Clarion RCM
Clarion RCM
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Services

Services

Choose a single service or combine them. Each one is scoped to the providers and payers you need.

State licensing

Application, renewal, and multi-state licensing support for the requirements that apply to your providers.

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  • Application coordination and document follow-up
  • State-by-state status and deadline tracking
  • Renewal deadline and requirement tracking
  • Ongoing compliance follow-up for active licenses

Provider credentialing

Organized provider records, verification support, and payer-specific credentialing follow-through.

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  • Provider information and document coordination
  • Primary-source and payer follow-up support
  • Managed credentialing with records and payer status follow-up
  • Re-credentialing deadline tracking and payer documentation follow-up
  • Hospital privileging application coordination, per location

Payer enrollment

Medicare, Medicaid, commercial, private, and regional payer enrollment support from forms through follow-up.

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  • Enrollment forms and submission coordination
  • Effective-date and status follow-up
  • Revalidation follow-up
  • Managed enrollment or annual unlimited enrollment options

Billing, coding, and denials

Practical support for coding, claims, denials, payment follow-up, and accounts receivable.

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  • Coding and claim review
  • Claim submission and payment follow-up
  • Denials management
  • Accounts-receivable support
  • A limited per-claim option for defined claim-processing needs
Who we support

Practices of different sizes and specialties

Licensing, credentialing, enrollment, and billing needs differ by specialty and by state. Tell us your specialty, your providers, and the payers you work with, and we will scope the work around them.

  • Primary care
  • Behavioral and mental health
  • Therapy practices
  • Pediatrics
  • Specialty clinics
  • Group practices
  • Solo practitioners
  • New practices

These are examples of practices that commonly need this support. If your practice is not listed, contact us and we will tell you what we can help with.

Getting started

Start with a clear scope

  1. Request helpShare the service or administrative work you want to address.
  2. Get a scopeWe follow up with a practical scope and a next step.
  3. Confirm detailsService details and pricing are confirmed with you before work begins.
  4. Work beginsWe start on the agreed scope and follow through on status and deadlines.
How credentialing works

From first documents to an active payer

Timing depends on each payer, so we do not promise dates. This is the order the work follows.

  1. GatherWe collect provider information and documents: licenses, NPI, insurance, CV.
  2. PrepareWe set up or update the CAQH profile and complete each payer application.
  3. Submit and follow upWe submit applications and follow up with each payer on missing items.
  4. Active and trackedWe confirm effective dates and track re-credentialing deadlines.
Stay in touch

Get our monthly credentialing and payer update

One short email a month: payer news, deadlines practices tend to miss, and one new guide or tool. No patient information, and you can unsubscribe any time.

Ready to simplify your practice administration?

Tell us the work you need and we will follow up with a scope and next step.