🏥Mental Health & Behavioral Health Specialists

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We handle provider credentialing end-to-end for LPCs, LCSWs, Psychologists, and behavioral health practices across IL, TX, WI, IA, MO, and MA — so you can focus on patients, not paperwork.

✅Applications submitted and followed up on your behalf

✅CAQH setup, cleanup, and ongoing attestation

✅Medicare, Medicaid, and commercial payer enrollment

✅Transparent SOW-based contract — you know exactly what you're getting

✅We also provide full billing services once you're credentialed and ready to submit claims

Get Credentialing Started

We'll review your situation and call you right away.

Since 2018Mental & behavioral health billing specialists
IL · TX · WI · IA · MO · MASix states we know cold, Medicaid programs included
AAPC CertifiedCertified Professional Biller on staff
CAQH IncludedSetup, cleanup & attestation at no extra charge
Why credentialing stalls

Every week off‑panel is a week you can't bill

Credentialing rarely fails from one big mistake. It fails quietly — a stale attestation, an unanswered email, a roster update nobody submitted.

Applications go silent

Payers don't tell you something is missing. Without someone calling every two to three weeks, a file can sit untouched for months.

CAQH falls out of date

Re‑attestation is required roughly every 120 days. Miss one cycle and payers stop pulling your data mid‑review.

Claims deny on effective dates

Seeing clients before your effective date usually means writing off the work — or fighting for retro authorization you may not win.

Nobody reads the contract

Most practices sign the first fee schedule they're handed and never revisit it. Behavioral health codes are often the most negotiable.

What we handle

The whole file — not just the forms

You send documents once. We build the file, submit it, and stay on the payers until you have contracts and effective dates in hand. Everything runs on a transparent SOW, so you always know what you're paying for.

  • NPI & document assemblyType 1 and Type 2 NPIs, licensure, DEA, malpractice COI, CV gap review, and education verification.
  • CAQH setup, cleanup & attestationBuilt, populated, and kept attested on schedule — included in credentialing at no extra charge.
  • Medicare, Medicaid & commercial enrollmentPECOS enrollment, revalidation, group linkage, reassignment of benefits, and state Medicaid filings.
  • Behavioral health carve‑outsThe managed behavioral health organizations that sit behind the major medical plans — where most generalists get lost.
  • Follow‑up until there's a decisionApplications are worked on a set cadence, payer by payer, until you have an effective date or a clear answer.
  • Billing once you're liveFlat monthly rate, never a percentage of collections, and no long‑term contract. Optional — credentialing stands on its own.

Already stuck mid‑application?

Stalled files are the most common thing we're handed. Send us what you have and we'll tell you exactly where it broke — before you pay us anything.

  • Current status pulled from each payer
  • Missing‑document list, in writing
  • Realistic effective‑date estimate per panel
  • A plan to close the ones worth closing
How it works

Four steps. You only do the first one.

1

Tell us your situation

Send the form and we call you back — usually within the hour. We map your providers, states, and the panels actually worth pursuing.

2

We build the file

One organized document request, then we assemble everything: NPIs, CAQH, licensure, malpractice, and practice‑level data.

3

Submit & pursue

Applications go out and get worked on a set follow‑up cadence — every payer, every two to three weeks, until there's a decision.

4

Contract & go live

We review the agreement and fee schedule, confirm effective dates, and hand you clean data to load into billing.

Who we help

Behavioral health only — that's the po nt

Not general medicine. Not dentistry. We work the payer nuances, panel restrictions, and state‑specific rules that only affect your specialty.

Solo clinicians

LPCs, LCPCs, LCSWs, LICSWs, LMFTs, PhDs and PsyDs, and psychiatric nurse practitioners going in‑network for the first time — or leaving a group and taking their panels with them.

Group practices

Growing groups with constant roster churn. We handle adds, terms, and location changes, and keep every provider's re‑credentialing date off your desk.

Telehealth & multi‑state

Virtual and hybrid practices licensed across IL, TX, WI, IA, MO, and MA — where every added state means another Medicaid program and another set of commercial panels to work.

Panels we work

Commercial, government, and behavioral health carve‑outs

The panels that actually matter for behavioral health — including the managed behavioral health organizations sitting behind the medical plans.

MedicareState Medicaid & MCOsTRICARE Blue Cross Blue Shield plansAetnaCigna / Evernorth UnitedHealthcare / OptumHumanaMagellan Carelon Behavioral HealthCentene / Ambetter MolinaRegional & EAP networks

Panel availability, open/closed status, and contract terms are set by each payer and vary by state, license type, and specialty. We confirm what's actually open to you before you spend time on an application.

What providers are saying

Practices that stopped waiting on payers

Gina Consulting handled everything from CAQH to payer enrollment. I was credentialed with 4 insurers in under 90 days. Highly recommend for any new practice.

LPC, Private Practice — Chicago, IL

I had no idea where to start with credentialing. The team walked me through every step and kept me updated throughout. Worth every penny.

LCSW, Group Practice — Austin, TX

Fast, professional, and transparent. They also took over our billing after credentialing — our collections improved significantly within the first month.

PMHNP, Telehealth Practice — Milwaukee, WI
Straight answers

Credentialing FAQs

How long does credentialing take?

Timelines vary by payer and state, but most applications land in the 60–120 day range from a complete submission to an effective date. Medicare and state Medicaid programs run on their own schedules and some commercial panels are slower than others. What we control is that your file is complete on day one and that nothing ever sits waiting on a follow‑up call.

Which states do you work in?

Illinois, Texas, Wisconsin, Iowa, Missouri, and Massachusetts. Credentialing rules, Medicaid programs, and panel behavior are genuinely different in every state — we would rather know six states cold than fifty thinly. If you are licensed somewhere else, reach out anyway and we will tell you honestly whether we can help.

Do you handle CAQH setup?

Yes — full CAQH ProView setup, cleanup, and ongoing attestation, included in credentialing at no extra charge. Attestation is required roughly every 120 days, and a lapsed profile is one of the most common reasons an application quietly stalls.

Can I see clients while my application is pending?

You can see them, but you generally can't bill in‑network until your effective date. Some payers grant retroactive effective dates and some don't — it depends on the contract and the state. We tell you which of your target payers do before you build a caseload you may not be able to bill for.

What if a panel is closed in my area?

Closed panels are common in saturated behavioral health markets. There are usually still routes in — a documented access need, an underserved population or specialty, a language capability, a group contract, or a specific level of care. We check panel status before you apply and tell you honestly when it isn't worth the effort.

We're opening a new practice. When should we start?

As early as possible — ideally three to six months before you plan to see your first insured client. Credentialing is almost always the longest lead‑time item in a practice launch, and it sits behind your entity setup, NPIs, and licensure. Starting late is the single most common reason a new practice opens with no revenue coming in.

Can you also handle billing after credentialing?

Yes. Once you're credentialed and ready to submit claims, we offer full mental health billing on a flat monthly fee — never a percentage of collections, and no long‑term contract. It's optional; plenty of clients use us for credentialing only.

What do you need from us to get started?

To start the conversation, just the form above — we'll call you back and review your situation at no cost. To begin the work: licenses, NPIs, DEA if applicable, malpractice certificate, CV, and your practice entity details. One organized request, then we take it from there.

Find out which panels are actually open to you

Send us your situation and we'll call you back — usually within the hour — with the panels worth pursuing, what each one needs, and a realistic timeline. No cost, no obligation.

847‑242‑1637

Credentialing timelines, panel availability, and contract terms are set by each payer and vary by state, license type, and specialty. Nothing here is a guarantee of network participation.

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