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Medroll Technologies

Services

Everything between a signed offer and a billable provider.

Medroll handles payer enrollment end to end for practices of every specialty and size, with one team accountable for every file.

Payer applications moving through parallel review paths to approval and a confirmed effective date

Commercial payer enrollment

Individual and group enrollment with national and regional plans, from application to signed participation and confirmed effective date.

  • Panel-status checks before applying
  • Contract and fee schedule requests
  • Effective date and provider ID confirmation

Medicare enrollment (PECOS)

Initial enrollment, reassignment of benefits to your group, and changes of information through PECOS.

  • CMS-855I / 855B / 855R filings
  • Reassignment to group TIN
  • Revalidation every 5 years

Medicaid and managed Medicaid

State fee-for-service enrollment and credentialing with the Medicaid managed care organizations your patients use.

  • State-specific requirements handled
  • MCO credentialing after state approval
  • State revalidation tracking

CAQH ProView management

New profile setup or a full audit of existing profiles, with documents, practice locations and payer authorizations kept current.

  • Profile audit and clean-up
  • 120-day re-attestation
  • Document expiry tracking

Group, location and roster updates

Adding new sites, changing addresses, updating tax IDs and keeping payer rosters accurate as you grow.

  • New location enrollment
  • Demographic and address changes
  • Provider adds and terms

Re-credentialing and renewal tracking

We track every payer re-credentialing cycle, Medicare revalidation and CAQH attestation so nothing lapses.

  • Renewal calendar per provider
  • Advance document collection
  • Lapse prevention, not lapse recovery

Scope, stated plainly

What we do, and what we don't.

Medroll handles payer enrollment. We do not perform primary source verification; that is done by payers or credentials verification organizations.

We do

  • Application preparation and submission
  • CAQH profile management
  • Payer follow-up and status reporting
  • Effective date confirmation
  • Renewal and revalidation tracking

We don't

  • Primary source verification
  • Medical billing or coding
  • Contract rate negotiation guarantees

Specialties

Every practice type, one standard of work.

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

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.