Provider Credentialing & Enrollment FAQ
Questions and answers about provider credentialing, CAQH profile setup, and insurance panel enrollment.
How long does the provider credentialing process take?
The credentialing process typically takes 90 to 120 days depending on the insurance carrier. Government payers (Medicare/Medicaid) may take longer. We manage the process proactively to minimize delays.
What is CAQH and why do I need it?
CAQH (Council for Affordable Quality Healthcare) is a database where providers store their credentialing information. Most commercial insurers access CAQH to verify credentials. We maintain and update your CAQH profile regularly.
Can I see patients before the credentialing process is complete?
No. If you see patients before you are officially credentialed and in-network with their insurance, the claims will be processed as out-of-network or denied, resulting in high out-of-pocket costs for patients.
What documents are required for credentialing?
Required documents include your medical license, DEA registration, board certifications, CV, malpractice insurance face sheet, and graduation diplomas. We collect and organize these documents into a secure profile.
Still have questions?
Our medical billing and coding professionals are here to help. Contact us to speak with a billing expert today.