Provider Enrollment Services
Medicare, Medicaid, and commercial payer enrollment managed from application to active in-network status.
All 50
States for Medicaid enrollment
120+
Commercial payer relationships
Tracked
Application requests and effective dates
Overview
Provider enrollment converts credentialing approval into billing authorization - without it, a credentialed provider still can't get paid. AspireMedX manages Medicare PECOS enrollment, Medicaid enrollment across all 50 states, and commercial payer applications through to active participation status.
Where revenue usually gets stuck
Enrollment delays cost money in missed claims from the day a provider should have been active. AspireMedX tracks effective dates and coordinates retroactive billing where payers allow it, so enrollment gaps don't become permanent revenue gaps.
What we handle
- Medicare enrollment through PECOS, including new providers and groups
- Medicaid enrollment across all 50 states and MCO plans
- Commercial payer panel applications - new locations and new providers
- Revalidations, demographic updates, and reassignment of benefits
- Additional information request (AIR) follow-up with payers
- Effective date tracking and retroactive billing coordination
Questions about provider enrollment
Does submitting an enrollment application mean a provider can bill?
Submission alone is not approval. Participation, effective dates, reassignment, and any retroactive billing rules must be verified with the payer before relying on in-network status.
How do you track payer enrollment?
We organize application status, requests for additional information, follow-up dates, and payer decisions. Your team provides accurate provider and business records and reviews attestations that require its authorization.
Talk to us about provider enrollment
info@aspiremedx.com · +1 (716) 242-2898
Other services
Medical Billing
Outsourced medical billing services covering claim submission, payment posting, denial management, and accounts receivable follow-up.
Learn more →Provider Credentialing
Primary source verification and CAQH management so your providers stay credentialed and in-network.
Learn more →Medical Coding
Accurate, certified CPT, ICD-10, and HCPCS coding that holds up to payer scrutiny and audits.
Learn more →