Credentialing & Contracting

Get paneled faster. Stay credentialed longer.

Insurance credentialing and payer contracting built for behavioral and mental health practices. We handle new provider paneling, recredentialing, contract review, and every payer follow-up call until you have a decision in hand.

Most providers paneled in 60 to 90 days.
We follow up with every payer until you have a decision. No silent applications.
CAQH, NPPES, and MCC maintained continuously, not just at renewal.
Standalone service. You do not need to use us for billing.
★★★★★Trusted by 200+ behavioral health practices across the United States.

Talk to a credentialing expert, free, no pressure.

Schedule a free 30-min call. We’ll be in touch within one business day.

200+ practices
No contracts to start
10+ Years Credentialing BH Practices
Commercial, Medicare & Medicaid
200+ Practices Served
Recredentialing Deadlines Tracked
Who We Help

Built for behavioral and mental health practices at every stage.

Whether you are paneling your first provider or running a 30 clinician group, the credentialing playbook looks different. We have done it for both.

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Newly licensed clinicians

Just got your full license and ready to see insured clients? We handle every payer application from start to finish so you can focus on growing a caseload, not chasing paperwork.

🏢

Group practices adding providers

Hired a new therapist or prescriber? We add them to your existing contracts, run their credentialing applications, and keep your group roster current with every payer.

📈

Practices expanding services or locations

Opening a new office, adding a new license type, or moving into a new state? New locations and new license types both trigger credentialing and contracting work. We map it out and handle the filings.

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Practices that suspect a credentialing gap

If you are seeing denials you cannot explain, or you are not sure which providers are paneled with which plans, we audit it. Most practices we audit find at least one missing or expired contract.

Sound Familiar?

The credentialing problems we hear every week.

Credentialing is detail work. The pain shows up months later, in the form of denials, terminations, or revenue you cannot collect. Here is what most practices we talk to are dealing with.

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I sent in my application six weeks ago and have not heard back.

Payer queues stall. Submitted does not mean reviewed. We follow up on a scheduled cadence with every payer until your application gets a decision, not just a confirmation.

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I do not know which providers are paneled with which plans.

If your credentialing tracker lives in a spreadsheet that has not been updated in a year, we have seen that movie. We rebuild your roster from scratch and verify each contract directly with the payer.

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Our denials spiked and we cannot figure out why.

Credentialing gaps cause silent denials. A lapsed contract, an expired CAQH attestation, or a provider added to the group but never paneled all look like normal denials at the claim level. Most of them are credentialing problems.

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I missed a recredentialing deadline and got terminated.

This is recoverable but painful. Reinstatement can take three to six months, and claims billed during the gap may be denied retroactively. We rebuild the application, push for an expedited review when possible, and prevent it from happening to the rest of your roster.

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I want to add Medicaid or Medicare and do not know where to start.

Both have multi step enrollment processes and unique portals. PECOS for Medicare. State specific systems for Medicaid plus separate enrollments for each managed care organization. We have done all of it.

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I am switching from solo practice to a group and have no idea what changes.

Your individual contracts often do not transfer. The group needs its own credentialing, and you need to be re paneled under the group TIN. We map out every change before you make the switch so nothing breaks.

Sound like your situation? Let’s pull it apart together.

Schedule my free review
Credentialing vs. Contracting

They are not the same thing. You need both.

One of the most common misunderstandings we untangle on discovery calls. A clean explanation, then we move on.

Credentialing

Proving the provider is who they say they are.

The payer verifies licenses, education, malpractice history, work history, and board certifications. This is what allows a specific clinician to bill under a specific contract.

What it covers
Provider licenses, NPI, CAQH
Education and training history
Malpractice and disciplinary history
Re attestation and recredentialing
Contracting

The legal agreement that sets your rates.

The contract between your practice and the payer that defines fee schedules, covered services, locations, and terms. Without it, credentialed providers still cannot bill in network.

What it covers
Fee schedule and reimbursement rates
Service locations and TIN structure
Covered services and CPT codes
Contract reviews and renegotiation

A provider can be credentialed but not contracted. A practice can be contracted but missing credentialing for new hires. Both situations cause denials. We audit both as the first step of every engagement.

What We Handle

Four services. Use one. Use all of them.

Most practices start with an audit, then move into ongoing credentialing maintenance. Some come to us with a specific need. Either works.

Newly licensed, recently joined a group, or expanding to see insured clients for the first time? We handle every step of the paneling process and follow up with payers until you have a decision in hand. Not just a submitted application.

What is included
Provider data collection
NPPES review and NPI verification
CAQH and MCC setup, review, and updates
License verification
Adding provider to group contracts
Credentialing application submission
Payer follow up until decision
Monitoring of upcoming recredentialing requests

Missing a recredentialing deadline can result in termination from a payer panel. Reinstating a terminated provider can take months. We track every renewal date across your roster and handle recredentialing before it becomes a crisis.

