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.
How it works
A clear process, run the same way for every file.
Six steps, one accountable team, and status updates you never have to ask for.
- 1
Intake and document collection
We gather licenses, NPI details, malpractice coverage, board certifications, work history and practice information in one pass, so nothing is requested twice.
- You
- Complete one intake form and upload documents.
- Medroll
- Review every document for completeness and expiry dates.
- 2
CAQH profile audit and clean-up
Most commercial payers pull directly from CAQH ProView. We audit every field, correct mismatches, upload current documents and confirm attestation is current.
- You
- Grant CAQH access (or let us create the profile).
- Medroll
- Clean, complete and attest the profile.
- 3
Payer selection and panel-status check
We confirm which payers matter for your market and specialty, check panel status and network requirements, and flag closed panels before time is spent on them.
- You
- Tell us the payers your patients use.
- Medroll
- Confirm panel status and the right application path.
- 4
Application preparation and pre-submission validation
Each application is cross-checked against license, NPI/NPPES, CAQH and PECOS data so names, addresses, taxonomy codes and tax IDs match exactly before submission.
- You
- Review and sign where a signature is required.
- Medroll
- Prepare and validate every field and attachment.
- 5
Submission and active follow-up on every file
We submit, log reference numbers, and follow up with each payer on a fixed cadence. Requests for information are answered quickly, not discovered weeks later.
- You
- Nothing, unless a payer needs something only you can provide.
- Medroll
- Chase every file and send clear status updates.
- 6
Approval, effective-date confirmation and handoff
We confirm the participation effective date, provider ID and contract details with each payer, then hand off a clean record your billing team can use on day one.
- You
- Start scheduling insured patients.
- Medroll
- Deliver effective dates, IDs and a billing-ready summary.
We run enrollment in parallel wherever payers allow; parallel processing can save 45-60 days.
Status updates
You're never guessing.
Every file has a status, a last action and a next step. You see changes as they happen, including anything a payer needs from you.
This week's activity
Illustrative example- Mon
Aetna application submitted. Reference #A-48211 logged.
Submitted - Thu
Medicare (PECOS) moved to contractor review.
In review - Tue
UHC requested updated malpractice COI. Sent same day.
Needs info - Fri
Cigna approved. Effective date confirmed for the 1st.
Effective
Why applications stall
What we check before anything is submitted.
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.
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.