Who We Serve

One platform. Every kind of practice and facility.

Private practices to 200-clinician groups, surgery centers and hospitals, FQHCs and community health, imaging and labs, behavioral health, and MSOs running credentialing-as-a-service. The discipline scales; the platform stays the same.

Talk to us about your practice

Care settings we credential

Eight settings. One operating discipline.

The shape of the practice changes. The work — provider enrollment, credentialing, contracting, maintenance — doesn't.

PRACTICE Practices

Private practice & group

From a single PCP to a 200-clinician multi-specialty group. Provider enrollment, payer contracting, and ongoing maintenance — the same operating discipline whether you carry one CAQH profile or two hundred.

  • New providers worked onto payer panels ahead of their start date
  • CAQH attestations kept on the 120-day cycle, no missed re-attestations
  • Recredentialing tracked on each payer's clock, not yours

FQHC / RHC Federally qualified

FQHCs, RHCs & community health

FQHC and RHC credentialing carries extra weight — HRSA requirements, sliding-fee compliance, and the specific Medicaid managed-care plans that dominate your market. We keep the file structure HRSA expects and work the cycle state by state.

  • HRSA-aligned credentialing files
  • State Medicaid MCOs worked end-to-end
  • Provider scope expansions managed to avoid billing gaps

HOSPITAL Facilities

Hospitals & health systems

Facility enrollment is its own discipline — organizational NPI, CMS-855A, accreditation documentation, medical-staff bylaws, and ownership disclosures. We run it as a separate workstream alongside individual provider privileging.

  • Privileging packets assembled and submitted to committee
  • Primary-source verification on every credential
  • Files kept audit-ready for The Joint Commission, CMS, and accreditation surveys

ASC Surgical

Ambulatory surgery centers

ASC enrollment ties facility credentialing to the surgeons and anesthesia providers who operate there. We coordinate the CMS-855B facility enrollment, accreditation documentation, and per-provider privileging so the center can bill from day one.

  • CMS-855B facility enrollment coordinated with provider privileging
  • Accreditation documentation kept current (AAAHC, The Joint Commission)
  • Anesthesia and surgical staff worked onto every relevant payer

IMAGING Diagnostics

Imaging & diagnostic centers

IDTF Medicare enrollment and the commercial-payer enrollment that decides whether the center is paid in-network or out. We track the documentation chain so an accreditation or supervising-physician change never becomes a billing emergency.

  • Medicare IDTF enrollment worked end-to-end
  • Commercial in-network status pursued for every plan you bill
  • Renewal calendar so accreditation and licensure never lapse together

LAB Diagnostics

Clinical labs & pathology

CLIA-tied Medicare enrollment and commercial-payer enrollment for clinical and pathology labs. We keep the CLIA certificate, accreditation, and payer enrollment aligned so a renewal on one document doesn't stall payment on the others.

  • CLIA-linked Medicare enrollment managed
  • Commercial in-network enrollment for the plans you bill
  • CLIA, accreditation, and enrollment renewals tracked on one calendar

BEHAVIORAL Behavioral

Behavioral & mental health

Behavioral health credentialing spans psychiatrists, psychologists, LCSWs, LPCs, and group practices — each with its own payer enrollment rules and Medicaid lanes. We work the mix, including the telehealth and cross-state pieces that behavioral practices lean on.

  • Mixed-license rosters (MD, PhD, LCSW, LPC) enrolled by payer rule
  • Medicaid and managed-care behavioral panels worked
  • Telehealth and cross-state enrollment handled where in scope

MSO Operators

Groups, MSOs & management companies

You run credentialing for someone else, or you operate multiple TINs under one platform. Metolius white-labels to your brand. We run the back-office work, or you run it yourself — same software, your shingle.

  • Metolius under your domain and brand
  • Multi-TIN, multi-group support without exporting CSVs to track it
  • Service tier from full back-office to platform-only

Questions, plainly answered

The asks we hear by practice type.

  • We're a single specialty group with three providers — is that too small?

    No. We run credentialing for solo practitioners through 200-clinician multi-specialty groups. The platform and discipline are the same; the cost scales with the work, not a minimum.

  • We're an MSO managing fifteen TINs — is Metolius set up for that?

    Yes. Multi-TIN, multi-group, and multi-payer-portfolio is native to Metolius. Each TIN has its own roster, its own expirations, its own turnaround report — with a parent-MSO view rolling them up.

  • We do credentialing in-house but want better software — can we just license Metolius?

    Yes. We white-label Metolius for groups, MSOs, and credentialing-as-a-service operators. You run the work, we provide the platform. Talk to us about platform-only setup.

  • We're an FQHC — do you know our compliance lane?

    Yes. HRSA scope, sliding-fee, the Medicaid managed-care landscape in your state, and the federal credentialing standards. We've credentialed for FQHCs in multiple states and keep the file structure HRSA expects.

  • Will you sign a BAA?

    Yes. Standard HIPAA BAA on engagement. Metolius is US-hosted with PHI handling controls; the BAA covers the platform and the service.

Tell us which setting you're in — we'll show you Metolius.

Practice, facility, FQHC, lab, MSO — a credentialing specialist replies within one business day with what your engagement looks like.

Talk to us