What is included
Create and maintain provider roster
Annual roster review
New provider credentialing add ons
Credentialing maintenance via payer portal, CAQH, etc.
Recredentialing and re attestation
NPPES individual NPI maintenance
Expiring license and DEA tracking
Discounts for bundled services

Need to add a new payer, open a new location, or revisit your fee schedules? Contracting is the negotiation and paperwork side of payer relationships. We pursue new contracts, review existing ones, and keep your terms current.

What is included
New payer contract pursuit
Contract review and rate audit
Adding new service locations
TIN and group structure updates
Fee schedule analysis
Specialty designation updates
Annual contract calendar

Not sure where you stand? An audit is the right first step. We verify each provider with each payer, identify expired contracts, expired licenses, and missing roster entries, and hand you a written report with prioritized recommendations.

What is included
Full provider and payer roster verification
Direct payer outreach for status confirmation
Expired credential and contract identification
Missing provider attribution audit
Denial pattern analysis tied to credentialing
Written remediation plan

Not sure which service you need? Tell us about your practice and we’ll point you in the right direction.

Talk to a credentialing expert
How It Works

A realistic credentialing timeline.

Most providers are paneled within 60 to 90 days. Some payers move faster. Medicaid and a handful of commercial plans can take longer. Here is what the path looks like.

Week 0

Free credentialing review

30 minute call. We learn about your practice, your providers, and your current payers. You get a written summary and a recommendation. No obligation to continue.

Week 1

Data collection & audit

We collect provider information, confirm CAQH and NPI status, and verify your existing contracts directly with each payer. You get a roster baseline.

Weeks 2 to 4

Applications submitted

We complete and submit every new credentialing application and contract request, then set follow up cadences with each payer.

Weeks 4 to 12

Active payer follow up

We follow up with each payer at scheduled intervals until your applications get decisions. You get status updates so you always know where things stand.

Ongoing

Maintenance & renewals

Recredentialing deadlines, CAQH re attestation, license expirations, and new provider add ons are tracked continuously, never reactively.

Nationwide Coverage

We credential providers in all 50 states.

From solo therapists to multi state group practices, we handle credentialing and contracting across every state and every payer network. Commercial plans, Medicare, state Medicaid programs, and the managed care organizations that contract with them.

All 50
states served
Hundreds
of payers credentialed
10+ yrs
credentialing behavioral health
A few of the payers we credential with
AetnaBlue Cross Blue ShieldCignaUnited HealthcareOptum / United Behavioral HealthMedicaHealthPartnersPreferredOneUCareHennepin HealthBCBS ILBlue Cross MNHumanaMagellanBeacon / CarelonMedicareMedicaid (state)Medicaid MCOs+ hundreds more

Working with a payer you do not see here? Ask us. We have probably credentialed with them, and if we have not, we will figure out the process.

Why BreezyBilling

Credentialing is detail work. We built a system for it.

Every payer has different requirements, different timelines, and different quirks. We have documented all of it so nothing slips.

100% Specialized

Behavioral health only

We do not credential surgery centers or dermatology practices. We only credential behavioral and mental health practices. Every payer relationship and every quirk we know is from this work.

Real Follow Up

Applications do not stall on our watch

Submitted is not the same as decided. We follow up with every payer on a scheduled cadence until your application has a decision. You will not wait six weeks to find out nothing happened.

Always Visible

You always know where things stand

You get a maintained roster, scheduled status updates, and a direct contact you can reach. No black boxes, no ticket queues.

Ready to hand off credentialing? Get a free roster review first.

Schedule my free review
What is at Stake

Credentialing gaps do not show up until they are expensive.

A provider who is not properly credentialed cannot bill for sessions they have already delivered. Outdated contracts cause denials your billing team has to chase down, sometimes months after the fact, sometimes never.

We have seen practices lose tens of thousands of dollars to credentialing gaps they did not know existed. Staying on top of credentialing is not optional. It is the foundation everything else is built on.

The real cost
3 to 6 monthsto reinstate a terminated provider
Retroactiveclaim denials on already delivered sessions
$1000sin revenue lost to silent credentialing gaps
Preventablewith consistent deadline tracking

Free review  ·  No long term contract  ·  Standalone service

Find out where your credentialing actually stands.

Schedule my free reviewor call (612) 568-1124
What Practices Say

Practices that handed off credentialing.

BreezyBilling pulled apart our whole credentialing situation and made it make sense. They found two payers we were never actually paneled with, even though we had been billing them for months.
Carrie R.
Carrie R.
Group Practice Owner, MN
The customer service is attentive, responsive and simply the best I have ever experienced. They added a feature I requested and were not only helpful, they got it done within a half hour.
Alex I.
Family Therapist
I did not realize how much money we were leaving on the table until they audited our payer roster. Worth every penny just for that audit.
Nancy G.
Nancy G.
Solo Practice Therapist, IL
Common Questions

Everything you might be wondering.

Still have a question? We answer everything on the discovery call.

Schedule my free review
Ready When You Are

Credentialing should not be on your to do list.

Book a free review. We will look at where you are paneled, what is expiring, and what needs attention first. Then you decide.

Schedule my free reviewCall (612) 568-1124