About ProEnrollment LLC

About ProEnrollment LLC — Credentialing Specialists, Not Generalists

ProEnrollment LLC was founded on a simple observation from since 2015 inside healthcare credentialing: most credentialing failures aren't caused by difficult payers — they're caused by preventable application errors and absent follow-up. A wrong taxonomy code here, a missed deficiency notice there, a CAQH attestation that quietly expired. We built a firm where those failures structurally can't happen: every application passes a 12-point audit before submission, every payer gets documented contact every 7–10 business days, and every deadline lives in a tracking system rather than someone's memory. The result is the most transparent, comprehensive flat-fee credentialing model in the industry — a premium service priced to be the best value for providers enrolling with multiple payers.

Founder's Story: From Inside Payer Systems to Independent Practice

Chandan Kumar founded ProEnrollment LLC in 2015 after nine years working directly inside payer systems and physician practices. He started as a credentialing coordinator at a multi-specialty group in Los Angeles, then moved into a senior enrollment specialist role managing CAQH ProView, Medicare PECOS, and commercial payer applications for practices across Texas and California. Across those nine years, he saw the same preventable failures repeat at practice after practice: a mismatched taxonomy code, a CAQH attestation that quietly lapsed, a deficiency notice that sat unanswered for three weeks because nobody owned it. Each one meant real, avoidable revenue loss for a physician who had done nothing wrong except trust an under-resourced process. With more than 10 years now in payer credentialing — nine on the payer and practice side before founding the company, and every year since running ProEnrollment's own applications — Chandan personally reviews every application before submission and maintains direct working relationships with Provider Relations contacts at the major national payers.

Why We Exist

Credentialing is not hard because the rules are complicated — it's hard because nobody is fully accountable for it. Practices try to handle it internally alongside billing, scheduling, and patient care, and it becomes the task that gets pushed to next week. Generalist billing and RCM companies treat it as a line item, not a specialty. Software platforms hand you tools but still leave your staff to do the actual work of chasing payers and clearing deficiencies. ProEnrollment exists to be the one place where credentialing is the entire job: not a side task, not a module, not a feature — the whole company, built by someone who has sat on the payer side of the desk and knows exactly which details get an application rejected. That focus is why a 99.4% first-time approval rate and 40% faster-than-industry timelines are achievable at scale rather than as a one-off result.

The Numbers We Stand Behind

a 99.4% first-time approval rate across 500+ credentialed providers. Timelines 40% faster than industry average — 62 days average for Medicare PECOS against a 45–90+ day norm. Zero missed re-credentialing deadlines. Coverage across all 50 states, every major commercial payer, Medicare, Medicaid and its MCOs, and the behavioral health MBHO layer most services overlook. These aren't marketing claims; they're operating metrics we track weekly and will discuss openly in your consultation.

Who We Work With

Based in Dallas, Texas, ProEnrollment serves five distinct client types, each with a different credentialing shape: solo physicians and therapists launching a new practice from zero, who need entity NPI registration, CAQH build, and simultaneous payer applications completed before they can see their first insured patient; group practices onboarding new clinicians on a rolling basis, where re-credentialing cycles and CAQH attestation deadlines have to be tracked across a growing provider roster without a single lapse; MSOs (Management Services Organizations) credentialing providers on behalf of multiple downstream client practices, where per-provider retainer pricing and a dedicated account specialist replace the per-client, per-payer fee structures that don't scale; RCM companies that need credentialing handled as a specialist function rather than a generalist add-on to their billing services, so their own client relationships aren't put at risk by slow enrollment; and telehealth companies expanding into new states, where every additional state means a new medical license, a new state Medicaid enrollment, and a new set of commercial payer panels — coordinated as one project instead of dozens of disconnected applications.

How We Operate: Security, Compliance, and Process

Every engagement begins with a signed HIPAA Business Associate Agreement before any provider data changes hands — this is a standard first step, not an upsell, and it is documented in writing before work begins. Client and provider data is handled under SOC 2 data security standards, covering how information is stored, transmitted, and accessed throughout the credentialing lifecycle. Operationally, every application passes a 12-point pre-submission audit before it goes to a payer, every payer receives documented follow-up contact every 7–10 business days, and every re-credentialing deadline lives in a tracking system rather than in one person's memory — because a missed re-credentialing date can freeze a provider's billing privileges entirely, and that risk is exactly what a managed process is supposed to eliminate.

Our Team

Chandan Kumar, Founder & Lead Credentialing Specialist, holds NAMSS membership and maintains a CPCS-aligned practice standard, with working knowledge spanning CAQH ProView management, Medicare PECOS enrollment, commercial payer credentialing, behavioral health MBHO enrollment, insurance contract negotiation, and multi-state Medicaid enrollment. He personally reviews every application before submission rather than delegating final sign-off, and maintains direct working relationships with Provider Relations contacts across the major national payers — relationships built over more than a decade on both the payer-facing and practice-facing sides of credentialing.

Where We Work: Nationwide Coverage

ProEnrollment has completed more than 2,000 individual payer enrollments for 500+ credentialed providers across all 50 states, spanning commercial payers (Aetna, UnitedHealthcare, BCBS plans, Cigna, Humana, and regional carriers), Medicare PECOS, every state Medicaid program and its managed care organizations, and the behavioral health MBHO layer (Optum, Evernorth, Magellan, Carelon) that many generalist credentialing services don't cover in depth. That volume — spread across every state rather than concentrated in one region — is what makes a 99.4% first-time approval rate a track record rather than a small sample. Engagement starts with a free consultation, work begins within 48 hours, and you always know exactly where every application stands. Why practices choose ProEnrollment | client results | our services | talk to a specialist.

How Experience Shows Up in the Process

A decade of sitting on both sides of a credentialing application changes what you check first. Most rejections trace back to a handful of recurring, preventable causes: a taxonomy code that doesn't match the provider's actual specialty, a CAQH ProView attestation that expired without anyone noticing, a work-history gap left unexplained instead of documented, or a malpractice insurance certificate that lapsed between application and payer review. ProEnrollment's 12-point pre-submission audit exists specifically because these are the errors that experience teaches you to look for before a payer ever sees the application — not the errors a generic checklist catches after the fact. That same experience shapes how deficiencies get handled: every payer response is read the same day it arrives, corrected, and resubmitted within 24 hours, because a deficiency cycle that sits for a week compounds into a 60-90 day restart on the payer's timeline. None of this is unique technology — it's process discipline built from having watched, firsthand, what happens when that discipline is missing.

Questions About ProEnrollment