About Us — Provider Privileging LLC | Credentialing & Enrollment Experts

Our Mission

Credentialing isn't a back-office burden. It's the work that pays the bills.

Provider Privileging started with one observation: healthcare organizations were losing revenue every day to the credentialing process — to delayed enrollments, to missed re-attestations, to payer follow-ups nobody had time for.

We built a different model. We do the work. We built the technology. Since 2016, we've credentialed 1,000+ practitioners for privileges at general hospitals, behavioral health facilities, and ambulatory surgery centers — meeting Joint Commission, AAHC, DNV, and CIHQ standards. And we've submitted nearly 10,000 payer enrollment applications across Medicare, Medicaid, Railroad Medicare, Tricare, VA CCN, BCBS, Aetna, Cigna, Humana, Optum, Evernorth, Magellan, Molina, Presbyterian — and dozens of other commercial and behavioral-health networks.

Our longest-running client has been with us for nearly 8 years. They started with a single-provider trial. We now handle their full roster. That's how we measure success — not just enrollments approved, but trust earned.

Work With Us

A modern healthcare administrator's workspace — laptop showing credentialing dashboard data

2016

Founded

1,000+

Practitioners Credentialed

10,000+

Payer Applications Submitted

~8 Years

Longest Active Client

What We Stand For

What we believe.

Not slogans. The principles that decide what we ship and how we treat the people who trust us with their roster.

Speed with accuracy.

Every day a provider isn't enrolled is revenue uncollected. Our three-party validation catches errors before they cost a billing cycle — so we move fast and we move clean.

Total transparency.

Your portal shows everything — every status, every email thread, every system action with a timestamp. Nothing is hidden, nothing requires a phone call.

Direct access.

You reach a person who knows your account — not a ticket queue, not a chatbot. When you have a question or a problem, the person on the other end can answer it.

Domain depth.

From hospital privileging committees to PECOS surrogacy to behavioral-health taxonomy codes — we know the work cold. The nuances that other firms miss are where we go deepest.

Technology built for the work.

Our platform was built by people who do credentialing every day, for the people who depend on credentialing every day. Not a generic CRM with a healthcare badge slapped on it.

How We Work With Your Team

We don't replace your team. We multiply it.

Some clients have credentialing directors with strategy and standards — we execute behind them. Some are running lean and need us to be the team. Some start small and grow into a full partnership over years. We adapt to where you are.

For Credentialing Directors

Your strategy, your standards. Our execution.

We make your team look good and free your bandwidth for the higher-value work only you can do — payer negotiations, delegated agreements, audit prep, the political work that comes with leading a department. We're the layer that handles the operational grind.

For Lean Teams

Capacity without the hiring treadmill.

When hiring another specialist isn't realistic — or worth the turnover risk — we become the credentialing capacity you need. No training cycle. No empty seat when the next specialist leaves. Steady, expert work, billed at a fixed rate.

For Growing Organizations

Start small. Earn the keys over time.

Start with one or two providers. Add more as trust grows. We've had clients build into a full partnership over years — at exactly the pace they wanted. We don't need the keys on day one. We earn them.

Our Approach

The Two-Party Workflow.

Designed to minimize back-and-forth and get clean data from both sides upfront — so we hit the ground running.

Client admin initiates.

Your billing or revenue cycle manager submits an enrollment request: which practitioner, which payers, which locations, your organizational NPI directives. We have everything we need before the practitioner fills in a single field.

Practitioner completes their form.

We send a secure, personalized link. They fill in personal info, credentials, Medicare/Medicaid status, specialty details, and upload supporting documents — all from a phone if they want to.

Client reviews & validates.

Your admin reviews the practitioner's submission and confirms accuracy before we act. This three-way validation — practitioner, client, and PPLLC — is what keeps enrollments clean.

We do all the work.

We submit applications to every contracted payer, track status through our platform, chase stalled apps, and keep you informed through real-time updates in your portal — until every enrollment is confirmed.

About Provider Privileging.