Meet Elf.
Elf isn't a chatbot that knows about medicine. It's a domain-specific guide built with the PPS team that's credentialed 400+ providers — it knows the sequence, tracks your board, and preps the work for your approval.
Specific beats general, every time.
Ask ChatGPT how long BCBS credentialing takes. You'll get "60–120 days." Ask Elf and you get YOUR answer: which of your payers are in review, how long each typically runs, and what to do while you wait for each one.
Payer credentialing timelines
Generic AI
"Credentialing typically takes 60–120 days depending on the payer."
Elf
Every payer you've submitted sits on one tracker with its submission date and typical review window — and the ones you haven't get their packet prepped from your CAQH profile so everything runs in parallel. The moment anything stalls, Elf flags it and drafts the follow-up.
Non-compete enforcement
Generic AI
"Non-compete agreements are enforceable in most states. Consult an attorney."
Elf
Non-compete rules vary sharply by state, and yours needs a licensed attorney's read — I don't interpret contracts. What I do: build your exit checklist around the review, track the notice-period math, and connect you with independent counsel before you give notice.
Entity formation sequence
Generic AI
"You'll need to form a business entity before you can open a practice."
Elf
Form entity → get EIN → Type 2 NPI (on entity, not you) → DEA address change → CAQH profile update. In that exact order. Skipping to DEA before NPI means re-filing with every payer.
Valley modeling
Generic AI
"There may be a period of reduced income while you get established."
Elf
Here's your valley as a range — computed from your overhead, payer mix, and setting, assumptions listed, low point dated, with a monthly cashflow bridge. It's an estimate, and it sharpens as your real numbers land.
Billing setup
Generic AI
"You'll need a billing system and may want to hire a billing company."
Elf
A billing company charges 7–12% of collections. On an illustrative $350k of year-one collections, that's $24,500–$42,000. Here's the break-even for self-billing, the CPT codes that get rejected most in your specialty, and the claim-scrubbing rules that fix them.
Exit timing
Generic AI
"Make sure you give adequate notice per your contract before resigning."
Elf
Your notice period and each payer's typical review window sit on one timeline, so you can see which filings to start before you give notice and how the pieces stack. I draft the sequence; you set the date.
What Elf knows
Six domain knowledge areas, built with the team that's credentialed 400+ providers — not scraped from the internet.
Payer credentialing
Timeline and status rules for all major payers, including regional BCBS variants, Medicaid by state, and Medicare Part B vs. MA plans.
Contract & exit strategy
Non-compete enforcement by state, notice period math, tail coverage options, and the clauses most physicians regret not auditing.
Valley modeling
Cash-flow gap forecasting by specialty, payer mix, and geography. Monthly bridge math, reserve requirements, and acceleration strategies.
Entity & compliance
PLLC vs. PC by state, formation sequence, EIN timing, Type 2 NPI, DEA re-registration, and the compliancetriggers most new physicians miss.
Billing & revenue cycle
CPT coding by specialty, common rejection patterns, clearinghouse selection, ERA/EFT enrollment, and benchmark collection rates.
Operations & growth
Practice management system selection, panel-building strategies, referral network development, and the growth levers that move per-visit revenue.
A conversation with Elf
This is a sample exchange from the Exit lane. Elf adapts to each physician's specialty, contract, and state.
The move that compresses that: file your Medicare Part B credentialing application today, before you give notice. It typically takes 60–90 days, it's not employer-tied, and it can be active before your BCBS review even starts.
Built from real operations. Not the internet.
400+
Providers credentialed by the PPS team that built Elf
100+
Independent practices launched by that same team
51
Steps on one board, from exit through first paid claim
3
Ways Elf acts — tracks, drafts for your approval, executes on team plans
Elf guides you through every lane.
From the day you decide to leave until your practice is full and growing — Elf stays with you.
Lane 1
Exit
Get out of your current job cleanly — no liability, no surprise clauses triggered.
- Contract audit
- Non-compete mapping
- Notice period math
- Tail coverage options
Lane 2
Launch
Stand up the legal, operational, and clinical infrastructure of your practice.
- Entity formation
- EIN + Type 2 NPI
- DEA re-registration
- Malpractice coverage
Lane 3
Fill
Credential with every relevant payer simultaneously and start seeing patients.
- Parallel payer applications
- CAQH profile management
- Medicare/Medicaid enrollment
- Panel-fill strategy
Lane 4
Sustain
Make sure cash flows — billing setup, claims process, collections, denials management.
- Billing system setup
- ERA/EFT enrollment
- Claim scrubbing rules
- Denial management
Lane 5
Grow
Optimize per-visit revenue, expand your panel, and build referral relationships.
- Revenue optimization
- Referral network
- Payer contract renegotiation
- Expansion planning
Ready to meet Elf?
Tell Elf your specialty, state, and when you want to be out — it'll show you the exact path in minutes.