Some of Our Services

At C&C Credentialing Services, we know that credentialing is just the beginning. Managing payer contracts is essential for ensuring you get paid correctly, on time, and under the right terms. Our Contract Management Services are designed to give you complete visibility and control over your payer relationships.

Payer Contract Retrieval & Tracking

• Organize and store all executed contracts
   
• Maintain a secure, centralized contract database
   
• Track key dates, terms, and fee schedules
   

Contract Review & Analysis

• Review reimbursement rates, effective dates, and termination clauses
   
• Identify inconsistencies, outdated terms, and unfavorable provisions
   
• Assist with renegotiation preparation or escalation
   

Fee Schedule Monitoring

• Maintain up-to-date records of contracted reimbursement rates
   
• Compare allowable amounts to actual payments to identify discrepancies
   

Renewal & Termination Monitoring

• Track contract expiration dates and auto-renewal terms
   
• Provide alerts for renegotiation or non-renewal deadlines
   
• Assist with proper contract termination notices if needed
   

Credentialing-Tied Contract Follow-Up

• Ensure contracts are received and processed post-credentialing
   
• Track effective dates and panel status
   
• Coordinate with payers to resolve delays or errors
   

 Audit Preparation & Support

• Ensure contracts and fee schedules are audit-ready
   
• Provide documentation and historical contract access as needed
   

Communication Liaison with Payers

• Contact payers on your behalf for contract issues
   
• Escalate delayed or incorrect contract setups
   
• Clarify contract terms with provider relations reps
   

Bonus: Our contract management integrates seamlessly with your credentialing and recredentialing services—so nothing falls through the cracks.

Everything You Need to Credential and Launch a Healthcare Practice Successfully

Starting a new practice involves many moving parts. This checklist focuses on the credentialing and enrollment steps you need to complete to become fully operational and bill insurance.

• ☐ Register your business (LLC, PLLC, or Corporation)
   
• ☐ Obtain EIN (Employer Identification Number) from IRS
   
• ☐ Apply for state business licenses (if required)
   
• ☐ Open a business bank account
   

• ☐ Apply for individual NPI (Type 1) for each provider
   
• ☐ Apply for group NPI (Type 2) for the practice
   
• ☐ Register for a Taxonomy Code (matching specialty)
   
• ☐ Obtain a DEA certificate (and state CDS license, if applicable)
   

• ☐ Updated CVs (signed & dated in month/year format)
   
• ☐ Medical licenses (for each state of practice)
   
• ☐ Malpractice insurance coverage (with correct limits)
   
• ☐ CAQH ProView profile (set up and attested)
   
• ☐ W-9 form and voided check (for EFT)
   
• ☐ Articles of Incorporation or business formation docs
   

• ☐ Choose payer mix (Medicare, Medicaid, commercial plans)
   
• ☐ Submit applications for individual and group enrollment
   
• ☐ Track enrollment statuses and follow up regularly
   
• ☐ Respond to any requests for corrections or additional info
   

• ☐ Implement a document management system
   
• ☐ Create a recredentialing and renewal tracking calendar
   
• ☐ Set up staff roles for credentialing follow-up
   
• ☐ Review payer contracts for fee schedules and effective dates
   

• ☐ Secure EHR system and billing software
   
• ☐ Hire front desk and billing/credentialing support
   
• ☐ Create intake forms and clinical documentation templates
   
• ☐ Set up phone, fax, website, and business email