Frequently Asked Questions

Simply put, it is how you become eligible to accept insurance. 

Becoming credentialed minimizes the cost for your patients in addition to your practice benefiting from the referrals.

• A practice location, that you are not planning on changing during the credentialing process.
• Tax ID Number (EIN).
• State License or Certification that allows credentialing (check with local governing body).
• Malpractice Insurance minimum limits $1 million/$3 million.
• National Provider Number (NPI).

Aetna, Allwell, Ambetter, Amerigroup, Anthem Blue Cross, Caresource, Cigna, Espyr, Fei, Humana, Magellan, Medicare, Medicaid, Optum Eap, Peachstate, United Health, Wellcare, and more.

Our credentialing service fee varies according to the scope and complexity of each situation. There are many factors to consider here, including the degree of difficulty involved for your state and provider type, and the carriers you have selected.

We stay current and educated on the specific credentialing needs for your alternative or behavioral health care specialty. We are in contact with many insurance companies nationally, and can contact them for up-to-the-minute status updates. Because the landscape of the insurance industry is constantly changing, we stay informed on the latest developments.

In the best case scenario, processing can take 90-120 days. After collecting your information, we submit your applications and follow up regularly to make sure your application is processing smoothly and clearly. We correct any problems that may occur.

Although we ensure there is a smooth transition with paperwork and qualifications, Eligibility for panels involves many factors, including (but not limited to) your location and areas of practice. When a panel is closed, we can add you to the waiting list.

We will provide you with regular updates.

We do offer billing when using the recommended Electronic Health Record (EHR).