Credentialing Management · NJ · NY · CT

Stop losing $5,000–$15,000 a month to credentialing delays.

Every month a provider sits un-credentialed with a payer, your practice loses $5,000 to $15,000 in billable revenue. Re-credentialing deadlines slip. CAQH profiles go stale. Retroactive billing windows close. Praxia handles all of it — quietly, in the background, before it ever becomes a problem.

Get Started — $397/month →

Flat monthly rate · No setup fees · Cancel anytime

The hidden cost

Credentialing is where small practices quietly bleed money.

It's not glamorous work. It's not what you went to school for. And it's exactly where most behavioral health practices lose tens of thousands a year without ever realizing it.

Initial credentialing takes 90–180 days.

If you don't start 90 days before a new provider's start date, you're paying their salary while they can't bill insurance. That's $5,000–$15,000/month per provider in lost revenue — gone.

Re-credentialing happens every 2–3 years.

Every payer. Every provider. Different deadlines. Most practices miss at least one cycle a year — and the result is weeks of denied claims until it's resolved.

Taxonomy codes are state-specific landmines.

LPC, LCSW, LMFT — each license type has different payer eligibility, and the rules differ by state. Wrong taxonomy code on an application means a clean denial and a restart.

CAQH profiles go stale every 120 days.

An incomplete or out-of-date CAQH profile delays every approval downstream. Most practices don't realize theirs is flagged until an enrollment comes back rejected.

Retroactive billing windows close fast.

Most payers allow a 60–90 day retroactive billing window after approval. Miss it and that revenue is permanently lost — even though the work was done.

Expirations are silent killers.

State license. Malpractice. DEA. Board certs. Any one of them expires without notice and you're out of network instantly until renewed — sometimes for months.

What's included

Everything credentialing — handled.

One flat monthly rate covers the entire credentialing operation for your practice. Set up once, then maintained continuously so nothing slips.

CAQH profile setup, maintenance, and updatesEvery 120-day attestation handled automatically.

Initial payer enrollment across all active payersAetna, Cigna, BCBS, United, Optum, Medicare, Medicaid, and commercial plans.

Re-credentialing tracking with 90-day advance alertsNo more surprise lapses. We start the cycle before you'd even think to look.

Taxonomy code verification per license + payerLPC, LCSW, LMFT, psychologist, psychiatrist — matched per state and payer.

Expiration tracking: licenses, malpractice, DEA, board certsTracked continuously, alerts at 90 / 60 / 30 days out.

Submission-ready packets, prepared and verifiedYou sign and submit — no chasing missing fields or paperwork.

Live status tracking across all active applicationsYou always know which payer is at which stage.

New provider onboarding credentialingHire a new clinician — we have them credentialing-ready from day one.

The math

The ROI is almost embarrassing.

You don't need a spreadsheet to see this one. The math runs itself.

One month of credentialing delay (per provider)

−$5k to $15k

One missed re-credentialing deadline

weeks of denied claims

One missed retroactive billing window

permanent loss

Praxia Credentialing Management

$397/mo

Bottom line

One prevented delay pays for over a year of this service.

If we stop one credentialing slip in twelve months — even at the low end of the range — Praxia pays for itself with thousands left over. That's before we count the re-credentialing deadlines, the expired licenses, and the retroactive windows we close on your behalf.

Pricing

Simple, flat, and built to pay for itself.

Credentialing Management

$397/ month

The smartest first step.

CAQH profile setup, maintenance, and updates
Initial payer enrollment for all active payers
Re-credentialing tracking with 90-day advance alerts
Taxonomy code verification per license type and payer
Expiration tracking: licenses, malpractice, DEA, board certs
Submission-ready packets prepared for practice to submit
Status tracking across all active payer applications
New provider onboarding credentialing (within tier)

Bonus: Counts as credit toward Starter plan if you upgrade.

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When you're ready for more

An upgrade path that scales with the practice.

Most practices start with Credentialing Management and graduate to Starter once they see what it's like to have the back office handled. No pressure — but the door's open whenever you want it.

Starter

$997 / month

For solo and small practices ready to offload scheduling, intake, and the full credentialing workflow. The complete entry-level back office.

Growth

$2,497 / month

For multi-provider practices with billing, prior authorizations, denial management, and compliance fully handled — the operational backbone of a growing practice.

See full pricing on the main site →