How long will credentialing take?
Credentialing timelines vary by payer and provider type. In most cases, Medicare and Medicaid take several months, and commercial plans follow. We provide realistic timelines and tracking, but final approval dates are determined by the payers.
Can you guarantee I’ll be approved?
No. Credentialing and network participation decisions are made solely by the payers. Our role is to prepare accurate, complete submissions and manage the process.
Why does credentialing cost so much?
Credentialing fees reflect the compliance risk, follow-up workload, and long-term revenue impact, not just form completion. In rural markets, preventing enrollment errors is often more valuable than speed.
Can we just start with one payer?
Sometimes, but often Medicare or Medicaid enrollment is required before commercial plans will proceed. We help you choose the most realistic sequence for your practice.
Do I really need maintenance after enrollment?
Most credentialing issues arise after initial enrollment due to expiration or changes. Maintenance helps prevent silent interruptions to your ability to bill.
Can you talk to the payer for me?
Yes, with written authorization. Providers remain responsible for attestations and approvals.
Do you handle billing or claims?
No. We focus exclusively on credentialing and enrollment. This separation protects compliance and clarity of responsibility.
I know someone who did this themselves for free.
Some providers do complete credentialing independently. Our clients typically choose support to reduce delays, errors, and future disruptions, especially when insurance revenue is critical.
What if a payer isn’t accepting new providers?
Network availability is payer-controlled. If a network is closed, we will discuss alternatives or timing strategies.
Why do you need so much information?
Payers require detailed, verified data to establish participation. Incomplete or inconsistent information is the most common cause of delays and denials.