Expert Medicare & Medicaid Credentialing

Stop Losing Months in the Resubmission Loop

End-to-End Provider Enrollment: From NPI to Final MAC Approval. We provide a white-glove, total-management credentialing service so you can focus on building your fleet and treating your patients.

Half of all Medicare and Medicaid enrollment problems start with stale records. A single mismatched NPI, an outdated NPPES profile, or a missing supporting document can trigger a resubmission loop where months of potential billing revenue simply disappear.

You are healthcare providers, you shouldn't be spending your days fighting government TMHP portals and MAC queues.

ESTABLISHED PROVIDERS - Protect Your Billing Privileges. We Handle PECOS, TMHP, and Revalidations.

Comprehensive Records Check

We verify your NPPES data, existing enrollments, and revalidation dates before touching anything. We ensure your foundation is clean to prevent instant rejections.

NPI Setup & Correction

Full management of your National Provider Identifier records in NPPES, including both Type 1 and Type 2 updates and taxonomy corrections.

Medicare Enrollment (PECOS)

Flawless execution of initial enrollments via the PECOS system, submitted with 100% complete supporting documentation to bypass the deadly resubmission loop.

State Medicaid Enrollment

We navigate notoriously complex state Medicaid portals (like Texas TMHP), acting as your direct liaison to the state to secure your active billing ID.

Deactivation Rescue

Have your billing privileges been suspended? We step in aggressively to resolve deficiencies and reinstate your privileges.

Active Queue Management & Revalidations

We actively work the MAC queues until you have your approval letters, and we place your revalidations on our digital calendar so your cash flow is never interrupted.

NEW STARTUPS & WAIVER - Keep Your Capital in Your Fleet: TMHP Credentialing & Hardship Waiver Support.

Getting your Texas Provider Identifier (TP ID#) through TMHP is the gateway to high-volume Medicaid revenue. However, state reviewers recognize that brand-new businesses (1–6 months old) do not have historical cost reports or tax returns.

If the $750 state application fee creates an insurmountable financial barrier before your operations even begin, Amari™ offers specialized guidance to help you apply for an Application Fee Hardship Waiver using customized, forward-looking documentation.

How We Build Your Alternative Evidence Packet:

Pro-Forma Financial Projections

A 12-month cash flow forecast proving initial cash reserves are consumed entirely by non-discretionary startup overhead.

Opening Balance Sheet & Ledger

Compilation of bank statements and receipts proving exactly how current capital was spent to establish the business.

Affidavit of No Activity

A formal, notarized declaration stating the company has generated zero revenue to date.

The Custom Attestation Letter

We draft a compelling letter focusing on resource diversion—explaining that forcing the payment of the fee directly compromises mandatory safety protocols and driver certifications.

Why

Getting credentialed through PECOS and Texas Medicaid (TMHP) is the lifeblood of your revenue, but submitting an application with one missing supporting document can throw you into a "resubmission loop" where months of billing disappear.

Credentialing in Texas.

1. Texas Medical Board licensure, 2. Texas Medicaid through TMHP, 3. Managed-care and commercial contracting

The Most Expensive Sentence in Healthcare: "We'll just do it ourselvs."

THE TRUE COST OF DIY CREDENTIALING -- While a credentialing partner’s service fee is a visible line item, the true cost of "DIY" credentialing is quietly devastating your bottom line. The expense of managing your own enrollments is hidden in two places:

The Shadow Cost of Staff Time:Credentialing a single provider or NEMT entity across Medicare, TMHP, and commercial payers demands 20+ hours of portal wrangling, application data entry, and endless MAC follow-ups—repeated for every payer and every revalidation cycle. At a fully loaded staff rate, that time isn’t free; it’s just bleeding out off the invoice.
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The Catastrophe of Delayed Revenue:Every extra week a provider or vehicle waits on an effective date is a week they cannot bill. Industry reporting puts the revenue lost to credentialing delays in the thousands per provider, per month. A single administrative mistake that throws your application into a 30-day resubmission loop costs exponentially more than the Amari™ service fee that would have prevented it.

The Verdict:Outsourcing shifts from a "nice-to-have" to a mathematical necessity when you are onboarding providers, adding payers, or launching new fleets. In-house credentialing only makes financial sense at a massive corporate scale, where a dedicated credentialing coordinator's full-time salary is justified.