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You will get Provider Enrollment & Credentialing Status Audit


Project details
Stop losing revenue to inactive provider statuses.
A pending or lapsed credentialing application means immediate out-of-network denials. I am a Healthcare IT (MBA) & B.Pharm professional serving as your Lead RCM Specialist. Before you assume your providers are fully enrolled, let my backend pod verify the exact ground truth with the payers.
This is a Status Audit & Verification Service. I deploy seasoned RCM Specialists who navigate complex payer portals and endure insurance hold times to extract the exact status of your credentialing. We audit CAQH profiles, verify active effective dates, and deliver a comprehensive status report.
Our Operational Standards:
Security & Compliance: 100% HIPAA Compliant via YOUR secure RDP/VPN or portal access.
Tracking Flexibility: We offer Live Upwork Tracker for real-time monitoring OR Result-Based (No-Track) reporting focused on the final verification data.
Clinical Oversight: All status reports are reviewed by me for accuracy before delivery.
Advanced Reports: Findings are organized in Google Workspace for easy tracking.
Note: This is a Status Audit only (excludes initial payer enrollments).
A pending or lapsed credentialing application means immediate out-of-network denials. I am a Healthcare IT (MBA) & B.Pharm professional serving as your Lead RCM Specialist. Before you assume your providers are fully enrolled, let my backend pod verify the exact ground truth with the payers.
This is a Status Audit & Verification Service. I deploy seasoned RCM Specialists who navigate complex payer portals and endure insurance hold times to extract the exact status of your credentialing. We audit CAQH profiles, verify active effective dates, and deliver a comprehensive status report.
Our Operational Standards:
Security & Compliance: 100% HIPAA Compliant via YOUR secure RDP/VPN or portal access.
Tracking Flexibility: We offer Live Upwork Tracker for real-time monitoring OR Result-Based (No-Track) reporting focused on the final verification data.
Clinical Oversight: All status reports are reviewed by me for accuracy before delivery.
Advanced Reports: Findings are organized in Google Workspace for easy tracking.
Note: This is a Status Audit only (excludes initial payer enrollments).
Project Type
Data Entry, Project Management, OtherWhat's included
| Service Tiers |
Starter
$150
|
Standard
$450
|
Advanced
$750
|
|---|---|---|---|
| Delivery Time | 5 days | 7 days | 10 days |
Number of Revisions | 1 | 1 | 2 |
Optional add-ons
You can add these on the next page.
CAQH Update
(+ 2 Days)
+$100
NPI/Tax ID Update
(+ 2 Days)
+$75
Application Fix
(+ 5 Days)
+$200Frequently asked questions
About Pranita
Enterprise Web Architect & Automation Expert|Serverless E-Commerce SPA
Pune, India - 4:43 pm local time
As a Certified Scrum Master, Business Analyst, and the Managing Partner of a US Healthcare RCM agency, I build web solutions with a CEO’s mindset. I understand that your website isn’t just a brochure—it needs to be a secure, high-converting asset that drives ROI and lowers operational overhead.
My expertise lies in building blazing-fast, secure, and highly scalable Single Page Applications (SPAs) and E-commerce platforms from scratch. I do not rely on slow, clunky CMS frameworks like WordPress or vulnerable third-party plugins. Instead, I engineer custom, serverless ecosystems using pure HTML5, CSS3, and Vanilla JavaScript, integrated with logic-heavy automated backends.
My Core Capabilities:
Zero-Plugin E-Commerce & Carts: Custom pricing logic, dual-currency toggles, and seamless checkout integrations.
Serverless Automation & Fulfillment: Secure API integrations that instantly deliver digital products and handle complex backend routing.
Interactive Dashboards & SaaS UI: Engaging ROI calculators, multi-step secure verification portals, and dynamic corporate hubs.
Enterprise-Grade Security: My background in strict US Healthcare compliance (HIPAA) ensures that your user data and payment gateways are architected with maximum security in mind.
Whether you need a high-ticket digital product storefront, a corporate agency umbrella, or an automated lead-capture portal, I deliver live, responsive solutions with flawless cross-device performance.
I operate on transparency, strict QA protocols, and structured milestone deliveries. Let’s build something powerful.
Top Skills
1. Front-End Development
2. Web Application
3. E-Commerce Development
4. JavaScript
5. HTML5
6. API Integration
7. Web Architecture
8. Business Analysis
Steps for completing your project
After purchasing the project, send requirements so Pranita can start the project.
Delivery time starts when Pranita receives requirements from you.
Pranita works on your project following the steps below.
Revisions may occur after the delivery date.
Data Collection
We collect your NPI/Tax ID and list of payers you think you are enrolled with.
Payer Verification
My team calls payers and checks portals to verify "Active" status and effective dates.