Credentials Administrative Services
Credentials Administrative Services (CAS) is a U.S. healthcare professional services firm providing payer enrollment, credentialing, CAQH portal management, and roster reconciliation to medical practices, hospitals, FQHCs, and specialty providers across all 50 states.
- Company typePrivate
- Founded2003
- HeadquartersBristol, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Credentials Administrative Services does
Credentials Administrative Services, LLC (CAS) is a U.S. healthcare professional services firm founded in 2003 by Sheila (SJ) Hunt and headquartered in Bristol, New Hampshire. The company provides outsourced credentialing and payer enrollment liaison services to healthcare organizations, executing four integrated service lines: payer enrollment (Medicare, Medicaid, private payers, MCOs, and delegated credentialing), research and verification of provider network status, CAQH Proview portal management, and roster reconciliation for CMS payer directory compliance. The firm deliberately positions itself as human-led and consultative, differentiating from software-only credentialing tools through direct payer communication, continuous follow-up, and workflow ownership rather than via proprietary technology.
The business operates on a quote-based professional services model, with engagement scope apparently scaled to provider count across brackets (Solo, 2-10, 11-50, 50+). CAS sells into four primary verticals: hospitals and health systems, single/multi-specialty medical practices, federally qualified health centers and rural health clinics, and specialty providers (dental, vision, mental/behavioral health, DME, pharmacy, laboratory, telemedicine). Distribution is consultative direct sales supported by a company website, organic social channels, and a secure client portal; CAS reports service coverage across all 50 U.S. states and excludes home health and transportation providers from its scope. HIPAA compliance is operationalized through mandatory Business Associate Agreements with every client.
CAS is a closely held private LLC with no disclosed external investors, funding rounds, parent company, or subsidiaries. Leadership comprises founder-CEO Sheila Hunt, President Adam Swain (joined 2011, promoted 2023), and COO Nikki Swain (joined 2013, promoted 2023). The firm employs 11-50 people, has operated continuously for over two decades, and carries no patents, trademarks, or formally recognized awards in the available record. Revenue, headcount trends, and growth indicators are not publicly disclosed.
Credentials Administrative Services firmographics
Firmographics- Name
- Credentials Administrative Services
- Legal name
- Credentials Administrative Services, LLC
- Website
- https://cascred.org
- Company type
- Private
- Founded year
- 2003
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Credentials Administrative Services (CAS) is a U.S. healthcare professional services firm providing payer enrollment, credentialing, CAQH portal management, and roster reconciliation to medical practices, hospitals, FQHCs, and specialty providers across all 50 states.
- Ownership category
- akta.pro rank
Credentials Administrative Services industry classification
Industry- Product category
- Healthcare Provider Credentialing and Payer Enrollment Services
- NAICS
- Office Administrative Services (56111), Business Service Centers (56143)
- SIC
- Services-Help Supply Services (7363), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Provider Credentialing & Enrollment (Payer Contracting Ops) (HLACACAM)
- akta.pro secondary industry
- Provider Network, Credentialing & Contracting Support (BPAAAFAI)
Keywords
Where Credentials Administrative Services is headquartered
LocationHeadquarters
- HQ city
- Bristol
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Credentials Administrative Services business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Others
Revenue model
- Credentialing and Payer Enrollment Services: Professional services revenue generated through hands-on credentialing support and payer enrollment services. Pricing appears to be based on number of providers managed, as indicated by the contact form which asks clients to specify provider count (1, 2-10, 11-50, 50+). Services include payer enrollment, research and verification, CAQH portal management, and roster reconciliation.
Go-to-market motion1 record
Distribution channels3 records
Marketing channels6 records
Credentials Administrative Services product offering
Product offeringCore offering
Credentials Administrative Services delivers outsourced healthcare credentialing and payer enrollment liaison services for healthcare providers and organizations. Its core offerings cover enrollment with Medicare, Medicaid, private payers, and MCOs; primary-source research and verification of provider credentials; CAQH Proview record maintenance; and ongoing roster reconciliation to keep payer directories accurate. Services are delivered by a dedicated human-led team across all 50 U.S. states, focused on helping clients meet accreditation standards, capture revenue, and reduce denied claims.
Product overview
Credentials Administrative Services provides hands-on credentialing and payer enrollment services for healthcare organizations. Their offering consists of four integrated service areas: Payer Enrollment (handling Medicare, Medicaid, private insurance, and MCO enrollment), Research & Verification (confirming provider enrollment status and identifying revenue gaps), CAQH Provider Portal management, and Roster Reconciliation (maintaining provider demographic data for CMS payer directories). The company differentiates through proactive follow-up, payer communication, and consistent oversight rather than relying solely on software tools. Services are delivered across all 50 U.S. states to diverse healthcare clients including hospitals, dental practices, mental health providers, pharmacies, and telemedicine organizations.
Differentiator
Problem solved
Functional benefit
Products and services
- Payer Enrollment Manages the enrollment process with Medicare, Medicaid, private insurance, MCOs, and delegated credentialing arrangements, including recredentialing and revalidations, for healthcare providers and organizations.
- Research & Verification Conducts primary-source research to verify provider network participation, confirm active enrollment status, review payer directories, validate demographic data, and identify gaps impacting revenue.
