Chapter 5 · The Denial, Reversed
Credentialing
Enrollment, re-validation, and the paperwork that pays.
Send us one ERA →Where it shows up on the ERA
- CO-B7Provider not certified for service.
- CO-208NPI not matched.
- CO-185Rendering provider not eligible.
A perfectly coded claim still denies if the provider isn't enrolled with the plan. We handle CAQH, payer enrollments, re-validations, and group/NPI links.
California focus: Medi-Cal MCPs, IPAs, and regional payers with their own portals and timelines.