Provider Credentialing & Payer Enrollment for Orthopedic Practice Managers with Epic

The Problem

Credentialing a new Orthopedics provider into 15 payers is a 120-day slog — and each delayed day means the provider bills under someone else's NPI or not at all.

What We Build in Epic

AI assembles the CAQH profile, submits payer applications, tracks each status, and escalates stalls — time-to-enrolled drops from 120 days to 60. Purpose-built for teams running Epic — uses the native API or agent integration so nothing leaves the system of record.

Epic Integration Approach

1

Audit your Epic configuration

We map the specific Epic objects, custom fields, and workflows the automation needs to touch for your orthopedics practice.

2

Build on the Epic API or agent

Integration happens inside Epic — no data leaves the system, no parallel tool for your team to learn, no license changes.

3

Human-in-the-loop handoff

Every automation routes exceptions back to a human in Epic with enough context to act — AI handles the 80%, your team owns the judgment calls.

See this running in your Epic instance

30-minute call. We'll look at your actual Epic setup and show exactly how this workflow fits.

More About This Workflow

Provider Credentialing & Payer Enrollment for Orthopedic Practice Managers

AI assembles the CAQH profile, submits payer applications, tracks each status, and escalates stalls — time-to-enrolled drops from 120 days to 60.

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