| Who it's for | Small and new practices, medical groups, MSOs and billing companies enrolling providers with commercial plans, Medicare and Medicaid |
|---|---|
| Tracking | Status per provider and payer (submitted, pending, credentialed, denied, panel closed, resubmitted and more), status history, effective date, payer ID |
| Forms | Payer PDF applications filled from the provider record |
| CAQH | Re-attestation reminders every 120 days |
| Payer directory | Payers by state and product, with panel status where known |
| Pricing | Free up to 6 providers; paid plans up to $1,499/mo |
| Done-for-you | Payer enrollment $200 per enrollment; CAQH management $100 per provider / year |
How a small practice can automate payer enrollment
- 01Collect each provider's documents once (license, DEA, malpractice, board certification, CV) through the provider portal.
- 02Complete and attest CAQH ProView, then authorize each payer.
- 03Fill each payer's application from the stored data instead of retyping it.
- 04Track every application in one list and follow up on anything pending.
- 05Record the effective date and payer ID when each payer approves.
What software can't change
Each payer sets its own review time and decides whether its panel is open. Software removes the retyping and the lost follow-ups; it does not speed up a payer's decision.
Frequently asked questions
How can a small practice automate payer enrollment?
Store provider data and documents once, keep CAQH attested, fill payer forms from that data, and track every application to its effective date. Rivon Health does all of this and is free for up to 6 providers; its team can also file enrollments for $200 per enrollment.
What is payer enrollment software?
Software that holds provider credentialing data, fills or prepares payer applications, and tracks each application's status, so a practice knows which providers can bill which payers.
Can someone do payer enrollment for us?
Yes. Rivon's specialists submit and follow up on payer enrollments for $200 per enrollment and keep CAQH profiles current for $100 per provider / year.
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