OUR SERVICES

PDX Credentialing provides customized insurance credentialing services for healthcare providers and practices. We manage applications, payer communication, and follow-ups to help providers become in-network as quickly as possible.

Insurance Credentialing & Enrollment

Payer applications
CAQH setup
Insurance panel enrollment
Application submission & tracking

Credentialing Management

Insurance follow-ups
Document requests
Application monitoring
Issue resolution

Practice Expansion Support

Adding providers
Adding locations
Expanding insurance participation

Currently credentialing for all states, specializing in CA, OR, and WA.
Insurance Companies we work with but are not limited to are:
Aetna
ASH
BCBS CA
BCBS Regence
Cigna
First Choice
OHSU
OHP
Providence
United Health Care
UMR
Washington State Health Care Authority

WHAT TO EXPECT

Credentialing can feel overwhelming, but our goal is to make the process simple and stress-free. When you work with PDX Credentialing, we guide you through every step so you can focus on caring for your patients.

1. Initial Consultation

We start with a conversation about your practice, the providers you want credentialed, and the insurance networks you’re looking to join. Every practice is different, so we build a plan that fits your needs.

2. Information & Document Collection

We gather the necessary information and documents needed to complete your applications, such as licenses, CAQH information, and practice details. This step ensures applications are accurate and complete from the start.

3. Application Submission

Once everything is ready, we submit credentialing applications to the insurance companies you choose. Each payer has its own process, and we handle the details so nothing is missed.

4. Follow-Ups & Status Tracking

Insurance companies often require ongoing follow-up. We monitor application progress, respond to requests for additional information, and stay in contact with payers to keep things moving.

5. Approval & Next Steps

Once you are approved and in-network, we notify you and help ensure everything is in place so you can begin seeing patients through those insurance plans.

Timeline

Credentialing typically takes 30–120 days depending on the insurance company and application requirements, but our goal is always to move the process forward as efficiently as possible.

Our mission is simple: help providers become in-network as quickly as possible so they can serve their community and grow their practice.