For growing healthcare groups & MSOs

Credentialing that keeps pace with your growth.

Adding practices means inheriting provider records, payor relationships and work already in motion. pie brings the people, platform and follow-through to manage the transition and the ongoing operation.

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Credentialing team reviewing provider records and speaking with a payor, with pie software on their monitors

Managed credentialing & payor enrollment

The work pie takes responsibility for.

We support established and growing organizations with 10 or more providers in eye care (ophthalmology and optometry), nonprofit behavioral health, physical therapy, and spine and pain management.

From the records you inherit to the requirements that keep coming back, pie manages the agreed work through an experienced team, established payor intelligence and connected software. Your engagement defines the providers, entities, locations and services in scope.

Enrollment discovery & transition

Inherited spreadsheets and status lists rarely tell the whole story. We investigate what is on record and build a clearer starting point while priority work continues.

What you gain

A working enrollment picture with confirmed information, open questions and next actions connected.

Inherited records becoming organized enrollment information

What pie manages

  • Review available provider, practice, payor and enrollment information.
  • Research participation by entity, location, line of business and network.
  • Identify missing evidence, unresolved dates and work requiring follow-up.

Provider onboarding & credential records

New providers need a usable record that can support the work ahead. We bring their information, affiliations and supporting documents together and address missing requirements.

What you gain

Connected provider records, supporting evidence and a clear view of outstanding information.

Profile information and documents connected to a provider record

What pie manages

  • Organize provider profiles, practice affiliations and office assignments.
  • Collect and review credentials and supporting documents, with primary-source verification within the agreed scope.
  • Maintain the records needed for enrollment and ongoing credentialing work.

Payor enrollment & participation

Submitting an application is one part of the service. We manage the requirements, submissions and follow-up needed to establish the participation on record.

What you gain

Tracked enrollment work with recorded activity, outstanding requirements and documented outcomes.

Enrollment milestones from preparation through confirmation

What pie manages

  • Prepare and submit enrollment work for the applicable providers, entities and offices.
  • Follow up with payors, respond to requests and investigate stalled or unclear items.
  • Record confirmed decisions and effective dates, retaining the evidence behind them.

Ongoing credentialing maintenance

An established roster still brings recurring deadlines and changing information. We manage those requirements as part of the ongoing relationship.

What you gain

Organized recurring work, visible outstanding items and requests for your input when it is needed.

Recurring credentialing requirements kept together

What pie manages

  • Manage revalidations, recredentialing and CAQH attestations.
  • Track expirables and request updated supporting documents.
  • Coordinate demographic updates and follow up on payor requests.

Practice, location & roster changes

Acquisitions, new offices and provider moves can change where enrollment work is needed. We connect those changes to the existing participation picture.

What you gain

A coordinated work plan for organizational changes, with dependencies and unresolved coverage questions visible.

Practice entities, locations and provider rosters connected

What pie manages

  • Review the enrollment implications of new entities, locations and roster changes.
  • Coordinate additions and changes for the agreed payor relationships.
  • Track related projects and validate the participation recorded for the affected provider and office.

Taking over the operation

A practical handoff, with current work kept in view.

You do not need a perfectly organized set of records to start. We review the current arrangement, available information, pending projects and urgent requirements, then agree on a transition plan.

Enrollment discovery and new work can move alongside each other. Inherited entries remain subject to validation; priority enrollments and revalidations are connected to owners, evidence and next actions.

Your view of the work

Useful visibility comes with the service.

pie manages the follow-through. Your portal connects provider information, recorded payor participation, supporting documents and project activity, giving your organization a place to review the work and the questions that need attention.

Our payor intelligence engine organizes requirements and documented payor recipes down to relevant lines of business and networks. Automated workflows support delivery; people investigate gaps, review responses and handle the exceptions that need judgment.

pie payor portfolio showing provider participation and active enrollment projects across payors

Updates that explain what happened and what comes next.

Project notes, client check-ins and progress reporting connect completed work, pending responses and requests for your input. We agree on communication and reporting as part of the engagement.

pie client progress report beside a provider-payor enrollment matrix

An ongoing eye-care partnership

A clearer view of credentialing.

For nearly five years, pie has supported a multi-state eye-care organization with more than 70 clinicians and 20-plus offices. The work spans inherited information, changing provider rosters, payor relationships and recurring credentialing requirements.

Eye-care front office using pie software to confirm a provider’s payor participation at a specific location

“The software keeps everything organized, their team is responsive and knowledgeable, and the regular check-ins help us stay on track.”

Y Ramos

Read the client story

Planning your engagement

Can pie take over incomplete records and unfinished enrollment work?

Yes. We review the available records, pending projects and urgent deadlines, then agree on a handoff plan. Missing or conflicting information becomes part of discovery and validation while priority enrollments and revalidations continue. We distinguish the transition work we can plan from review and decision times controlled by payors.

How does pie work with our internal team?

pie manages the credentialing and enrollment responsibilities agreed in your engagement. Your designated contact helps with decisions, access, provider documents and approvals. We establish who owns each part of the work and how questions are escalated, with the portal, progress updates and check-ins supporting the relationship.

Can you manage multiple tax IDs, states and office locations?

Yes. We connect providers, practice entities, office assignments and payor relationships, including the relevant lines of business and networks. That structure helps us identify where participation is recorded, where evidence is missing and where additional work is needed. A group agreement alone does not confirm every provider at every office.

How is our engagement scoped and priced?

We review your provider roster, entities, states, locations and payor relationships alongside the condition of existing records and the work already underway. Initial discovery, implementation and ongoing responsibilities are considered when preparing your proposal. We agree on the services, responsibilities and fees before the engagement begins.

What happens after we request a consultation?

pie reviews your inquiry and follows up to discuss your organization, current arrangement and priorities. That conversation helps us understand the work you need managed and whether we are a good fit. Submitting the form starts an inquiry; it does not book a meeting or commit you to an engagement.

Let’s talk about the work you need managed.

Tell us about your organization, your current arrangement and the support you need.

Request a consultation