Primary-source verification
Every credential (license, DEA, education, training, board certification, work history) verified at the primary source — not by copy or attestation.
The most rigorous provider enrollment engine a practice can use.
Blueprint takes a clinician from signed offer letter to billable, in-network, and credentialed across every payer and state — with a contractual go-live SLA. Every CAQH profile, primary-source verification, payer application, and status check is built by an AI engine and signed off by a certified credentialing specialist.
Every NCQA PSV standard elementCAQH profile built and attestedPrimary-source verification for each credentialPayer application submission and status tracking5-business-day SLA to go-live
Why enrollments fail
A single missing credential can delay billing by months.
Every newly hired clinician is a stranded asset until they are credentialed and enrolled with payers. Until then they cannot legally bill, so the practice eats their salary while collecting nothing. Industry estimates put the lost revenue at $1,000–$5,000 per provider per day while enrollment is incomplete.
Credentialing and payer enrollment routinely take 90 to 180 days. The work is document-heavy, rules-bound, and repetitive: build a CAQH profile, verify every credential at its primary source, fill out a different application for each payer in each state, then chase each one through its own portal for months.
Blueprint exists to close that gap with a single, exhaustive standard applied identically to every file.
$1,000–$5,000
lost revenue per provider per day while enrollment incomplete
The benchmark
Measured against NCQA PSV standards and payer requirements — element by element.
We do not summarize the requirements and hope. Every enrollment is scored against a versioned rule pack tied to NCQA PSV standards, CMS enrollment rules, and state Medicaid requirements. These are the provisions each enrollment is held to.
CAQH profile completeness
All required sections completed, attested, and submitted within the required timeframe.
Sanction and exclusion screening
OIG, GSA, and state Medicaid exclusion lists checked at enrollment and every 30 days thereafter.
Payer-specific application accuracy
Each payer application filled with provider data mapped correctly to payer-specific fields and submitted with all required supporting documents.
Re-credentialing timeline
Re-credentialing completed every 36 months, with continuous monitoring of license and exclusion status.
Multi-state enrollment coordination
For providers licensed in multiple states, enrollment applications coordinated to avoid gaps and ensure timely billing across all states.
How an enrollment is built
Intake to specialist release, with deterministic gates the AI cannot overrule.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A certified credentialing specialist signs every release. That order is never reversed.
01
Provider Intake & Gap Scan
Upload the provider's offer letter, licenses, and credentials. We return a free completeness read: which elements and verifications you already have, and which are missing.
02
CAQH Profile Build
As your authorized agent, we build the CAQH profile from the provider's data, including education, training, work history, and references.
03
Primary-Source Verification
We order and verify each credential at its primary source (licensing boards, DEA, NPDB, AMA, etc.) and document the verification.
04
Payer Application Drafting & Submission
The AI drafts each payer application from the verified data, and we submit them through payer portals or paper as required.
05
Status Tracking & Escalation
We monitor each application's status, parse portal updates and emails, and escalate delays to the payer's credentialing department.
06
Specialist Release & Go-Live
A certified credentialing specialist reviews the complete file, signs off, and confirms the provider is billable. You receive the audit-ready file.
The bar we hold
Rigor you can measure.
100%
Specialist-released
No enrollment ships without a certified specialist's sign-off.
5 days
Standard SLA to go-live
From complete intake to billable provider.
<1%
Critical-defect target
Tracked against a gold-standard enrollment library.
4
Verification sources per credential
Primary source, CAQH, payer, and provider attestation cross-checked.
Why Blueprint
Built to be the most thorough option a practice has.
Documentation-complete, by design
The deliverable is completeness itself — every credential verified, every application submitted, every status tracked. Nothing is left implicit.
Deterministic, not vibes
The gates that decide completeness are code, not a model's opinion. A verification gap cannot slip past a requirement.
In its lane, on purpose
We prepare documentation and run verifications as your clerical agent. We never give legal advice, contact patients, or make clinical decisions.
Engagement
Flat fee per provider enrollment. No contingency, ever.
Simple, predictable, and aligned with a documentation standard — not a cut of any revenue.
- A free Provider Gap Scan before you commit — see exactly what is missing.
- One flat fee per provider enrollment; disclosed pass-through verification fees.
- Optional recurring monitoring retainer for CAQH re-attestation, license/exclusion checks, and re-credentialing.
- No percentage of any billing or revenue.
FAQ
Questions, answered precisely.
Is Blueprint a law firm?
No. Blueprint provides documentation-completeness services. It is not a law firm, does not provide legal advice, and does not represent you in any legal matter. Attorney review is available and recommended for complex or contested matters.
Do you contact patients or payers on our behalf?
We contact payers for status follow-up and escalation as your authorized agent. We never contact patients or make clinical decisions.
What makes an enrollment 'complete'?
Completeness is defined by NCQA PSV standards and payer requirements: all credentials verified at primary source, CAQH profile complete, all payer applications submitted, and status tracked until billable. Deterministic gates enforce each one before release.
How fast is it?
The standard SLA is five business days from complete intake to a specialist-released enrollment. The free Gap Scan is returned much sooner and tells you exactly what is still needed.
How are you priced?
A flat fee per provider enrollment, plus disclosed pass-through verification costs. No contingency and no percentage of any billing or revenue.
See what's missing before it costs you thousands per day.
Start with a free Provider Gap Scan. Send the provider's offer letter and credentials and we'll return a completeness read against NCQA PSV standards and payer requirements.
Documentation-completeness service · not legal advice · the practice remains the provider of care.