Behavioral Health Credentialing Services
Get in-network with less friction and less stress.
A credentialing experience that feels organized, responsive, and easy to track.
We manage the applications, portals, follow-ups, and payer requests so your behavioral health credentialing stays structured, transparent, and operationally predictable.
Credentialing Built for Behavioral Health Realities
Behavioral health credentialing is not standard medical credentialing with different paperwork. It has distinct failure modes that require specialty-aware execution:
- License types and payer rules vary significantly across LPC, LMFT, LCSW, PsyD or PhD, PMHNP or APRN, MD or DO, and BCBA
- Medicaid and MCO processes are state-specific and often behavioral-health specific
- Telehealth can introduce additional rules around rendering location, servicing location, licensure, supervision where applicable, modality, and network eligibility
- High-demand commercial panels may be closed or restricted, requiring realistic sequencing and fallback strategies
- Small data mismatches such as address formatting, taxonomy selection, name variants, or identifier inconsistencies can stall timelines
pie exists to make this complexity manageable through completeness-first submissions, disciplined follow-up cadence, and clear next steps tied to real operational status.
Who We Help
We support behavioral health providers and organizations across the United States, including:
- Licensed Clinical Social Workers (LCSWs)
- Licensed Professional Counselors (LPCs)
- Licensed Marriage and Family Therapists (LMFTs)
- Licensed Mental Health Counselors (LMHCs)
- Psychologists (PhD or PsyD)
- Psychiatrists (MD or DO)
- Psychiatric Nurse Practitioners (PMHNP)
- Board Certified Behavior Analysts (BCBAs)
- Multi-provider groups and multi-location behavioral health practices
Whether you are a solo provider or a growing organization, the operational risks are the same. We handle both individual and group structures.
What We Do
Core Credentialing and Enrollment
- Individual provider credentialing
- Group credentialing and provider-to-group linkage
- Medicare enrollment when applicable
- Medicaid enrollment and state and MCO workflows
- Commercial payer enrollment and paneling
- CAQH setup, cleanup, and ongoing attestation support
- Payor follow-up cadence and request management
- Effective date confirmation and activation tracking
- Directory activation and discrepancy resolution when applicable
Ongoing Maintenance Required
Credentialing is not a one-time event. Keeping you active requires continuous upkeep:
- Revalidations and recredentialing schedules
- License and expirable tracking
- 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 Behavioral Health Credentialing
Behavioral Health Pattern Recognition
We understand the most common stall points including taxonomy errors, CAQH issues, panel restrictions, state and MCO nuances, and supervision or collaboration
requirements where applicable.
Payor Intelligence
We track behavioral-health-specific requirements, contacts, and turnaround realities 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.
Common DIY credentialing pitfalls we prevent
- CAQH profiles that appear complete but fail payer review
- Incorrect taxonomy selection or mismatches across systems
- Document gaps discovered late such as licenses, malpractice coverage, W-9s, or supervision details where required
- Applying to closed or restricted panels without realistic fallback options
- Slow responses to payer requests and portal messages
- Address or location inconsistencies that create rework and directory problems
- Ownership, TIN, or name changes handled too late, triggering reprocessing
