Available on its own, no network build required
Credentialing that stops slipping the go-live date.
A provider who signs in March and isn't payable until August is a revenue problem, an access problem, and an audit problem. Credentialing belongs on the critical path, staffed like it.
No pitch. If it fits, the next step is a two-week diagnostic: fixed fee, no commitment past it.
Where it usually breaks
Sound familiar?
- A backlog that grows faster than the team clears it
- CAQH records stale, attestations expired
- Committee meets monthly and the agenda never fits
- A delegation audit is coming and the files aren't ready
What we take off your plate
One team for the whole build.
- Initial & re-credentialing
- NCQA-compliant cycles run to schedule, not to capacity.
- Primary source verification
- PSV completed inside the verification windows that matter.
- CAQH & data hygiene
- ProView setup and ongoing maintenance so files don't go stale.
- Committee & delegation
- Governance, minutes, and audit-ready files for delegated arrangements.
The plan
Three steps, with dates.
- 1
Assess
Backlog, cycle times, and audit exposure.
- 2
Clear
Work the backlog while the ongoing cycle keeps running.
- 3
Sustain
A cadence that holds, run by us or handed back.
What success looks like
- Providers payable when they go live, not months later
- Clean files that survive a delegation audit
- A credentialing clock leadership can forecast against
Not sure where your build stands?
Eight questions, two minutes. See your weak spots and what we'd fix first. No email required.
From our playbook
Getting providers from signed to payable.
- Operations · 7 min readThe 60-day credentialing clockCMS gives you a 60-day provisional credentialing window. Your go-live date lives inside it. Most plans don't plan for this until it's a problem.Read it
- Operations · 8 min readFrom signed to payable: closing the provider onboarding gapA signed contract is not a working provider. Learn the steps between signature and a credentialed, loaded, directory-listed, payable provider, and how to track them.Read it
- Operations · 6 min readRunning a credentialing committee that doesn't slow the buildMost credentialing committees are structured for compliance, not velocity. Here's how to design one that meets NCQA standards and keeps pace with a network build.Read it
- Operations · 7 min readDelegated credentialing: what the contract actually saysDelegation agreements with hospitals and health systems can accelerate credentialing — or create compliance problems. The difference is in what you're actually delegating.Read it
- Operations · 6 min readCAQH hygiene is network hygieneCAQH underpins most credentialing workflows. When the data is stale, the credentialing process stalls. The maintenance program is straightforward — most organizations just don't have one.Read it
- Credentialing · 14 min readAI in Provider Data and Credentialing: What Is Real NowA grounded 2025-2026 view of AI in provider data and credentialing: what automation genuinely helps, what is hype, and where NCQA rules keep humans essential.Read it
Talk to the founder
I've watched a lot of builds go quiet around week six. Usually it isn't strategy. It's that nobody owns the hard middle. Tell me where yours is stuck and I'll tell you straight whether we can help, and what I'd do first.
Dave Smith
Founder, Kearny Street Management
Building provider networks since 2002, for payers and for providers.
A 20-minute call. No pitch and no slides, just a straight read on where your build stands.