Mastering Payor Enrollment Platforms in 2027 – CAQH, PECOS, NPPES and I&A

Course Description

Four essential systems. Countless details. One opportunity to build a more efficient enrollment process.

Join us for a practical webinar designed to help credentialing and provider enrollment professionals confidently navigate CAQH, PECOS, NPPES, and Identity & Access (I&A). We’ll explore each platform’s role, how they support enrollment workflows, and ways to keep provider information accurate and consistent.

Through practical examples and actionable strategies, discover how to manage access, maintain provider profiles, track updates, and address common obstacles that can delay enrollment and reimbursement.

You’ll learn how to:

• Understand each platform’s purpose and role in the enrollment process.
  
• Strengthen data accuracy and consistency across systems.
  
• Manage user access, delegated responsibilities, and account maintenance.
  
• Build reliable routines for attestations, updates, and revalidations.
  
• Identify common pitfalls and improve enrollment workflows.
  
• Whether you’re new to provider enrollment or refining an established process, leave with practical tools to reduce avoidable delays and approach 2027 with greater confidence.
  

Take control of your platforms—and keep enrollment moving forward.

Learning Outcomes

• Differentiate the roles of CAQH, PECOS, NPPES and I&A in provider enrollment and ongoing data maintenance.
  
• Navigate each platform to locate key functions, manage provider information, and complete common enrollment tasks.
  
• Apply effective practices for maintaining accurate, complete, and consistent provider data across platforms.
  
• Manage account access, user roles, and delegated permissions to support secure enrollment workflows.
  
• Develop a tracking process for attestations, revalidations, and provider information updates.
  
• Identify common errors and discrepancies that contribute to enrollment delays or application returns.
  
• Implement troubleshooting strategies to resolve access issues and address enrollment obstacles.
  
• Design a coordinated workflow that clarifies responsibilities, reduces duplicate work, and supports enrollment readiness in 2027.
  

Areas Covered in the Session

• Understanding the Platform Landscape
  • The purpose of CAQH, PECOS, NPPES, and I&A.
    
  • How each supports provider enrollment.
    
• CAQH Profile Management
  • Profile completion.
    
  • Supporting documentation.
    
  • Attestations.
    
  • Authorization for participating organizations to access information.
    
• PECOS Enrollment and Maintenance
  • Medicare enrollment applications.
    
  • Changes of information.
    
  • Reassignment of benefits.
    
  • Revalidation workflows.
    
• NPPES and NPI Data Accuracy
  • NPI applications.
    
  • Taxonomy selection.
    
  • Practice locations.
    
  • Maintenance of individual and organizational records.
    
• I&A Access and Delegation
  • Account setup.
    
  • User roles.
    
  • Employer connections.
    
  • Permissions for working on behalf of providers and organizations.
    
• Cross-Platform Data Consistency
  • Strategies for aligning provider names.
    
  • Identifiers.
    
  • Addresses.
    
  • Other shared information across systems.
    
• Common Challenges and Troubleshooting
  • Access barriers.
    
  • Incomplete submissions.
    
  • Data discrepancies.
    
  • Approaches to resolving enrollment delays.
    
• Building an Effective Enrollment Workflow for 2027
  • Assigning responsibilities.
    
  • Tracking deadlines.
    
  • Monitoring application status.
    
  • Establishing ongoing quality checks.
    
• Interactive Q&A Session
  

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Recommended Participants

• Provider Enrollment Specialists and Managers
  
• Medical Staff Services Professionals (MSPs)
  
• Provider Credentialing and Recredentialing Specialists
  
• Credentialing Verification Organization (CVO) Professionals
  
• Healthcare Credentialing Managers and Directors
  
• Medicare Enrollment and PECOS Specialists
  
• NPI Registration and NPPES Administrators
  
• CAQH Profile Management and Maintenance Specialists
  
• Provider Data Management Specialists
  
• Healthcare Practice Administrators and Practice Managers
  
• Medical Group Operations Managers and Directors
  
• Provider Onboarding and Enrollment Coordinators
  
• Payer Enrollment and Contracting Specialists
  
• Revenue Cycle Management Professionals
  
• Medical Billing and Reimbursement Managers
  
• Healthcare Compliance Officers and Compliance Specialists
  
• Hospital and Health System Enrollment Administrators
  
• Credentialing and Enrollment Consultants
  
• Healthcare Administrative Services and Managed Services Organization (MSO) Professionals
  
• Physicians, Advanced Practice Providers (APPs), and Other Healthcare Providers Responsible for Maintaining Their Enrollment Records
  

About the Presenter

Larry G. DeHoyos, CPMSM, CPCS, PESC

is a healthcare operations leader with more than 30 years of experience in credentialing, provider enrollment, medical staff services, and provider data management. His career spans health plans, health systems, physician organizations, and digital health companies, with a focus on improving operational efficiency and revenue cycle readiness. His primary focus is strengthening processes and reducing redundancy across organizations and workflows.

Larry’s accomplishments include reducing credentialing turnaround times from more than 270 days to fewer than 30 days and eliminating a $1.2 million claims backlog within 90 days for a large California-based health system. He has led teams of up to 115 professionals and implemented technology and process improvements to strengthen provider onboarding and enrollment operations. He approaches challenges from both a business owner’s and an industry professional’s perspective, striving to find a balance that benefits both.

His technology experience includes CAQH, PECOS, artificial intelligence, various credentialing platforms, and project management tools. For this webinar, Larry brings an operational perspective to managing enrollment platforms, strengthening data accuracy, and coordinating workflows. His background connects platform management with the demands facing medical staff services professionals, enrollment teams, and healthcare leaders preparing their organizations for 2027.

Additional Information