Billing and Credentialing FAQ

Start by scheduling a consultation or requesting a quote. We’ll ask about your specialty, provider count, claim volume, EHR, payer mix, credentialing needs, and current revenue challenges.

Typical onboarding information includes provider details, payer information, EHR access requirements, claim workflow details, NPI/CAQH information, insurance cards, billing preferences, and current AR or denial concerns.

Consistent daily or weekly submission is best for keeping claims moving and reducing filing delays.

Patient statements can be included depending on the service scope. SOSA can discuss whether patient billing, payment plans, or collection workflows make sense for your practice.

SOSA reviews the denial reason, determines whether the denial is valid, correctable, or appealable, then follows the payer’s process for correction, resubmission, or appeal.

Yes. SOSA supports CAQH, payer applications, provider enrollment, status tracking, follow-up, and recredentialing.

Credentialing timelines vary by payer and provider circumstances. Many payer processes can take 90–120 days, so start early when adding a provider or launching a practice.

No. Do not send protected health information through public website forms. SOSA can provide secure processes for sensitive onboarding or client documentation when appropriate.

Pricing depends on provider count, claim volume, services needed, credentialing scope, EHR complexity, and cleanup needs. Schedule a consultation for a practice-specific estimate.