We handle your Medicaid, managed care, and commercial payor credentialing from application to approval, ensuring a smooth and compliant enrollment process.
Complete your CAQH ProView profile accurately and link it to payors for faster credentialing, whether you’re starting fresh or updating an existing account.
We manage the application or update of your Type 1 (individual) and Type 2 (organization) NPI to ensure accurate records for credentialing and billing.
We guide you through obtaining your HCC license or securing an exemption, ensuring compliance with AHCA requirements and avoiding costly delays.
Please reach us at info@helpinghandstc.com if you cannot find an answer to your question.
We work with a wide range of commercial and government payors, including Florida Medicaid and Managed Care Plans (Sunshine Health, Simply, Community Care Plan, Molina, Aetna Better Health, Humana, and Florida Community Care), as well as commercial networks such as Aetna, Cigna (Evernorth), UnitedHealthcare/Optum, and Florida Blue (Lucet).
Absolutely. We handle both group and individual enrollments. Whether you’re a solo practitioner, group provider, or multi-disciplinary therapy group, we can manage your group NPI setup, taxonomy assignment, and individual linking to the group contracts.
Yes. We assist with re-credentialing, revalidation, demographic updates, EFT/ERA changes, and adding new locations or providers under your existing contracts.
To begin the credentialing process, we’ll collect essential details about your practice and providers. This typically includes your National Provider Identifier (NPI), Tax ID and business information, professional licenses, liability insurance, and a current resume or CV. If you already have a CAQH profile, we’ll review it to ensure it’s complete and verified; if not, we can help you set one up from scratch. During onboarding, our team provides a customized checklist to make sure you have everything ready before submission, helping to avoid common delays and missing information.
Credentialing timelines vary depending on the payor and their internal review process, typically 45-120 days. Our team closely monitors each application and follows up regularly with payors to minimize wait times and keep you informed throughout every stage of the process. Although some factors—such as background checks or missing documentation, are outside of our control, our proactive approach ensures your file keeps moving forward as efficiently as possible.