Provider Credentialing & Payer Enrollment for Orthopedic Practice Managers with NextGen
The Problem
Credentialing a new Orthopedics provider into 15 payers is a 120-day slog — and each delayed day means the provider bills under someone else's NPI or not at all.
What We Build in NextGen
AI assembles the CAQH profile, submits payer applications, tracks each status, and escalates stalls — time-to-enrolled drops from 120 days to 60. Purpose-built for teams running NextGen — uses the native API or agent integration so nothing leaves the system of record.
NextGen Integration Approach
Audit your NextGen configuration
We map the specific NextGen objects, custom fields, and workflows the automation needs to touch for your orthopedics practice.
Build on the NextGen API or agent
Integration happens inside NextGen — no data leaves the system, no parallel tool for your team to learn, no license changes.
Human-in-the-loop handoff
Every automation routes exceptions back to a human in NextGen with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your NextGen instance
30-minute call. We'll look at your actual NextGen setup and show exactly how this workflow fits.