- CAQH Provider Portal Management Maintains and updates CAQH credentialing and recredentialing records on an as-needed basis to ensure smooth provider enrollment processes for healthcare clients.
- Roster Reconciliation Maintains a database of provider demographic information so that payer directories remain up-to-date as mandated by CMS, supporting patient access to healthcare.
Quantifiable outcome
- Increased revenue and decreased claim rejections/denials for clients
- +1 more outcomes
Companies that use Credentials Administrative Services
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles2 records
Credentials Administrative Services technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Credentials Administrative Services partnerships and signals
Strategic signalScale indicators2 records
Recent moves3 records
Expansion highlights3 records
Credentials Administrative Services competitors and assessment
Company assessmentBroad incumbents
- symplr: symplr is a large healthcare governance, risk, and compliance SaaS platform offering provider credentialing, payer enrollment, and provider data management. It competes with CAS for hospital and health system credentialing workflows but as a software suite rather than a hands-on service.
- VerityStream (HealthStream): VerityStream, a HealthStream company, provides credentialing, privileging, and enrollment software used by hospitals and large medical groups. It is a comparable provider credentialing technology platform serving many of the same hospital and group-practice customers CAS supports.
Direct peers
- MedTrainer: MedTrainer offers a healthcare credentialing, compliance, and learning management SaaS suite for ambulatory practices, FQHCs, and small hospitals. It directly overlaps with CAS's payer enrollment and provider credentialing services but delivers them via a unified software platform.
- Andros (formerly Aperture Credentialing): Andros provides payer enrollment and provider credentialing services and software to health plans, provider groups, and telehealth companies. It is a direct peer combining service-led enrollment with technology enablement for many of the same customer types as CAS.
- Intiva Health (CredentialMyDoc): Intiva Health's CredentialMyDoc is a credentialing and provider enrollment platform serving practices and group practices nationally. It targets the same SMB and mid-market healthcare providers as CAS and offers an alternative model of self-service credentialing.
- Modio Health: Modio Health provides credentialing, licensing, and payer enrollment services for healthcare organizations and locum tenens staffing firms. It offers a hybrid model similar to CAS, combining credentialing software with managed service support.
- PreCheck: PreCheck offers healthcare credentialing, background screening, and compliance services to hospitals, group practices, and staffing firms. It is a comparable credentialing service provider with both technology and managed-service components overlapping CAS's offering.
Emerging players
- silversheet: silversheet is a credentialing and provider enrollment platform focused on outpatient practices and ambulatory groups. It overlaps with CAS in payer enrollment and recredentialing for medical groups but emphasizes a software-first delivery model.
- ProviderTrust: ProviderTrust delivers provider credentialing, exclusion monitoring, and license management SaaS for healthcare organizations. It addresses the same regulatory-driven credentialing needs as CAS but through continuous-monitoring technology rather than hands-on enrollment services.
- Rivet Health: Rivet Health provides payer contract management and provider directory tools for health systems and provider groups. It is adjacent to CAS's roster reconciliation and payer enrollment services, addressing the same revenue-cycle integrity problems from a contract-analytics angle.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Credentials Administrative Services social profiles
Digital presenceCredentials Administrative Services compliance and trust
Trust signalCompliance1 record
Credentials Administrative Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
Credentials Administrative Services leadership team
Management profileNumber of profiles
Profiles3 records
Credentials Administrative Services funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Credentials Administrative Services M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Credentials Administrative Services
What does Credentials Administrative Services do?
Credentials Administrative Services delivers outsourced healthcare credentialing and payer enrollment liaison services for healthcare providers and organizations. Its core offerings cover enrollment with Medicare, Medicaid, private payers, and MCOs; primary-source research and verification of provider credentials; CAQH Proview record maintenance; and ongoing roster reconciliation to keep payer directories accurate. Services are delivered by a dedicated human-led team across all 50 U.S. states, focused on helping clients meet accreditation standards, capture revenue, and reduce denied claims.
Is Credentials Administrative Services a public or private company?
Credentials Administrative Services is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Credentials Administrative Services founded?
Credentials Administrative Services was founded in 2003. It employs 11 to 50 people.
Where is Credentials Administrative Services based?
Credentials Administrative Services is headquartered in Bristol, United States, in the North America region.
How does Credentials Administrative Services make money?
One revenue line is on record: credentialing and Payer Enrollment Services.
Who are Credentials Administrative Services's main competitors?
Broad incumbents on record are symplr and VerityStream (HealthStream). Direct peers are MedTrainer, Andros (formerly Aperture Credentialing), Intiva Health (CredentialMyDoc), Modio Health and PreCheck. Emerging players are silversheet, ProviderTrust and Rivet Health.
Does Credentials Administrative Services have an API?
No public API is recorded for Credentials Administrative Services.
What industry is Credentials Administrative Services in?
Credentials Administrative Services's product category is Healthcare Provider Credentialing and Payer Enrollment Services. Its primary akta.pro industry code is HLACACAM, Provider Credentialing & Enrollment (Payer Contracting Ops), with a secondary code of BPAAAFAI, Provider Network, Credentialing & Contracting Support. Its NAICS code is 56111 and its SIC code is 7363.