CredTek's credentialing team completes the Optum, Carelon, Magellan, Evernorth, and Anthem BH applications end-to-end — but nothing leaves CredTek without your click. The human-in-the-loop gate is on the architecture (per the IAL spec), not a feature flag.
The approval queue
Open /approvals. You see every drafted submission, license renewal, CAQH attestation, and PSV anomaly that needs your eyes — sorted by urgency.
Approve, edit, or reject
- Approve & send — the most common action.
We submit to the payor portal, transitions the
IntegrationJob to
submitted, and logs to the audit chain. - Edit — opens an inline editor. Most coordinators never need this; most drafts are accepted as-is. But if the payor has a quirk we missed (a specific phrasing they require in a free-text field), this is where you fix it.
- Reject — dismisses the draft and requests a new one (or stops the workflow, depending on action type).
How the draft is built
From the provider's golden profile (intake + PSV results + CAQH sync). Our team fills every field on the payor's portal, attaches the right documents, and stages the submission. You see exactly what will be sent.
Stalled submissions
When a Tier 3 submission stays in submitted status
past 45 days, the SLA monitor auto-creates a Tier 4 escalation
ticket — internal ops calls the payor's provider relations team to
unblock. Visible to you on the customer-facing job; the ops surface
lives at /ops/queue.