FAQs
Frequently Asked Questions
1. How long does credentialing take?
Most payers take 60–120 days, depending on the insurance panel and how quickly they process applications.
2. Do you work with solo clinicians?
Yes — we specialize in supporting solo providers and small practices.
3. What documents do I need to start?
You’ll need your license, malpractice insurance, ID, resume/CV, and basic practice information.
4. Do you clean up my CAQH?
Yes — we update, correct, and fully clean your CAQH profile before submitting any applications.
5. Do you follow up with insurance companies?
Absolutely — we handle all follow‑ups, requests for information, and contracting communication.
6. Do you help with revalidations or recredentialing?
Yes — we manage revalidations, updates, and renewals to keep you active with payers.
7. Do you work with Medicare or Medicaid?
Yes — we assist with Medicare and most state Medicaid programs.
8. How many insurance panels can I apply to?
As many as you choose — we help you select panels based on your practice needs.
9. Do you help with ERA/EFT setup?
Yes — we complete and submit ERA/EFT forms so you can receive payments electronically.
10. When can I start billing?
You can begin billing once your payer approvals and effective dates are confirmed and ERA/EFT is active.
11. Do you help with insurance panel selection?
Yes — we guide you through choosing the best panels based on your specialty, location, and client population.
12. Can you credential me with multiple practices?
Yes — clinicians can be credentialed under more than one Tax ID. We manage each enrollment separately and ensure everything is linked correctly.
13. Do you assist with group practice credentialing?
Absolutely — we credential both solo providers and group practices, including linking multiple clinicians to the same Tax ID.
14. What happens if my application gets denied?
We handle appeals, corrections, and resubmissions to get your application approved as quickly as possible.
15. Do you manage ongoing payer updates?
Yes — we take care of demographic updates, address changes, Tax ID updates, and any required payer maintenance.
16. Can you help me get paneled faster?
We streamline the process by ensuring your CAQH, documents, and applications are complete and error‑free before submission, reducing delays.
17. Do you work with out‑of‑state providers?
Yes — we credential providers nationwide and assist with multi‑state licensing and payer enrollment.
18. Do you offer billing services after credentialing?
Yes — we provide full-service billing, including claim submission, denial management, ERA/EFT setup, and payment posting.
19. What if I’m already credentialed but need help with billing?
We can begin billing immediately. No credentialing is required if you’re already active with your payers.
20. Do you help with NPI, EIN, or business setup?
Yes — we assist with NPI registration, EIN setup, and basic practice formation steps needed before credentialing.