CAQH profile built, NPPES registered, payer enrollment submitted, license renewal calendar tracked. Every deadline owned so nothing lapses and billings never stop.
Recorded against real provider records from a live practice. Provider names and member IDs redacted. No Wizard-of-Oz; every action you see is live agent output.
CAQH is the universal credentialing database that most payers pull from before enrolling a provider. The agent builds the profile, uploads supporting documents (license, malpractice certificate, DEA if applicable), and sets re-attestation reminders before the 120-day expiry. A lapsed CAQH profile can delay enrollment by months.
A National Provider Identifier is required before a provider can bill Medicare or Medicaid. The agent submits the NPPES application, confirms the NPI assignment, and links it to your practice group NPI in Open Dental. Address changes and taxonomy updates are flagged whenever the agent detects a mismatch.
Every payer has a different portal, a different form, and a different processing clock. The agent handles submission, tracks status, follows up at 30-day intervals, and alerts you when an enrollment clears so the provider can start billing. The agent is pre-configured for Delta Dental and DentaQuest Medicaid and adapts to any additional payers you carry.
State licenses renew on different cycles by state and provider type. CPR certifications, malpractice policies, and DEA registrations each have their own deadlines. The agent maintains a single renewal calendar, sends alerts 90 days and 30 days out, and drafts the renewal application when the portal supports it.
Yes. We work with practices in-network with both Delta Dental and DentaQuest Medicaid, and both payer enrollments are managed by the Credentialing specialist. The agent handles different portals, different form structures, and different processing timelines for each payer simultaneously.
CAQH ProView is the provider credentialing database most commercial payers use as their source of truth before enrolling a provider. If a provider's CAQH profile is incomplete, expired (re-attestation required every 120 days), or has mismatched documents, payer enrollment stalls or gets denied. The agent builds, maintains, and re-attests CAQH profiles automatically.
Processing times vary by payer: Delta Dental state plans typically run 60-90 days; Medicaid can run 90-120 days for new provider enrollment. The agent submits as early as possible (ideally before the working interview), follows up at 30-day intervals, and alerts you when the enrollment clears. We cannot speed up the payer; we can make sure nothing on our side causes delay.
Yes. License calendars, CAQH profiles, and NPPES records are tracked per provider, not per practice location. If you have a provider licensed in two states, both renewal calendars are tracked. Direct-access hygiene expansion means multi-state licensing is increasingly common (42 states as of 2025).
The agent flags the denial reason, references the payer's appeal window, and drafts a response using whatever the denial letter specifies. Denials are typically documentation-related (wrong CAQH version, expired license uploaded) rather than eligibility-based, and the agent handles those corrective submissions.
For single-location Open Dental practices, yes in most cases. The Credentialing specialist handles everything a human credentialing coordinator handles: CAQH, NPPES, payer portals, renewal tracking across your full provider roster. Where it differs: it runs inside your Praktend chat, it is visible to you in real time, and it is integrated with the Hiring specialist so enrollment starts the moment a hire is confirmed.
If you are on Open Dental and have a provider hire coming up or a credentialing backlog you have been putting off, you are the right fit.
Book a demo →