Provider Credentialing Readiness Center
Practice Managers gather, verify, and organize the provider credentialing packet. Once the packet is complete, RISE manages payer credentialing and enrollment.
PM prepares. RISE credentials.
Sawubona tells the Practice Manager exactly what must be complete before credentialing is handed off.
What credentialing task are you handling?
Choose the work in front of you. Sawubona will narrow the readiness guidance while RISE remains responsible for payer credentialing after handoff.
Gather, verify, organize & hand off.
The PM owns provider readiness before RISE begins credentialing.
- Ensure the TNC onboarding form is complete.
- Collect required credentialing documents.
- Confirm documents are legible, current, and consistent.
- Confirm CAQH and PECOS readiness when applicable.
- Identify missing items before handoff.
- Respond quickly when RISE requests provider information or signatures.
Payer enrollment, follow-up & status.
RISE takes over assigned payer credentialing/enrollment work after receipt of a complete packet.
- Payer credentialing/enrollment submissions.
- Medicare, Medicaid, and commercial payer workflows as assigned.
- Payer follow-up and application status.
- Requests for additional payer documentation.
- Effective-date and participation updates.
- Escalation of missing provider items back to TNC.
New Provider Packet
What must be collected before credentialing begins.
CAQH & PECOS
Profile readiness, attestation, and Medicare access.
RISE Handoff
Final completeness review before the packet leaves TNC.
After Handoff
What the PM still owns while RISE credentials the provider.
Provider Departure
What must be communicated when a provider leaves TNC.
Practice Manager Credentialing Checklist
Prepare a clean, complete provider packet before RISE takes over.
Practice Manager workflow
- Have the provider complete the TNC Provider Onboarding Form.
- Review the submission for missing credentialing information.
- Collect all supporting documents.
- Confirm names, dates, licenses, NPI, CAQH, and work history are consistent.
- Complete the final RISE readiness checklist.
Collect and verify
Collect as applicable
Collect
Collect and review
Verify
Verify
Final PM review
Sequence
- Complete onboarding information and document collection.
- Perform the packet quality check.
- Confirm CAQH/PECOS readiness when applicable.
- Submit through TNC’s current approved RISE credentialing workflow.
- Document that the packet was handed off.
- Remain available for provider signatures or additional documents.
Confirm and communicate
Continue assisting with
- Provider signatures.
- Updated licenses/certificates.
- Employment or education details.
- Updated malpractice documents.
- CAQH reattestation or access needs.
- PECOS/provider authorization needs.
- Provider-specific payer explanations.
- Practice-state or location changes.
Provide as applicable
No matching resource found.
Try “provider,” “CAQH,” “PECOS,” “license,” “malpractice,” or “RISE.”
Readiness is not credentialing status.
Sawubona helps the Practice Manager prepare and quality-check the provider packet. A completed packet means the provider is ready to be handed off—not that payer enrollment is approved, active, or effective.
Is the provider packet ready for RISE?
This checklist saves only in the current browser and is a convenience tool. It does not replace the approved provider file, credentialing status tracker, or RISE handoff process.