Typical enrollment timelines
Commercial payers
90–150 days
Medicare (PECOS)
60–90 days
Medicaid
30–180+ days
090 days180+
Payer enrollment for every US practice type
Your providers can't see insured patients until payers say yes. We make that happen faster.
Payer enrollment done right the first time, with clear status updates and no files left to sit.
Enrollment tracker
14
Active files
9
Approved (30d)
98%
First-pass
Dr. A. Patel
MD · Primary care → Aetna
EffectiveEff. Mar 3J. Morales
BCBA · ABA → Medicaid (TX)
ApprovedDay 41K. Chen
LCSW · Behavioral → UnitedHealthcare
In reviewDay 27R. Okafor
NP · Advanced practice → Medicare (PECOS)
In reviewDay 19S. Nguyen
PT · Therapy → Cigna / Evernorth
SubmittedDay 3
- applications processed
20,000+
applications processed
- first-pass approval rate
>98%
first-pass approval rate
- in provider enrollment and credentialing
6+ years
in provider enrollment and credentialing
- provider groups and health plans partnered with
100+
provider groups and health plans partnered with
Track record of Medroll's founder across prior enrollment work.
The problem
Enrollment is a revenue function, not back-office paperwork.
Most commercial payers do not backdate effective dates. Every day of delay is permanently lost revenue, not deferred revenue.
69%
of provider organizations report losing $1,000–$5,000 per provider, per day, to enrollment delays.
No backdating
Most commercial payers don't backdate. Medicare allows only limited retroactive billing.
$5k–$15k
per month in unbillable visits for one unenrolled behavioral health clinician.
Revenue at risk
What is waiting on payers costing you?
Pre-loaded with one BCBA billing 30 hours a week at $150 an hour, waiting 120 days. Adjust to match your practice.
$
120 days (~17 wks)
30180
Estimated permanently lost revenue
$76,500
- Per day of delay
- $638
- Per provider
- $76,500
Estimate only; commercial payers rarely backdate.
What this means for your practice
Less waiting. More billable care.
New providers see insured patients sooner
Enrollment starts at offer, runs in parallel, and ends with a confirmed effective date.
Fewer delays and rework
Applications are validated before submission, so they are right the first time.
Fewer denials from enrollment gaps
No claims sent to payers where a provider isn't yet active.
Clear status updates
You always know where every file stands. You're never guessing.
A process that scales
Add providers, locations and states without adding headcount.
How it works
Six steps from intake to a confirmed effective date.
- 1
Intake and document collection
One secure checklist, collected once.
- 2
CAQH profile audit and clean-up
Fix the profile payers actually read.
- 3
Payer selection and panel-status check
Know which panels are open before applying.
- 4
Application preparation and pre-submission validation
Right the first time.
- 5
Submission and active follow-up on every file
No file left to sit.
- 6
Approval, effective-date confirmation and handoff
Confirmed, not assumed.
We run enrollment in parallel wherever payers allow; parallel processing can save 45-60 days.
Why applications stall
Most enrollment delays are preventable.
Payer review time is fixed. Rework is not. These are the issues that send files back to the start of the queue, and how we stop them before submission.
Incomplete applications
A single missing field or attachment can send a file back to the start of the queue.
Medroll: Every application passes a field-by-field completeness check before it goes out.
Mismatched data across sources
Names, addresses or dates that differ between license, NPI/NPPES, CAQH and PECOS.
Medroll: We reconcile all four sources first, so every payer sees one consistent record.
Lapsed CAQH attestation
CAQH requires re-attestation every 120 days; a lapsed profile stops payer review.
Medroll: We track every attestation date and re-attest before the window closes.
Wrong NPI or taxonomy usage
Type 1 vs Type 2 NPI confusion or an incorrect taxonomy code triggers rejections.
Medroll: We map each provider and group to the correct NPI type and taxonomy per payer.
Closed payer panels
Applying to a closed network wastes weeks before a denial letter arrives.
Medroll: We check panel status up front and pursue exceptions or alternatives where possible.
Missing or expired documents
Expired malpractice certificates or licenses halt processing mid-review.
Medroll: We track expiry dates and collect renewals before payers ask for them.
After approval
We keep you enrolled.
A lapse can mean denied claims with no retroactive billing. We track every renewal date so it never becomes a surprise.
CAQH re-attestation
Every 120 days
Tracked per provider, re-attested before the window closes.
Medicare revalidation
Every 5 years · 42 CFR 424.515
Deadlines monitored and revalidation filed ahead of time.
Payer re-credentialing
Payer-specific cycles
Dates logged for every payer, with documents ready in advance.
Who we serve
Built for every outpatient practice type.
From a single new clinician to multi-state groups adding locations every quarter.
Primary care
Family medicine, internal medicine and pediatrics groups adding physicians and APPs.
Behavioral and mental health
Psychiatry, psychology, LCSWs, LPCs and LMFTs across commercial and Medicaid plans.
ABA and autism therapy
BCBAs, BCaBAs and RBT supervision structures, including Medicaid ABA programs.
Physical, occupational and speech therapy
PT, OT and SLP practices billing by visit or unit, solo or multi-site.
Advanced practice (NP/PA)
Nurse practitioners and physician assistants, with supervision and state rules handled.
Multi-location and growing groups
Group and individual enrollments, new sites, address changes and roster updates.
Telehealth
Multi-state enrollment for virtual practices, aligned with licensure in each state.
Payers covered
- Medicare (PECOS)
- Medicaid (state programs)
- Aetna
- Cigna / Evernorth
- UnitedHealthcare / Optum
- Anthem / Elevance
- Blue Cross Blue Shield plans
- Humana
- Regional and local plans
Pricing
Transparent, pay-per-application pricing.
No retainers. No hidden fees.
$99per application
One provider, one payer, from preparation to confirmed effective date.
See what's includedFAQ
Common questions.
See where your enrollments stand, and what delay is costing you.
A free enrollment review covers your providers, payers, CAQH status and the fastest path to effective dates. No obligation.