registration and profile creation
● Regular updates and attestations
● Documentation uploads and maintenance
Insurance Panel Negotiation
We engage insurers on your behalf to place you in high-performing networks and secure competitive reimbursement terms.
Key focus areas
● Payer opportunity assessment
● Rate benchmarking and negotiation
● Legal and compliance review of contracts
NPI, PECOS & Medicaid Setup
We establish and manage your identifiers and enrollments for both federal and state billing eligibility.
Key focus areas
● Type 1 and Type 2 NPI applications
● PECOS enrollment and maintenance
● State-specific Medicaid registration
Provider Credentialing
We manage the full verification of your education, licenses, malpractice history, and work experience. Whether it’s initial credentialing or re-credentialing, our team ensures timely, error-free submission.
Key focus areas
● Primary Source Verification (PSV)
● Document auditing and compliance checks
● Continuous monitoring of renewals and expirations
State Licensing & Renewals
We guide you through obtaining or renewing licenses across individual states, ensuring you remain legally authorized to practice.
Key focus areas
● Multi-state licensing support (including compact states)
● DEA and CSR coordination
● On-time submissions and deadline tracking
Payer Enrollment & Contracting
We secure your participation with Medicare, Medicaid, and commercial insurers, from paperwork to contract negotiation.
Key focus areas
● Enrollment with major payers (e.g., Aetna, BCBS, Cigna)
● Contract review and application follow-ups
● Revalidation and provider directory updates
Our Streamlined Credentialing Process
Provider Intake & Documentation
We begin with a detailed intake and data verification to collect credentials, licensure, and professional background efficiently.
CAQH Profile & Verification
We manage CAQH setup and maintenance, ensuring real-time readiness for primary source verification and payer access
Network Integration
After credentialing, we support contract finalization with insurers to ensure your CPT codes and Rates are properly configured for billing.
Insurance Strategy & Selection
Based on your specialty, practice goals, and patient demographics, we select and prioritize the most suitable payer networks.
Application Submission & Follow-Up
We expedite submission timelines and proactively follow up with payers weekly to reduce the average approval window (industry standard: 60–120 days).
Hospital Privileges Support
We help obtain privileges like admitting, courtesy, or surgical access to enhance your clinical scope across institutions.
The Outcome Credentialing Made Clear
Partnering with The Heaven Solutions gives you a clear path to full compliance and active network participation faster, smarter,
and stress-free
- Full payer participation and billing readiness
- Reduced risk of credentialing-related revenue loss
- Access to a broader patient base and growth potential
- Freedom to focus more on clinical outcomes, not paperwork
The Heaven Solutions Onboarding Flow
Discovery Call
We begin with a quick call to learn about your current billing, credentialing, or admin challenges.
Tailored Proposal
We share a proposal tailored to your services, workflows, and expected outcomes.
NDA & Contract
We formalize our agreement with HIPAA-compliant contracts and NDAs to ensure full confidentiality.
Kick-off Meeting
We introduce your project manager and support staff, review timelines, and align on tools and systems.
System Setup & Go-Live
We configure your EHR access, start credentialing, and begin billing processes monitored from Day 1.
Awards & Honors
The awards won by our project.
