How we work
We prepare. We hold the account. We never sign.
Every vendor in this category claims full turnkey. The claim is not true, and the gap between the claim and the delivery is where engagements fail.
The authority model
We prepare every filing. Where a board or payer provides a formal delegation mechanism, we hold the account under it. We do not sign on the clinician's behalf. Form CMS-855I states that the practitioner is the only person who may sign and that the authority may not be delegated. Every certification routes back to the clinician through an electronic signature vendor the board accepts.
What we concede
Roughly four touchpoints per license require the clinician personally: identity verification, signature, fingerprinting where the state requires it, and any jurisprudence examination. We tell you that before the engagement starts, we schedule around it, and we meet the expectation we set. A vendor promising zero clinician time is describing something that does not exist.
Delegation mechanisms we use
- CMS Identity and Access Management, Third-Party Organization surrogacy. Lets us act on Medicare enrollment records without holding the clinician's credentials.
- CAQH Practice Manager Module. Group-level maintenance and attestation across the commercial payer set.
- Limited power of attorney. Board by board, only where the board publishes and accepts the instrument, and scoped to the filing at hand.
Start with a free roster audit
Every license, every expiry date, every Letter of Qualification clock, and your coverage gaps against the states you advertise. Two business days. You keep the output whether or not you work with us.