Credentialing Case Study: 7 Payer Approvals
for a California Family Practice

Credentialing errors delayed approvals and payments for a California family practice.
Atlantis RCM resolved the issues and secured seven compliant payer enrollments.

Achieve Smooth Credentialing and Faster Enrollments with Atlantis RCM

Location California, CA
Practice Type Independent Family Medicine Practice
Challenge Credentialing delays, mismatched enrollments, and payer participation issues
Solution End-to-end credentialing and enrollment services by Atlantis RCM
Results Faster payer approvals, complete compliance, and seamless setup for future growth

Challenge

When she approached Atlantis RCM, her growing medical practice was struggling with major credentialing and enrollment barriers.
Initially, she had registered with Medicaid, Workers’ Compensation, and Blue Cross Blue Shield (BCBS) using her Social Security Number (SSN) instead of her business Tax ID (EIN) — a common mistake that caused a ripple effect of problems.

Her enrollments were inconsistent across payers, applications were repeatedly rejected, and reimbursement delays became a constant frustration.
The practice also faced limitations when attempting to onboard new providers, slowing both revenue and operational growth.

“Every new payer enrollment felt like hitting a wall — approvals were taking months, and we couldn’t move forward,”
shared Dr. ***.

Solution

Atlantis RCM stepped in with a strategic credentialing recovery plan.
Our credentialing specialists conducted a comprehensive audit of all existing enrollments, identified the gaps, and designed a clean, compliant, and future-ready setup.

Here’s what we did:

  • Transitioned all enrollments from SSN to the Tax ID (EIN) to align payer records and ensure compliance..
  • Submitted new credentialing applications under her registered business entity to unify all contracts.
  • Fixed and reactivated Workers’ Compensation enrollment, integrating it under the correct Tax ID for uninterrupted billing.
  • Verified and synchronized provider details with CAQH, payer directories, and state databases to eliminate inconsistencies.
  • Expanded participation with seven major payers, including Multiplan, Landmark health, LA Care, CA VEBA Plan, BCBS, and top commercial insurers.

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“Atlantis RCM’s credentialing team knew exactly where the issues were and handled every step — we didn’t have to chase a single payer,”
shared Dr. ***.

Results

Within a short period, the ABA practice achieved full credentialing success:

Matthew Parker expressed complete satisfaction, highlighting Atlantis RCM’s transparency, timely updates, and expert handling of every step in the process.

A Reliable Partner in Practice Growth

Today, her practice is fully credentialed, compliant, and ready to scale.
Her team no longer worries about payer paperwork or approval delays — they trust Atlantis RCM to manage every credentialing detail with accuracy and timeliness.

Our continued goal is to help healthcare providers gain faster payer access, improve revenue flow, and eliminate administrative stress — all through accurate and compliant credentialing management.

“The difference is night and day. Credentialing used to be a headache; now, it’s completely off our plate,”
Dr. *** noted.

Atlantis RCM continues to support her practice’s growth, ensuring every new enrollment and provider addition is handled smoothly and on time.

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