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BrightCaseload

CREDENTIALING

BrightCaseload

CREDENTIALING

Billing sooner, every hire.

Credentialing and payer enrollment for behavioral health practices. We get your clinicians in network and keep them there.

✓  BAA before any documents

✓  Your contracts, your rates

✓  Real prices, published

Enrollment tracker

What every client sees, updated weekly.

J. Rivera, LPC · Aetna

Approved

J. Rivera, LPC · Medicare

In review

M. Chen, LCSW · Cigna

Approved

M. Chen, LCSW · PA Medicaid

Submitted

CAQH attestation

Due in 14 days

$6,000

A clinician who cannot bill insurance costs a practice roughly $6,000 to $8,000 a month in lost revenue. Enrollment takes 60 to 120 days. Start late and that is a full quarter of billing you do not get back.

What we handle

Three jobs, start to finish, so nobody on your staff has to own them.

Enrollment

Medicare, Medicaid, and commercial payers. We gather the documents, build and maintain the CAQH profile, file every application, and chase each one until there is a decision.

Contracting

We review the agreement and the fee schedule before you sign, confirm the effective date, and hand the details to your billing team so claims go out clean.

Maintenance

CAQH re-attestation every 120 days, license and malpractice expiration tracking, re-credentialing cycles, Medicare revalidation, and payer directory audits.

60–120

Days a commercial payer typically takes to credential one clinician.

$6–8k

Monthly revenue a practice loses per clinician who cannot bill yet.

14

Documents a payer needs before an application can even be filed.

What the next 120 days look like

One clinician, six payers, from signature to first claim.

DAY 0

Kickoff

You sign, we send the checklist, documents come in through the secure form.

Timelines are typical ranges, not promises. Payers decide approval and timing. What we control is how fast and how cleanly each application goes in, and how hard it gets chased.

BY DAY 5

Filed

CAQH built and attested. Every application submitted, with confirmation numbers logged.

DAY 45–90

Medicare decides

PECOS enrollment and reassignment of benefits come back first, usually.

DAY 60–120

Commercial payers

Committee approvals arrive. We review each contract and fee schedule before you sign.

EFFECTIVE DATE

You bill

We confirm the start date with each payer and hand the details to your billing team.

How it works

1

Book a call

Fifteen minutes. We ask how many clinicians, which payers, and when the new hire starts.

2

Send your documents

One secure intake form and one checklist. We tell you exactly what is missing.

3

We file and follow up

You get a status update every week with submission dates, confirmation numbers, and who we spoke to.

4

You bill

We confirm the effective date and hand the details to billing.

Why not a platform

Your contracts stay yours.

Platforms credential your clinicians free, then keep the payer relationship. Here is what that difference costs.

Platform model

BrightCaseload

Who holds the payer contract

The platform

Your practice

Who sets your reimbursement rate

The platform

You, with our contract review

Cost per session

A share of every session, forever

None

Up-front credentialing fee

Free

$1,950 per provider

If you leave

Contracts stay with the platform

Contracts are yours to keep

Payers we enroll with

Plus regional plans and state Medicaid programs. Tell us your list and we will tell you which panels are open.

Medicare

State Medicaid

Aetna

Cigna

UnitedHealthcare / Optum

Blue Cross Blue Shield

Humana

Carelon

Magellan

TRICARE

Payer names are shown for reference only. BrightCaseload is not affiliated with or endorsed by any payer.

Hiring this quarter?

Enrollment takes 60 to 120 days. Start before your clinician's first day and they bill from week one.

BAA first

Signed before we receive a single document

Encrypted intake

No license or DEA numbers by email, ever

HIPAA trained

Training certificate on file, available on request

Insured

Professional liability and cyber coverage

NAMSS member

National Association Medical Staff Services

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