EDI Enrollment Explained: Process, Benefits, and Common Pitfalls
Provider credentialing software to streamline enrollment and compliance
A smart, friction-free approach for health systems and provider groups

Why provider enrollment and credentialing are important
Bringing providers onboard a new practice as seamlessly as possible is essential to smooth payment cycles, consistent care access, and provider satisfaction. But health system teams often lack the resources to keep close watch on provider credentials – a process that is time consuming and often involves a variety of data sources and outdated systems. This essential element of due diligence requires a thorough, digital-first approach that assures health systems and payers remain compliant with all regulations and deliver excellent member experiences.
The atlas advantage
Atlas easily handles these important stages of the provider lifecycle management process. We take on the hassle of provider enrollment – from completing contracting applications to primary source verification and following up with plans – allowing health system teams to focus on more critical tasks. And we make easy, on-demand credentialing a snap, leveraging a centralized data platform to manage documents, run reporting and analytics, and prepare for annual audits.

Automating Data Collection
Atlas streamlines the traditionally manual and time-consuming process of verifying the qualifications, licenses, and professional history of healthcare providers. Our automated systems pull data from multiple sources such as state medical boards, the National Practitioner Data Bank (NPDB), and certification organizations. We also automate checking this information with licensing boards and issuing organizations, and to speed repetitive processes, creating seamless workflows.
Key Benefits:
- Avoid manual verifications and long processing delays
- Deliver credentialing in real time
- Verify straight from the primary source

Managing the End-to-End Enrollment Process
From submission to decision, Atlas gathers all necessary provider information, including personal details, practice information, licenses, certifications, and education. We conduct primary source verification to assure that state medical licenses, training certificates, prior work history, and other key points are valid and up to date. And we incorporate any needs specific to the organizations involved to be sure all requirements are met.
Key Benefits:
- Eliminate paperwork and manual workflows
- Ease administrative burdens for providers

Maintaining Compliance and Accuracy
Atlas outlines clear, consistent steps for gathering, verifying, and maintaining provider credentials in real time. We regularly review essential policies and procedures to align with changing regulations. Atlas uses robust credentialing and provider enrollment management software to automate tracking, reminders, and document storage. And we confirm credentials through continued background checks and primary source verification (PSV).
Key Benefits:
- Never worry about meeting regulatory demands
- Assure continued quality care
- Simplify verification tasks

Related Reading
Why Choose Atlas Systems?
Leverage automation to simplify enrollment tasks
Assure better relations with providers and patients
Deliver quality care without the hassle
FAQs about Provider Credentialing Software
Does Atlas Systems offer real-time status tracking for credentialing applications?
Yes, Atlas Systems' provider credentialing software allows real-time tracking of credentialing status, offering clear visibility into each stage of the process.
Can Atlas Systems' credentialing solution integrate with existing healthcare systems?.
Yes, Atlas Systems' credentialing solutions are designed to integrate with existing healthcare IT systems, streamlining workflows without disrupting current operations.
How does Atlas Systems protect sensitive provider data during credentialing?
Atlas Systems protects sensitive provider information with encryption, access controls, continuous monitoring, and adherence to healthcare data security standards.
How long does it take to credential a new provider using Atlas Systems?
Credentialing timelines depend on payer and regulatory requirements, but Atlas Systems' automation capabilities significantly reduce typical processing times.
Can Atlas Systems handle credentialing for large healthcare organizations?
Yes, Atlas Systems' provider credentialing platform scales easily to support large hospitals, health systems, and multi-specialty provider networks.
What types of healthcare organizations can benefit from Atlas Systems’ credentialing solution?
Hospitals, physician groups, outpatient clinics, and specialty healthcare organizations benefit from Atlas Systems' credentialing management software and enrollment solutions.