Radiology Credentialing Services
Get in-network with less friction and less stress.
A credentialing experience that feels organized, responsive, and easy to track.
We manage radiology credentialing applications, portals, follow-ups, and payer requests so your enrollment stays structured, transparent, and operationally predictable.
Credentialing Built for Radiology Realities
Radiology credentialing is operationally complex due to the separation of professional and technical services, multi-site delivery models, and payer-specific enrollment requirements:
- Radiologists may require individual credentialing, group enrollment, and facility linkage for each imaging location
- Professional and technical components often follow different billing and enrollment rules
- Hospital-based, outpatient, and teleradiology settings introduce additional payer and roster dependencies
- Provider-to-group and provider-to-location linkage errors can delay activation even after approval
- Taxonomy, subspecialty designation, and modality alignment must be consistent across NPI, CAQH, and payer portals
- Small data mismatches—addresses, ownership details, malpractice coverage, or work history—can stall or reset applications
pie Health exists to make this complexity manageable through completeness-first submissions, disciplined follow-up cadence, and clear next steps tied to real operational status.
Note: Timelines and approvals are payer-controlled. We do not guarantee outcomes or processing speed. We control accuracy, completeness, responsiveness, and follow-through.
Who We Help
We support radiologists and radiology organizations across the United States, including:
- Diagnostic radiology practices
- Interventional radiology providers
- Hospital-based radiology groups
- Outpatient imaging centers
- Teleradiology organizations
- Multi-provider and multi-location radiology groups
Whether you are an individual radiologist or a large multi-site organization, the operational risks are the same. We handle both individual and group credentialing structures.
What We Do
Core Credentialing and Enrollment
- Individual radiologist credentialing
- Group credentialing and provider-to-group linkage
- Commercial payer enrollment and paneling
- Medicare enrollment workflows when applicable
- Medicaid enrollment and state and MCO workflows when applicable
- CAQH setup, cleanup, and ongoing attestation support
- Application submission and portal workflow management
- Payor follow-up cadence and request management
- Effective date confirmation and activation tracking
- Directory activation and discrepancy resolution when applicable
- Multi-location and facility-based enrollment coordination
Ongoing Maintenance Required
Credentialing is not a one-time event. Keeping radiology providers active requires continuous upkeep:
- Recredentialing and revalidation schedules
- License, board status, and expirable tracking including malpractice coverage
- Demographic updates including address, phone, ownership, TIN, and entity structure changes
- CAQH re-attestations and ongoing profile hygiene
- Directory maintenance and discrepancy handling
- Structured status updates so billing and operations know what is true
Our maintenance model exists to prevent lapses, denials, directory issues, and billing surprises later.
Is pie a fit for you?
pie is a strong fit if you want credentialing to feel organized and manageable, need behavioral-health-specific execution, value visibility and honest constraints, and prefer a managed service over DIY tracking.
How the Process Works
Market Readiness
We confirm market and readiness, including reviewing payor availability by specialty and license, network status when knowable, and validating the core data required to submit accurately.
Completeness First
We complete payer applications and portal workflows with a completeness-first approach to reduce rework, avoid preventable delays, and minimize stalls caused by missing or mismatched information.
Follow Up & Respond
We maintain a consistent follow-up cadence with payors and route requests quickly, including escalations when responses stall or requirements are unclear.
Activate With Clarity
We confirm effective dates, enrollment or contract status, provider-to-group linkage, and directory state. This gives your team clear signals so you know when you are active and when billing is appropriate.
Note: Timelines and approvals are payer-controlled. We do not guarantee outcomes or processing speed. We do control accuracy, completeness, responsiveness, and follow-through.
Why pie for Radiology Credentialing
Radiology Pattern Recognition
We understand common radiology credentialing stall points including facility linkage gaps, professional versus technical enrollment confusion, subspecialty taxonomy issues, and hospital or imaging center roster dependencies.
Payor Intelligence
We track payer requirements, contacts, and turnaround realities across hospital, outpatient, and independent imaging environments to reduce guesswork and avoid dead-end submissions.
Visibility Built Into the Process
Credentialing should not live in spreadsheets, inboxes, or one person’s head. You get clear status, blockers, and next actions tied to defined states.
Risk-Aware Guidance
We help prevent administrative errors that trigger denials, delays, directory inaccuracies, or participation lapses.
Billing Readiness Discipline
Active and billable is treated as a confirmed state based on effective date, active enrollment or contract status, and completed linkage for each rendering location and service type.
Common DIY Radiology Credentialing Pitfalls We Prevent
- Professional enrollment completed without proper facility or location linkage
- Submitting applications with inconsistent taxonomy or subspecialty designations
- Hospital or imaging center rosters not aligned with payer enrollment records
- CAQH profiles that appear complete but fail payer review due to stale attestations
- Malpractice coverage details that do not meet payer or facility requirements
- Slow responses to payer portal requests, causing applications to stall or terminate
- Directory listings that are incomplete or inaccurate, impacting referrals and claims
- Ownership, TIN, or entity changes handled too late, triggering reprocessing or recredentialing
