Case Studies

Case Study 1: Accelerating Enrollment for an Anesthesia Group

Client: Regional Anesthesia Group (150+ CRNAs)
Challenge: The group was struggling with delayed Medicare approvals and missing EFT setups that were holding up reimbursements across multiple states.

Solution:
EnrollEase performed a full audit of the group’s existing enrollments, verified all NPI and CAQH data, and completed new Medicare and Medicaid enrollments through PECOS. We also corrected EFT/ERA linkages and set up payer tracking dashboards for weekly monitoring.

Results:

Reduced average approval timeline from 90 days to 45 days
Reconnected 100% of EFT/ERA within 30 days
Eliminated revenue loss due to delayed enrollments
Implemented a standardized process for all future provider additions

Client Feedback:

“We were losing thousands each month due to delayed enrollments. EnrollEase not only fixed our backlogs but gave us a system that keeps everything on track.”
— Director of Operations, Regional Anesthesia Group

Case Study 2: Credentialing a New Family Practice from Scratch

Client: Sunrise Family Care Clinic (New Practice, 3 Providers)
Challenge: The clinic was launching its first location and needed full credentialing and enrollment for all providers — including Medicare, Medicaid, and major commercial payers — before opening day.

Solution:
EnrollEase handled the entire process:

Created NPIs and CAQH profiles for each provider
Completed full enrollment packages with 3 major payers
Set up EFT/ERA for direct reimbursements
Tracked all submissions with payer confirmation and follow-up

Results:

All payers approved within 60 days (ahead of launch date)
Clinic opened fully credentialed and ready to bill
Ongoing quarterly compliance reviews added to ensure renewals stay current

Client Feedback:

“We didn’t have the time or knowledge to handle payer enrollment. EnrollEase made it seamless — from forms to follow-up — we were billing patients on day one.”
— Practice Owner, Sunrise Family Care

Case Study 3: Reclaiming Revenue for a Specialty Surgery Center

Client: Horizon Specialty Surgery Center
Challenge: Inconsistent credentialing tracking had caused multiple inactive enrollments, rejected claims, and loss of revenue across three payers.

Solution:
EnrollEase performed a compliance audit, corrected outdated enrollment data, resubmitted claims with updated credentials, and implemented a system to track renewals and revalidations.

Results:

Recovered $42,000 in denied claims
Recredentialed 6 surgeons and 2 NPs across all major payers
Implemented automated reminders for future revalidations
100% payer compliance achieved

Client Feedback:

“EnrollEase saved our practice financially. We didn’t even realize how much was slipping through the cracks until Brenda and her team fixed it.”
— Administrator, Horizon Specialty Surgery Center